ClinicalTrials.gg
RecruitingNCT06901531LUCERNAUpdated Nov 5, 2026

A Study of Zolbetuximab Together With Pembrolizumab and Chemotherapy in Adults With Gastric Cancer

A Phase 3 interventional study of zolbetuximab and Pembrolizumab in Locally Advanced Unresectable Gastroesophageal Junction (GEJ) Adenocarcinoma or Cancer, Locally Advanced Unresectable Gastric Adenocarcinoma or Cancer and Metastatic Gastric Adenocarcinoma or Cancer, sponsored by Astellas Pharma Global Development, Inc.. Recruiting at 253 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Astellas Pharma Global Development, Inc. (part of Astellas Pharma Inc) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 5 months later.
Updated Nov 5, 2026Site recruiting status changed4 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Zolbetuximab is being studied in people with cancer in and around the stomach or where the food pipe (esophagus) joins the stomach, called gastroesophageal junction (GEJ) cancer. Zolbetuximab with chemotherapy may be used to treat stomach and GEJ cancer when the cancer cells do not have a protein called HER2 (human epidermal growth factor receptor 2) on their surface (HER2-negative) but do have a protein called Claudin 18.2 (Claudin 18.2-positive). Zolbetuximab is thought to work by attaching to the Claudin 18.2 protein in their tumor, which switches on the body's immune system to attack the tumor. Certain stomach and GEJ cancers may be treated with immunotherapy, which helps the body's immune system fight cancer. This study will give more information about how well zolbetuximab works when given with an immunotherapy medicine called pembrolizumab and chemotherapy. In this study, adults with stomach cancer or GEJ cancer will either be given zolbetuximab with pembrolizumab and chemotherapy or a placebo with pembrolizumab and chemotherapy. A placebo looks like zolbetuximab but doesn't have any medicine in it.

The main aim of the study is to check how long people with stomach cancer and GEJ cancer live after treatment with zolbetuximab with pembrolizumab and chemotherapy compared to placebo with pembrolizumab and chemotherapy.

Adults with locally advanced unresectable or metastatic stomach cancer or GEJ cancer can take part. Locally advanced means the cancer has spread to nearby tissue. Unresectable means the cancer cannot be removed by surgery. Metastatic means the cancer has spread to other parts of the body. A tumor sample (biopsy) of their cancer will have the Claudin 18.2 protein, PD-L1 protein, and be HER2-negative. They may have been previously treated with certain standard therapies. People can also take part if they need to take medicines like steroids to suppress their immune system. They cannot take part if they have blockages or bleeding in their gut, have specific uncontrollable cancers such as symptomatic or untreated cancers in the nervous system, or have a specific heart condition, or infections.

The study treatments are either zolbetuximab with pembrolizumab and chemotherapy, or placebo with pembrolizumab and chemotherapy. People who take part will receive just 1 of the study treatments by chance. The people in the study and the study doctors will not know who takes which of the study treatments. Study treatment will be given in 6-week (42-day) cycles. The study treatment is mainly given to people slowly through a tube into a vein. This is called an infusion. People will receive study treatment as follows: Zolbetuximab or placebo: 1 infusion every 2 or 3 weeks (2 or 3 infusions in a cycle) together with: Chemotherapy (1 of the following types of chemotherapy): 1. CAPOX (capecitabine and oxaliplatin): 1 infusion of oxaliplatin every 3 weeks (2 infusions in a cycle). People will also take 1 tablet of capecitabine twice a day for 2 weeks (14 days) at the start of each cycle (Day 1) and again in the middle of each cycle (Day 22). After 8 study treatments people will receive capecitabine only. 2. Modified FOLFOX6 or mFOLFOX6 (5-fluorouracil, folinic acid and oxaliplatin): 1 infusion every 2 weeks (3 infusions in a cycle). After 12 study treatments people will receive folinic acid and fluorouracil only, instead of mFOLFOX6. Pembrolizumab: 1 infusion every 3 or 6 weeks (1 or 2 infusions in a cycle). People can be in the study and will receive study treatment until their cancer worsens, they cannot tolerate the study treatment, or they need to start another cancer treatment. People may receive pembrolizumab for up to 2 years. People will visit the clinic on certain days to receive their study treatment and have health checks. The study doctors will check if people had any medical problems from taking zolbetuximab or the other study treatments. On some visits they will have scans to check for any changes in their cancer. People will have the option of giving a tumor sample if they stop treatment because their cancer has worsened. People will visit the clinic after they stop their study treatment. People will be asked about any medical problems and will have a health check. People will continue to have scans every 9 or 12 weeks to check for any changes in their cancer. They will have telephone health checks every 3 months. The number of visits and checks done at each visit will depend on the health of each person and whether they completed their study treatment or not.

