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OncoMatch/Clinical Trials/NCT06038578

A Study of TRK-950 When Used in Combination With Ramucirumab and Paclitaxel in Patients With Gastric Cancer

Is NCT06038578 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments including TRK-950 and Ramucirumab for gastric adenocarcinoma.

Phase 2RecruitingToray Industries, IncNCT06038578Data as of Jun 2026Location: United States · Japan · South Korea

Treatment: TRK-950 · Ramucirumab · PaclitaxelThis study will assess the efficacy, safety, optimal dose and ADA and NAbs development of TRK-950 at two separate dose levels in combination with ramucirumab and paclitaxel (RAM+PTX) as compared with RAM + PTX treatment alone in participants with gastric or gastro-esophageal junction (GEJ) adenocarcinoma.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Ramucirumab

Chemotherapy

Paclitaxel

Other

TRK-950

Cancer type

Gastric Cancer

Esophageal Carcinoma

Biomarker criteria

Required: CAPRIN1 overexpression (≥30% at ≥2+ staining)

Tumor tissue must be evaluable for CAPRIN-1 staining at a CLIA certified laboratory and meet or exceed the cutoff value (30% at ≥ 2+ staining) as defined in the expression level requirements.

Excluded: HER2 (ERBB2) overexpression

HER2 positive gastric or GEJ adenocarcinoma [excluded].

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received:

Documented objective radiographic or clinical disease progression ... during or after treatment. The prior treatment must meet one of the following criteria with the following treatment history: [see protocol for details]

Cannot have received: (ramucirumab, paclitaxel)

Prior history of treatment with ramucirumab or paclitaxel.

Lab requirements

Blood counts

Adequate organ function from specimens collected within 14 days prior to Day 1.

Kidney function

Adequate organ function from specimens collected within 14 days prior to Day 1.

Liver function

Adequate organ function from specimens collected within 14 days prior to Day 1.

Cardiac function

Baseline corrected QT (QTc) interval of > 470 msec for females and > 450 msec for males calculated using Fridericia's formula [excluded]. NYHA Class II-IV symptomatic congestive heart failure, or symptomatic or poorly controlled cardiac arrhythmia [excluded].

Adequate organ function from specimens collected within 14 days prior to Day 1. Baseline corrected QT (QTc) interval of > 470 msec for females and > 450 msec for males calculated using Fridericia's formula [excluded]. NYHA Class II-IV symptomatic congestive heart failure, or symptomatic or poorly controlled cardiac arrhythmia [excluded].

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope · Duarte, California
  • City of Hope at Orange County Lennar Foundation Cancer Center · Irvine, California
  • University of California, Los Angeles · Santa Monica, California
  • Texas Oncology Arlington North · Arlington, Texas
  • Texas Oncology Bedford · Bedford, Texas

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT06038578 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior disqualifies patients from enrollment.

Does this trial require CAPRIN1?

Yes, CAPRIN1 overexpression is a required biomarker for enrollment.

Are patients with ERBB2 alterations eligible?

No. ERBB2 overexpression is an exclusion criterion.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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