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OncoMatch/Clinical Trials/NCT06939452

A Single-arm, Multicenter Exploratory Clinical Trial of Anlotinib Combined With TQB2450 and the SOX Regimen as First-line Treatment for Advanced Gastric Cancer With Low PD-L1 Expression

Is NCT06939452 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies anlotinib +TQB2450 + Oxaliplatin+S-1 for advanced gastric or gastroesophageal junction (g/gej) adenocarcinoma.

Phase 2RecruitingYongxu JiaNCT06939452Data as of May 2026

Treatment: anlotinib +TQB2450 + Oxaliplatin+S-1To evaluate the efficacy and safety of anlotinib combined with TQB2450 and the SOX regimen as first-line treatment for advanced gastric cancer with low PD-L1 expression

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Extracted eligibility criteria

Cancer type

Gastric Cancer

Esophageal Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) negative

HER2-negative (or HER2 status undetermined)

Required: PD-L1 (CD274) low expression (CPS <5) (CPS <5)

PD-L1 combined positive score (CPS) <5

Disease stage

Metastatic disease required

unresectable locally advanced or metastatic gastric/gastroesophageal junction adenocarcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: (neo)adjuvant chemotherapy or radiotherapy — adjuvant/neoadjuvant

Disease recurrence >6 months after completion of (neo)adjuvant chemotherapy or radiotherapy

Cannot have received: anlotinib (anlotinib hydrochloride)

Prior treatment with anlotinib hydrochloride

Cannot have received: immune checkpoint inhibitor

any immune checkpoint inhibitors (anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibodies)

Lab requirements

Blood counts

Hemoglobin (Hb): ≥ 90 g/L (no blood transfusion within 14 days); ANC: ≥ 1.5 × 10⁹/L; Platelet Count (PLT): ≥ 100 × 10⁹/L (no IL-11 or TPO within 14 days); WBC: ≥ 4.0 × 10⁹/L (no G-CSF within 14 days)

Kidney function

Serum Creatinine (Cr): ≤ 1.5 × ULN or CrCl ≥ 60 mL/min (Cockcroft-Gault)

Liver function

Total Bilirubin (TBIL): ≤ 1.5 × ULN; ALT & AST: ≤ 2.5 × ULN (≤ 5 × ULN with hepatic metastases); Serum Albumin: ≥ 25 g/L (2.5 g/dL)

Cardiac function

LVEF ≥ 50% (or above institutional lower limit of normal); NYHA Class III-IV heart failure or LVEF <50% excluded; Grade ≥2 myocardial ischemia, myocardial infarction, or arrhythmias (QTc ≥480 ms) excluded

Organ Function Requirements and Laboratory Test Criteria During Screening

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

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