Read the detailed description

Zolbetuximab (Vyloy), has received marketing approval in Japan. The study is considered a post marketing study in Japan.

02

Conditions studied

  • Locally Advanced Unresectable Gastroesophageal Junction (GEJ) Adenocarcinoma or Cancer
  • Locally Advanced Unresectable Gastric Adenocarcinoma or Cancer
  • Metastatic Gastric Adenocarcinoma or Cancer
  • Metastatic Gastroesophageal Junction (GEJ) Adenocarcinoma

Keywords

  • Locally Advanced Unresectable Gastroesophageal Junction (GEJ) Adenocarcinoma Cancer
  • Locally Advanced Unresectable Gastric Adenocarcinoma Cancer
  • Metastatic Gastric Adenocarcinoma Cancer
  • Metastatic Gastroesophageal Junction (GEJ) Adenocarcinoma
  • Claudin 18.2
  • PD-L1
  • Human epidermal growth factor receptor 2 (HER2) Negative
  • zolbetuximab
03

In context

Adenocarcinoma

620 studies on the registry are indexed under Adenocarcinoma; 148 are open to participants now.

This study's planned enrollment of 500 is above the median of 57 across 490 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Astellas Pharma Global Development, Inc. is the lead sponsor of 207 studies on the registry; 23 are open to participants now.

Of its 82 completed or terminated interventional studies of FDA-regulated products, 38 (46%) have results posted.

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

  • Participant has confirmed gastric or Gastroesophageal Junction (GEJ) adenocarcinoma.
  • Participant has radiographically confirmed, locally advanced, unresectable or disease within 28 days prior to randomization.
  • Participant has radiologically evaluable disease (measurable and/or nonmeasurable) according to (RECIST) V1.1, ≤ 28 days prior to randomization. For participants with only 1 evaluable lesion and prior radiotherapy ≤ 3 months before randomization, the lesion must either be outside the field of prior radiotherapy or have documented progression following radiation therapy.
  • Participant has Performance Status (ECOG) performance status 0 to 1.
  • Participant has predicted ≥ 12 weeks.
  • Participant must be a candidate to receive mFOLFOX6 or CAPOX and pembrolizumab.
  • Female participant is not pregnant and at least 1 of the following conditions apply:

    • Not a woman of child bearing potential ()
    • WOCBP who has a negative urine or serum pregnancy test at screening (Specific to Japan: with a medical interview), and agrees to follow the guidance from the time of through at least 9 months after the final oxaliplatin administration and 6 months after the final administration of all other study interventions.
    • Female participant must not be breastfeeding or lactating starting at screening and throughout the period and for 5 half-lives (at least 9 months after the final oxaliplatin administration and 6 months after the final administration of all other study interventions).
    • Female participant must not donate ova starting at first administration of study intervention and throughout the investigational period, and for 9 months after the final administration of oxaliplatin and for 6 months after final administration of all other study interventions.
  • Male participant must agree to use contraception with female partner(s) of childbearing potential (including breastfeeding partner) throughout the treatment period, and for 6 months after final investigational study intervention administration.
  • Male participant must agree to remain abstinent or use a condom with pregnant partner(s) for the duration of the pregnancy throughout the investigational period and for 6 months after the final investigational study intervention administration.
  • Male participant must not donate sperm during the treatment period and for 6 months after the final investigational study intervention administration
  • Participant has a Human Epidermal Growth Factor Receptor 2 () -negative tumor.
  • Participant's tumor expresses Claudin18.2 (CLDN18.2) in ≥ 75% of tumor cells demonstrating moderate to strong membranous staining as determined by central immunohistochemistry (IHC) testing.
  • Participant's tumor expresses Programmed death ligand () combined positive score (CPS) ≥ 1 as determined by central IHC testing.
  • Participants with known microsatellite instability-high or mismatch repair deficient status may enroll as long as they meet the PD-L1 positivity criteria.
  • Participant must meet all of the criteria based on the centrally or locally analyzed laboratory tests collected within 14 days prior to randomization. In case of multiple central laboratory data within this period, the most recent data should be used.
  • Participant agrees not to participate in another interventional study while receiving study intervention in the present study.

