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OncoMatch/Clinical Trials/NCT07699939

Perioperative HLX10 (Serplulimab) With S-1+Oxaliplatin (SOX) in Locally Advanced and PD-L1-Positive Gastric or Esophagogastric Junction Adenocarcinoma

Is NCT07699939 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies serplulimab for gastric adenocarcinoma.

Phase 2RecruitingNational Cancer Center, JapanNCT07699939Data as of Sep 2026Location: Japan · South Korea

Treatment: serplulimabTo evaluate the clinical efficacy of perioperative treatment with S-1 + oxaliplatin (SOX)+ HLX10 compared with SOX as the control in patients with cT3-4N1-3M0 PD-L1-positive (CPS ≥ 5) locally advanced gastric adenocarcinoma or gastroesophageal junction adenocarcinoma, in a placebo-controlled, double-blind, randomized phase II investigator-initiated clinical study.

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Extracted eligibility criteria

Treatments studied

Other

serplulimab

Cancer type

Gastric Cancer

Esophageal Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) overexpression (CPS >= 5)

Tumor tissue determined to be PD-L1 positive (CPS >= 5) based on pre-screening evaluation by the central laboratory

Disease stage

Required: Stage CT3-4N1-3M0 (other)

Diagnosis of cT3-4N1-3M0 disease according to the AJCC/UICC-TNM 8th edition

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 80

Prior therapy

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

Cannot have received: immune checkpoint inhibitor

Prior treatment with other antibody or drug therapies for immune checkpoint blockade, such as PD-1, PD-L1, or CTLA-4 therapy

Lab requirements

Blood counts

Neutrophil count >= 1500/mm^3; Hemoglobin >= 9.0 g/dL; Platelet count >= 10 x 10^4/mm^3

Kidney function

Serum creatinine <= 1.5 mg/dL

Liver function

Total bilirubin <= 1.5 mg/dL; AST <= 100 U/L; ALT <= 100 U/L; Serum albumin >= 3.0 g/dL

Cardiac function

APTT <= 60 s; PT-INR <= 1.5; LVEF >= 50%

The most recent laboratory values obtained within 14 days prior to randomization meet all of the following: (1) Neutrophil count >= 1500/mm^3 (2) Hemoglobin >= 9.0 g/dL (3) Platelet count >= 10 x 10^4/mm^3 (4) Total bilirubin <= 1.5 mg/dL (5) AST <= 100 U/L (6) ALT <= 100 U/L (7) Serum albumin >= 3.0 g/dL (8) Serum creatinine <= 1.5 mg/dL (9) APTT <= 60 s (10) PT-INR <= 1.5

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

Frequently asked questions

Is NCT07699939 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 CD274?

Yes, CD274 overexpression is a required biomarker for enrollment.

What disease stage is eligible?

Stage CT3-4N1-3M0 is required.

Is there an age limit?

Yes. Patients must be 80 years or younger.

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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