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Active, not recruitingNCT06206733Updated Sep 16, 2026

ASKB589 in Combination With CAPOX and PD-1 Inhibitor in Patients With Advanced or Metastatic GC/GEJ Adenocarcinoma

A Phase 3 interventional study of ASKB589 and Oxaliplatin in Gastroesophageal Junction Adenocarcinoma and Gastric Adenocarcinoma, sponsored by AskGene Pharma, Inc.. Active, not recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by AskGene Pharma, Inc. (part of Beijing Aosaikang Pharmaceutical Co., Ltd.) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
780
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is a multicenter, randomized, double-blind, standard-of-care controlled phase III clinical study conducted in China. The purpose of this study is to evaluate the efficacy of ASKB589 plus CAPOX and PD-1 inhibitor compared with placebo plus CAPOX and PD-1 inhibitor (as first-line treatment) as measured by Progression Free Survival (PFS).

Read the detailed description

This study is a multicenter, randomized, double-blind, standard-of-care controlled phase III clinical study conducted in China. The purpose of this study is to evaluate the efficacy of ASKB589 plus CAPOX and PD-1 inhibitor compared with placebo plus CAPOX and PD-1 inhibitor (as first-line treatment) as measured by Progression Free Survival (PFS).

This study will also evaluate efficacy, physical function, safety, and tolerability of ASKB589, as well as its effects on quality of life. Pharmacokinetics (PK) of ASKB589 and the immunogenicity profile of ASKB589 will be evaluated as well.

02

Conditions studied

  • Gastroesophageal Junction Adenocarcinoma
  • Gastric Adenocarcinoma

Keywords

  • CLDN 18.2
  • Gastric Adenocarcinoma
  • Gastroesophageal Junction Adenocarcinoma
  • ASKB589
03

In context

Lead sponsor

AskGene Pharma, Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. confirmed adenocarcinoma of gastric and gastroesophageal junction
  2. Advanced recurrent or disease confirmed by imaging within 28 days prior to randomization
  3. Suitable for chemotherapy combined with inhibitor
  4. Not suitable for anti- therapy
  5. Have at least one according to RECIST1.1 assessed by site investigator within 28 days prior to randomization
  6. CLDN 18.2 positive

Exclusion criteria

Exclusion Criteria:

  1. Patients with active central nervous system (CNS) or suspected carcinomatous meningitis
  2. Participants have significant gastric bleeding
  3. The presence of clinically uncontrollable third interspace fluid
  4. Received anti-CLDN18.2 antibody at any time in the past
  5. Suspected complete or partial obstruction of gastroesophageal access
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
780 participants (estimated)

Study arms

  • Experimental
    Group A

    Treatment with intravenous infusion of ASKB589 on day 1 of each cycle. The infusion duration should be at least 3 hours, and can be shortened or extended in subsequent cycles as appropriate according to the patient's tolerability. Interruption or slow down of intravenous infusion is allowed to manage toxicity. Dosing is continued every cycle until participants meet the criteria of treatment discontinuation.

    Drug: ASKB589 · Drug: Oxaliplatin · Drug: Capecitabine · Drug: Tislelizumab

  • Placebo comparator
    Group B

    Treatment with intravenous infusion of placebo on day 1 of each cycle. The infusion duration should be at least 3 hours, and can be shortened or extended in subsequent cycles as appropriate according to the patient's tolerability. Interruption or slow down of intravenous infusion is allowed to manage toxicity. Dosing is continued every cycle until participants meet the criteria for treatment discontinuation.

    Drug: Oxaliplatin · Drug: Capecitabine · Drug: Tislelizumab · Drug: Placebo

Interventions

  • ASKB589 will be administered as a minimum 3-hour IV infusion

  • Oxaliplatin will be administered as a minimum 2-hour IV infusion

  • Capecitabine will be administered orally twice daily (bid).

  • Tislelizumab will be administered every 3 weeks Intravenous infusion on day 1 of each cycle.

  • DrugPlacebo

    Placebo will be administered as a minimum 3-hour IV infusion

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    PFS is defined as the time from the date of randomization until the date of radiological progressive disease (per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 by Independent Review Committee (IRC)) or death from any cause, whichever is earliest.

    Time frame: Until disease progression or withdrawal from the study (generally up to 24 months)

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from the date of randomization until the date of death from any cause.

    Time frame: Until death or withdrawal from the study

Other outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR) as assessed by Independent Review Committee (IRC) per RECIST 1.1.

    Time frame: Until disease progression or withdrawal from the study (generally up to 24 months)

  2. Duration Of Response (DOR)

    DOR, defined as the time from the date of the first response (CR/PR) until the date of progressive disease as assessed by IRC per RECIST 1.1 or date of death from any cause, whichever is earliest.

    Time frame: Until disease progression or withdrawal from the study (generally up to 24 months)

  3. Safety and tolerability assessed by adverse events (AEs)

    An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Time frame: Until 90 days after the end of treatment

  4. Number of participants with laboratory assessments abnormalities

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Until the end of treatment (generally up to 24 months)

  5. Number of participants with vital signs abnormalities and/or adverse events

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Until 90 days after the end of treatment

  6. Health Related Quality of Life (HRQoL) measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC-QLQ-C30)

    EORTC-QLQ-C30 is a cancer-specific 30-item questionnaire. Participants rate items on a four-point scale, with 1 as "not at all" and 4 as "very much." A change of 5 - 10 points is considered a small change. A change of 10 - 20 points is considered a moderate change

    Time frame: Until the end of treatment (generally up to 24 months)

  7. Health Related Quality of Life (HRQoL) measured by the Global Pain (GP) questionnaire

    The GP instrument is a single assessment of overall pain where 0 equals no pain and 10 equals extreme pain. Low pain scores are considered a better outcome than a high pain score

    Time frame: Until the end of treatment (generally up to 24 months)

  8. Health Related Quality of Life (HRQoL) measured by the EuroQOL Five Dimensions Questionnaire 5L (EQ-5D-5L) questionnaire

    The EQ-5D-5L is a standardized instrument developed by the EuroQol Group for use as a generic, preference-based measure of health outcomes. The EQ-5D-5L is a 5-item self-reported measure of functioning and wellbeing, which assesses 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension comprises 5 levels (no problems, slight problems, moderate problems, severe problems, extreme problems). A unique EQ-5D-5L health state is defined by combining 1 level from each of the 5 dimensions. This questionnaire also records the respondent's self-rated health status on a vertical graduated (0 = the worst health a participant can imagine to 100 = the best health a participant can imagine) visual analogue scale. Responses to the 5 items will also be converted to a weighted health state index (utility score) based on values derived from general population samples.

    Time frame: Until the end of treatment (generally up to 24 months)

  9. Pharmacokinetics (PK) of ASKB589

    Ctrough will be derived from the PK serum samples collected.

    Time frame: up to 6 cycles (21 days for 1 cycle)

  10. Number of anti-drug antibody (ADA) Positive Participants

    Immunogenicity will be measured by the number of participants that are ADA positive.

    Time frame: up to 6 cycles (21 days for 1 cycle)

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2024 (actual). Primary completion is estimated for Dec 2026, 35 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 12, 2023
First posted
Jan 16, 2024
StartActual
Jan 25, 2024
Primary completionEst.
Dec 30, 2026
CompletionEst.
Dec 30, 2028
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06206733
Collaborators
Jiangsu Aosaikang Pharmaceutical Co., Ltd., Jiangsu Aosaikang Biopharmaceutical Co., Ltd
Responsible party
Sponsor
First posted
Jan 16, 2024
Start date
Jan 25, 2024
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Sep 16, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Omectatug

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