Exclusion criteria

Exclusion Criteria:

  • Participant has prior severe allergic reaction or intolerance to zolbetuximab or other monoclonal antibodies, pembrolizumab, mFOLFOX6 or CAPOX.
  • Participant has a complete gastric outlet syndrome or a partial gastric outlet syndrome with persistent recurrent vomiting.
  • Participant has significant gastric bleeding and/or untreated gastric ulcers that would preclude the participant from participation.
  • Participant has unresolved pneumonitis or history of non-infectious pneumonitis such as immune-related pneumonitis, radiation induced pneumonitis.
  • Participant has history of central nervous system and/or carcinomatous meningitis from gastric/GEJ cancer.
  • Participant has a known history of a positive test for (HIV) infection or known active Surface Antigen (positive HBsAg) or infection. NOTE: Screening for these infections should be conducted per local requirements.

    • For participants who are negative for HBsAg, but hepatitis B core antibody (HBcAb) positive, a hepatitis B DNA test will be performed and if positive the participant will be excluded.
    • Participants with positive Hepatitis C virus (HCV) serology, but negative HCV RNA test results are eligible.
    • Participants treated for HCV with undetectable viral load results are eligible.
  • Participant has active infection requiring systemic therapy that has not completely resolved within 7 days prior to randomization.
  • Participant has active disease that has required systemic treatment within the past 3 months prior to randomization. Participants with stable autoimmune disease who are receiving physiologic replacement doses of hydrocortisone or its equivalent are allowed.
  • Participant has a disease or comorbidity that may adversely affect the safe delivery of treatment within this study or make the participant unsuitable for study participation.
  • Participant has another for which treatment is required.
  • Participant has known complete Dihydropyrimidine Dehydrogenase (DPD) deficiency (screening for DPD deficiency should be conducted per local requirements).
  • Participant has known peripheral neuropathy > grade 1 (absence of deep tendon reflexes as the sole neurological abnormality does not render the participant ineligible).
  • Participant has sinusoidal obstruction syndrome, formerly known as veno-occlusive disease, if present, should be stable or improving.
  • Participant has significant cardiovascular disease, including any of the following:

    • Congestive heart failure (defined as Class III or IV), myocardial infarction, unstable angina, coronary angioplasty, coronary stenting, coronary artery bypass graft, cerebrovascular accident or hypertensive crisis within 6 months prior to randomization.
    • History of clinically significant ventricular arrhythmias (i.e., sustained; ventricular tachycardia, ventricular fibrillation, or Torsades de Pointes).
    • > 450 msec for male participants; QTc interval > 470 msec for female participants.
    • History or family history of congenital long QT syndrome.
    • Cardiac arrhythmias requiring anti-arrhythmic medications (participants with rate controlled atrial fibrillation for > 1 month prior to randomization are eligible).
  • Participant has ongoing or previous interstitial lung disease, active diverticulitis or peptic ulcerative disease, or solid organ or stem cell transplant or other uncontrolled or clinically significant medical disorders.
  • Participant has type 1 diabetes mellitus, endocrinopathies stably maintained on appropriate replacement therapy or skin disorders (e.g., vitiligo, psoriasis or alopecia) not requiring systemic treatment are allowed.
  • Participant has received prior systemic chemotherapy and/or immunotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma, except for a maximum of 1 treatment course of mFOLFOX6 (day 1 to 14) or CAPOX (day 1 to 21) with or without pembrolizumab. However, participants may have received either or adjuvant chemotherapy, immunotherapy or other systemic anticancer therapies as long as their disease progression occurred at least 6 months after the last dose. Participant who has received treatment with herbal medications that have known antitumor activity > 28 days prior to randomization is allowed.
  • Participant has received systemic therapy, including systemic 14 days prior to randomization. Participant using a physiologic replacement dose of hydrocortisone or its equivalent (defined as up to 30 mg per day of hydrocortisone or up to 10 mg per day of prednisone), receiving a single-dose of systemic corticosteroids or receiving systemic corticosteroids as premedication for radiologic imaging contrast use is allowed.
  • Participant has had major surgical procedure ≤ 28 days before randomization and has not completely recovered from the surgical procedure ≤ 14 days before randomization.
  • Participant has received radiotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma ≤ 14 days prior to randomization and has NOT recovered from any related toxicity. Palliative radiotherapy is allowed and must be completed > 14 days prior to randomization.
  • Participant has received prior CLDN18.2 agents.
  • Participant received a live or within 30 days prior to the first dose of study intervention.
  • Participant has received other agents or devices concurrently or within 28 days prior to randomization or within 5 half-lives of the drug, whichever is longer.
  • Participant has any condition which makes the participant unsuitable for study participation.
  • Participant has any concurrent disease, infection, or co-morbid condition that interferes with the ability of the participant to participate in the study, which places the participant at undue risk or complicates the interpretation of data.
  • Treatment with brivudine, sorivudine or their chemically related analogues within 28 days prior to randomization or within 5 half-lives of the drug, whichever is shorter, is strictly prohibited.
  • Pernicious anemia or other anemias due to vitamin B12 deficiency.
  • Participant has a known history of a positive test for tuberculosis or known active tuberculosis infection. NOTE: Screening for these infections should be conducted per local requirements.
Terms in these criteria, in plain language(23)

