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OncoMatch/Clinical Trials/NCT07492615

A Clinical Study of Sintilimab Combined With Chemothrapy Versus Chemotherapy as Adjuvant Therapy for Gastric/Gastroesophageal Junction Adenocarcinoma

Is NCT07492615 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Sintilimab and S-1 & Oxaliplatin for gastric cancer or gastroesophageal junction adenocarcinoma.

Phase 2RecruitingFudan UniversityNCT07492615Data as of May 2026

Treatment: Sintilimab · S-1 & OxaliplatinThis study aims to explore the efficacy and safety of sintilimab combined with SOX versus SOX alone as adjuvant therapy for patients with pIIIC stage or dMMR/MSI-H pIIIA/IIIB stage gastric/gastroesophageal junction adenocarcinoma. A total of 276 subjects are planned to be enrolled in this study. Patients will be randomly assigned in a 1:1 ratio to receive up to 8 cycles of sintilimab combined with SOX or SOX alone as adjuvant therapy.

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Extracted eligibility criteria

Cancer type

Gastric Cancer

Esophageal Carcinoma

Biomarker criteria

Required: MMR deficiency (dMMR) by immunohistochemistry (IHC)

Diagnosed with mismatch repair deficiency (dMMR) by immunohistochemistry (IHC) of biopsy tissue

Required: MSI microsatellite instability-high (MSI-H) by genetic sequencing

microsatellite instability-high (MSI-H) by genetic sequencing

Disease stage

Required: Stage PTNM STAGE IIIC, PTNM STAGE IIIA, PTNM STAGE IIIB (pTNM)

Diagnosed with pTNM stage IIIC or pTNM stage IIIA/IIIB

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: surgery

Underwent D2 or more extensive radical resection and achieved R0 resection

Cannot have received: anti-PD-1 therapy

Prior receipt of the following therapies: anti-PD-1, anti-PD-L1, or drugs targeting another stimulatory or co-inhibitory T-cell receptor (including but not limited to CTLA-4, OX-40, CD137, etc.)

Cannot have received: systemic therapy with Chinese patent medicines with anti-tumor indications or immunomodulatory drugs (thymosin, interferons, interleukins)

Exception: except for local use to control pleural effusion

Received systemic therapy with Chinese patent medicines with anti-tumor indications or immunomodulatory drugs (including thymosin, interferons, interleukins, except for local use to control pleural effusion) within 2 weeks prior to first dose

Lab requirements

Blood counts

ANC ≥1.5×10^9/L without G-CSF within past 14 days; platelets ≥100×10^9/L without transfusion within past 14 days; hemoglobin >9 g/dL without transfusion or erythropoietin within past 14 days.

Kidney function

Serum creatinine ≤1.5×ULN and creatinine clearance (Cockcroft-Gault) ≥60 ml/min.

Liver function

Total bilirubin ≤1.5×ULN; if total bilirubin >1.5×ULN but direct bilirubin ≤ULN, enrollment is also permitted. AST and ALT ≤2.5×ULN.

Cardiac function

Cardiac enzyme panel within normal range (isolated laboratory abnormalities deemed clinically insignificant by the investigator are also permitted for enrollment).

Adequate organ function, subjects must meet the following laboratory criteria: ... (see full criteria above)

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

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