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OncoMatch/Clinical Trials/NCT07069712

A Study of Novel Agents or Combinations as Perioperative Treatment in Participants With Locally Advanced Resectable Gastroesophageal Adenocarcinoma

Is NCT07069712 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies multiple treatments for gastroesophageal adenocarcinoma.

Phase 2RecruitingAstraZenecaNCT07069712Data as of Sep 2026Location: International · 11 countries

Treatment: Sonesitatug Vedotin · Rilvegostomig · Trastuzumab Deruxtecan (T-DXd) · Capecitabine · 5-Fluorouracil (5-FU) · FLOT Chemotherapy · Calcium folinateGEMINI-PeriOp GC study will assess the safety, tolerability, pharmacokinetics (PK) and preliminary anti-tumor activity of novel agents or novel combinations as perioperative treatment in participants with locally advanced resectable gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma who have not received previous treatment for the disease.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Rilvegostomig

Targeted therapy

Trastuzumab Deruxtecan (T-DXd)

Chemotherapy

Capecitabine5-Fluorouracil (5-FU)

Other

Sonesitatug VedotinFLOT ChemotherapyCalcium folinate

Cancer type

Gastric Cancer

Esophageal Carcinoma

Biomarker criteria

Required: CLDN18 expression (positive)

Participants who are CLDN18.2-positive in Sub-study 1

Required: HER2 (ERBB2) overexpression (positive)

HER2-positive in Sub-study 2

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-cancer treatment or surgery for current gastric, GEJ, or esophageal cancer

Participants had any prior anti-cancer treatment or surgery for the current gastric, GEJ, or esophageal cancer.

Lab requirements

Blood counts

adequate organ and bone marrow function

Kidney function

adequate organ and bone marrow function

Liver function

adequate organ and bone marrow function

Adequate organ and bone marrow function

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

US trial sites

  • Research Site · Newark, Delaware
  • Research Site · Washington D.C., District of Columbia
  • Research Site · Fairway, Kansas
  • Research Site · North Shores, Michigan
  • Research Site · New York, New York

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07069712 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require CLDN18?

Yes, CLDN18 expression is a required biomarker for enrollment.

Does this trial require ERBB2?

Yes, ERBB2 overexpression is a required biomarker for enrollment.

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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