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Arm A: zolbetuximab in combination with pembrolizumab and chemotherapy

    Participants will receive zolbetuximab as an intravenous (via a vein) infusion at 800 mg/m2 loading dose at C1D1 followed by subsequent doses of 400 mg/m2 every 2 weeks; or 800 mg/m2 loading dose at C1D1 followed by subsequent doses of 600 mg/m2 every 3 weeks, followed by an intravenous infusion of pembrolizumab at a dose of 200 mg every 3 weeks or 400 mg every 6 weeks. Participants will then receive chemotherapy over 4 or more cycles of either up to 8 CAPOX treatments (oxaliplatin: 130 mg/m2 once every 3 weeks, capecitabine: 1000 mg/m2 twice daily on days 1 through 14 and days 22 through 35 of each cycle), or, up to 12 mFOLFOX6 treatments (oxaliplatin: 85 mg/m2, Folinic acid (leucovorin/local equivalent): 400 mg/m2, 5-FU bolus: 400 mg/m2, 5-FU infusion: 2400 mg/m2) once every 2 weeks (or components of mFOLFOX6 if some components are discontinued due to toxicity). The choice of chemotherapy for each participant is based on investigator's judgment. Each cycle is approximately 42 days.

    Drug: zolbetuximab · Drug: Pembrolizumab · Drug: Capecitabine · Drug: Oxaliplatin · Drug: Folinic acid (leucovorin or local equivalent) · Drug: 5-fluorouracil (5-FU)

  • Active comparator
    Arm B: Placebo in combination with pembrolizumab and chemotherapy

    Participants will receive matching placebo as an intravenous (via a vein) infusion followed by an intravenous infusion of pembrolizumab at a dose of 200 mg every 3 weeks or 400 mg every 6 weeks. Participants will then receive chemotherapy over 4 or more cycles of either up to 8 CAPOX treatments (oxaliplatin: 130 mg/m2 once every 3 weeks, capecitabine: 1000 mg/m2 twice daily on days 1 through 14 and days 22 through 35 of each cycle), or, up to 12 mFOLFOX6 treatments (oxaliplatin: 85 mg/m2, Folinic acid (leucovorin/local equivalent): 400 mg/m2, 5-FU bolus: 400 mg/m2, 5-FU infusion: 2400 mg/m2) once every 2 weeks (or components of mFOLFOX6 if some components are discontinued due to toxicity). The choice of chemotherapy for each participant is based on investigator's judgment. Each cycle is approximately 42 days.

    Drug: Pembrolizumab · Drug: Capecitabine · Drug: Oxaliplatin · Drug: Folinic acid (leucovorin or local equivalent) · Drug: 5-fluorouracil (5-FU) · Drug: Placebo

Interventions

  • Participants will receive an IV infusion of zolbetuximab on Cycle 1 Day 1 (C1D1) followed by subsequent IV infusion every 2 weeks or every 3 weeks.

    Also known as: IMAB362, VYLOY

  • Participants will receive an IV infusion of pembrolizumab every 3 weeks or every 6 weeks.

