OncoMatch

OncoMatch/Clinical Trials/NCT07818018

A Study of 2141-V11 in People With Esophageal, Gastric, or Gastroesophageal Junction Adenocarcinoma

Official title: A Phase 1b/II Study of Intratumoral CD40 Agonist 2141-V11 in Combination With Anti PD-1 and 5-Fluorouracil Therapy in Patients With Advanced Gastroesophageal Adenocarcinoma

Is NCT07818018 recruiting? Yes, currently enrolling (Oct 2026). This Phase 1/2 trial studies multiple treatments including Intratumoral 2141-V11 and Nivolumab for esophageal cancer.

Phase 1/2RecruitingMemorial Sloan Kettering Cancer CenterNCT07818018Data as of Oct 2026

Treatment: Intratumoral 2141-V11 · Nivolumab · Fluoropyrimidine — The purpose of this study is to find out whether adding the drug 2141-V11 to standard treatment (anti-PD-1 immunotherapy with or without 5-FU) is a safe treatment approach for participants with advanced esophageal, gastric, or gastroesophageal junction adenocarcinoma

Check if I qualify

Extracted eligibility criteria

Treatments studied

Immunotherapy

Nivolumab

Other

Intratumoral 2141-V11Fluoropyrimidine

Cancer type

Esophageal Carcinoma

Gastric Cancer

Biomarker criteria

Excluded: MLH1 loss

Mismatch repair deficient (dMMR) disease by IHC

Excluded: MSH2 loss

Mismatch repair deficient (dMMR) disease by IHC

Excluded: MSH6 loss

Mismatch repair deficient (dMMR) disease by IHC

Excluded: PMS2 loss

Mismatch repair deficient (dMMR) disease by IHC

Excluded: MSI high

microsatellite instability (MSI-H) by next-generation sequencing

Excluded: HER2 (ERBB2) overexpression

Known HER2-positive disease (IHC 3+ or IHC 2+ and amplification via fluorescence in situ hybridization)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: systemic therapy (fluoropyrimidine + anti-PD-1) (5-fluorouracil, nivolumab) — first line for advanced GEA

On first line systemic therapy including fluoropyrimidine + anti-PD-1 therapy for advanced GEA (e.g. FOLFOX + nivolumab) for a minimum of 3 months and no more than 9 months.

Cannot have received: radiation therapy to primary esophageal, gastric, or gastroesophageal junction tumor

Prior radiation therapy to primary esophageal, gastric, or gastroesophageal junction tumor

Cannot have received: PD-1, PD-L1, or CTLA-4 inhibitor before ongoing regimen

Prior treatment before ongoing regimen for any reason with PD-1, PD-L1, or CTLA-4 inhibitors

Lab requirements

Blood counts

absolute neutrophil count ≥1000/mcl; platelets ≥90,000/mcl; hemoglobin ≥8 g/dl

Kidney function

serum creatinine ≤1.5x uln

Liver function

serum total bilirubin ≤1.5x uln or direct bilirubin ≤uln for participants with total bilirubin levels >1.5x uln, except patients with gilbert's disease (≤3x uln); ast and alt ≤3x uln; albumin ≥3 mg/dl

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

US trial sites

  • Memorial Sloan Kettering at Basking Ridge (Limited protocol activities) · Basking Ridge, New Jersey
  • Memorial Sloan Kettering at Monmouth (Limited Protocol Activities) · Middletown, New Jersey
  • Memorial Sloan Kettering at Bergen (Limited Protocol Activities) · Montvale, New Jersey
  • Memorial Sloan Kettering at Suffolk-Commack (Limited Protocol Activities) · Commack, New York
  • Memorial Sloan Kettering at Westchester (Limited Protocol Activities) · Harrison, New York

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07818018 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior radiation therapy to primary esophageal, gastric, or gastroesophageal junction tumor, PD-1, PD-L1, or CTLA-4 inhibitor before ongoing regimen disqualifies patients from enrollment.

Are patients with MLH1 alterations eligible?

No. MLH1 loss is an exclusion criterion.

Are patients with MSH2 alterations eligible?

No. MSH2 loss 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.

Check if I qualify