  • Participants receiving CAPOX regimen of chemotherapy will receive capecitabine Tablet twice daily orally on days 1 through 14 and days 22 through 35 of each cycle.

  • Participants receiving CAPOX or mFOLFOX6 regimen of chemotherapy will receive an IV infusion of oxaliplatin once every 2 or 3 weeks.

  • Participants receiving mFOLFOX6 regimen of chemotherapy will receive an IV infusion of Folinic acid (leucovorin or local equivalent) once every 2 weeks.

  • Participants receiving mFOLFOX6 regimen of chemotherapy will receive an IV infusion, or IV bolus of 5-FU once every 2 weeks.

  • DrugPlacebo

    Participants will receive an IV infusion of placebo (0.9% of sodium chloride) on C1D1 followed by subsequent IV infusion every 2 weeks or every 3 weeks.

06

What researchers measure

Primary 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: Up to 72 months

Secondary outcomes

  1. Progression Free Survival (PFS)

    Defined as the time from the date of randomization until the date of radiologic disease progression \[investigator-assessed per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1\] or death from any cause, whichever is earlier.

    Time frame: Up to 72 Months

  2. Objective Response Rate (ORR)

    Defined as the proportion of participants who have a Best Overall Response (BOR) or Complete Response (CR) or Partial Response (PR) as investigator assessed per RECIST V1.1.

    Time frame: Up to 57 Months

  3. Duration of Response (DOR)

    Defined as the time from the date of the first response (CR/PR) until the date of disease progression as investigator-assessed per RECIST V1.1 or date of death from any cause, whichever is earlier.

    Time frame: Up to 72 Months

  4. Number of participants with adverse Events (AEs)

    Adverse events (AEs) will coded using MedDRA. An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. This includes events related to the comparator, if applicable, and events related to the (study) procedures.

    Time frame: Up to 57 Months

  5. Number of participants with electrocardiograms (ECG) abnormalities and/or AEs

    Number of participants with potentially clinically significant ECG values.

    Time frame: Up to 57 Months

  6. Number of Participants with Vital Sign abnormalities and/or AEs

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Up to 57 Months

  7. Number of participants at each grade of Eastern Cooperative Oncology Group (ECOG) performance status score

    The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.

    Time frame: Up to 57 Months

  8. Number of participants with laboratory assessments abnormalities and/ or AEs

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Up to 57 Months

  9. Pharmacokinetics (PK) of zolbetuximab in serum: End of Infusion Concentration

    Concentration will be derived from the PK serum samples collected at time of end of infusion.

    Time frame: Up to 57 Months

  10. Pharmacokinetics (PK) of zolbetuximab in serum: Concentration Immediately Prior to Dosing at multiple dosing (Ctrough)

    Ctrough will be derived from the PK serum samples collected.

    Time frame: Up to 57 Months

  11. Number of participants with positive antidrug antibodies (ADA) to zolbetuximab

    Time frame: Up to 57 Months

07

Study locations

187 of 253 sites recruiting
  • UAB Medicine - UAB Hospital
    Birmingham, Alabama 35294, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • CBCC Global Research - Comprehensive Blood & Cancer Center
    Bakersfield, California 93309, United States
    Recruiting
  • TOI Clinical Research
    Cerritos, California 90703, United States
    Recruiting
  • University of California, San Diego Moores Cancer Center
    La Jolla, California 92037-0845, United States
    Recruiting
  • The Angeles Clinic and Research Institute, West Los Angeles Office
    Los Angeles, California 90025, United States
    Recruiting
  • Hartford HealthCare - Hartford Hospital
    Hartford, Connecticut 06102, United States
    Recruiting
  • Yale University School of Medicine
    New Haven, Connecticut 06510, United States
    Recruiting
  • MedStar Georgetown University Hospital / Lombardi Comprehensive Cancer Center
    Washington D.C., District of Columbia 20007, United States
    Recruiting
  • Piedmont Physician Medical Oncology Atlanta
    Atlanta, Georgia 30318, United States
    Recruiting
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
    Recruiting
  • Franciscan Health Oncology and Hematology Specialists
    Indianapolis, Indiana 46237, United States
    Recruiting
  • Holden Comprehensive Cancer Center
    Iowa City, Iowa 52242, United States
    Recruiting
  • University of Kansas Cancer Center
    Westwood, Kansas 66205, United States
    Recruiting
  • Saint Elizabeth Medical Center Edgewood
    Edgewood, Kentucky 41017, United States
    Recruiting
  • University of Maryland Medical System - University of Maryland Medical Center
    Baltimore, Maryland 21021, United States
    Recruiting
  • Dana Farber/Harvard Cancer Center
    Boston, Massachusetts 02215, United States
    Recruiting
  • University of Massachusetts - UMass Chan Medical School
    Worcester, Massachusetts 01655, United States
    Recruiting
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Barbara Ann Karmanos Cancer Center
    Detroit, Michigan 48201, United States
    Recruiting
  • Henry Ford Cancer Institute-Henry Ford Hospital
    Detroit, Michigan 48201, United States
    Recruiting
  • Metro Minnesota Community Oncology Research Consortium (MMCORC)
    Saint Louis Park, Minnesota 55426, United States
    Recruiting
  • Oncology Hematology West PC dba Nebraska Cancer Specialists
    Omaha, Nebraska 68130, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Capital Health - Hematology Oncology Specialists
    Pennington, New Jersey 08534, United States
    Recruiting
  • NYU Langone Medical Center
    New York, New York 10016, United States
    Recruiting
  • Stony Brook University Hospital Cancer Center
    Stony Brook, New York 11794, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York 10461, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Recruiting
  • Duke University Medical Center - Duke Cancer Centre
    Durham, North Carolina 27710, United States
    Recruiting
  • Allegheny General Hospital (AGH)-Allegheny Singer Research Institute
    Pittsburgh, Pennsylvania 15212, United States
    Recruiting
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
    Recruiting
  • The University of Tennessee Medical Center
    Knoxville, Tennessee 37920, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
    Recruiting
  • Texas Oncology-Baylor Charles A Sammons Cancer Center
    Dallas, Texas 75246, United States
    Recruiting
  • The Center For Cancer And Blood Disorders (Texas Cancer Care)
    Fort Worth, Texas 76104, United States
    Recruiting
  • Houston Methodist Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Utah Cancer Specialists Cancer Center - Medical Oncology
    Salt Lake City, Utah 84106, United States
    Recruiting
  • Inova Schar Cancer Institute Clinical Trials
    Fairfax, Virginia 22031, United States
    Recruiting
  • Site AU61002
    Kogarah, New South Wales, Australia
    Recruiting
  • Site AU61004
    Brisbane, Queensland, Australia
    Recruiting
  • Site AU61003
    Clayton, Victoria, Australia
    Recruiting
  • Site AU61001
    Fitzroy, Australia
    Recruiting
  • Site BE32002
    Bonheiden, Belgium
    Recruiting
  • Site BE32001
    Brussels, Belgium
    Recruiting
  • Site BE32006
    Edegem, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • Site BE32003
    Ghent, Belgium
    Recruiting
  • Site BE32005
    Leuven, Belgium
    Recruiting
  • Site BE32004
    Liège, Belgium
    Recruiting
  • Site BR55014
    Belo Horizonte, Brazil
    Recruiting
  • Site BR55002
    Blumenau, Brazil
    Recruiting
  • Site BR55012
    Fortaleza, Brazil
    Recruiting
  • Site BR55008
    Jaú, Brazil
    Recruiting
  • Site BR55004
    Lages, Brazil
    Recruiting
  • Site BR55003
    Porto Alegre, Brazil
    Recruiting
  • Site BR55006
    São Caetano do Sul, Brazil
    Recruiting
  • Site BR55001
    São José do Rio Preto, Brazil
    Recruiting
  • BR55009
    São Paulo, Brazil
    Recruiting
  • BR55010
    São Paulo, Brazil
    Recruiting
  • Site BR55007
    São Paulo, Brazil
    Recruiting
  • Site BR55011
    São Paulo, Brazil
    Recruiting
  • Site CL56004
    Las Condes, Chile
    Recruiting
  • Site CL56001
    Santiago, Chile
    Withdrawn

    Not enrolling at this site — choose another above.

  • Anhui Provincial Cancer Hospital
    Hefei, Anhui 230031, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Fujian Provincial Hospital - Department of Medical Oncology
    Fuzhou, Fujian, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Sun Yat-sen University - Cancer Center
    Guangzhou, Guangdong 510060, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Sun Yat-sen University - Cancer Center
    Guangzhou, Guangdong 510555, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Harbin Medical University Cancer Hospital - Oncology
    Harbin, Heilongjiang, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Henan Cancer Hospital - Oncology
    Zhenngzhou, Henan, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hubei Cancer Hospital - Oncology
    Wuhan, Hubei 430079, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Qinghai University Affiliated Hospital
    Xining, Qinghai, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Renji Hospital Shanghai Jiaotong Univ School of Medicine
    Shanghai, Shanghai Municipality 200127, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Ruijin Hospital of Shanghai Jiaotong University School of Medicine
    Shanghai, Shanghai Municipality, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Sichuan Cancer Hospital
    Chengdu, Sichuan 610200, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Tianjin Medical University General Hospital
    Tianjin, Tianjin Municipality, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • The First Affiliated Hospital of Zhejiang University
    Hangzhou, Zhejiang, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Affiliated Hospital of Hebei University
    Baoding, 71000, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Peking Union Medical College Hospital - Dongdan Campus
    Beijing, China
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Site CZ42006
    Brno, Czechia
    Recruiting
  • Site CZ42005
    Olomouc, Czechia
    Recruiting
  • Site CZ42002
    Prague, Czechia
    Recruiting
  • Site CZ42003
    Prague, Czechia
    Recruiting
  • Site CZ42004
    Prague, Czechia
    Recruiting
  • Site FR33016
    Bordeaux, France
    Recruiting
  • Site FR33008
    Brest, France
    Recruiting
  • Site FR33012
    Caen, France
    Recruiting
  • Site FR33009
    Carassonne, France
    Recruiting
  • Site FR33005
    Dijon, France
    Recruiting
  • Site FR33002
    Lille, France
    Recruiting
  • Site FR33007
    Lille, France
    Recruiting
  • Site FR33014
    Lyon, France
    Recruiting
  • Site FR33017
    Lyon, France
    Recruiting
  • Site FR33020
    Montpellier, France
    Recruiting
  • Site FR33018
    Nice, France
    Recruiting
  • Site FR33003
    Paris, France
    Recruiting
  • Site FR33010
    Paris, France
    Recruiting
  • Site FR33013
    Paris, France
    Recruiting
  • Site FR33015
    Plérin, France
    Recruiting
  • Site FR33004
    Poitiers, France
    Recruiting
  • Site FR33006
    Rouen, France
    Recruiting
  • Site FR33019
    Saint Herbian Cedex, France
    Recruiting

Showing the first 100 of 253 sites across 22 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as compounds terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

Access criteria: Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

Data sharing details ↗ · www.clinicaltrials.astellas.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
4 sites added, 2 sites removed. 9 sites changed recruiting status (9 now withdrawn)
Show 9 sites
  • UAB Medicine - UAB Hospital · Birmingham, United StatesRecruiting→Withdrawn
  • University of Nebraska Medical Center · Omaha, United StatesRecruiting→Withdrawn
  • Site BE32006 · Edegem, BelgiumRecruiting→Withdrawn
  • Site CL56001 · Santiago, ChileRecruiting→Withdrawn
  • Site DE49016 · Wolfsburg, GermanyRecruiting→Withdrawn
  • Site KR82008 · Seoul, South KoreaActive, not recruiting→Withdrawn
  • Site IT39021 · Naples, ItalyRecruiting→Withdrawn
  • Site RO40004 · Timișoara, RomaniaRecruiting→Withdrawn
  • Site KR82011 · Goyang-si, South KoreaActive, not recruiting→Withdrawn
Show 4 added (1 Brazil, 1 Italy, 1 United States, 1 Spain)
  • BR55009 · São Paulo, Brazil
  • Site IT39003 · Ancona, Italy
  • Stony Brook University Hospital Cancer Center · Stony Brook, United States
  • Site ES34024 · Madrid, Spain
Show 2 removed
  • Site IT39003 · Torrette Di Ancona, Italy
  • Site ES34024 · Barcelona, Spain
across 2 updates, Oct 20, 2026 – Nov 5, 2026
Show all 2 updates
  1. Nov 5, 2026
    2 sites added, 1 site removed. 3 sites changed recruiting status (3 now withdrawn)
    Show 3 sites
    • Site IT39021 · Naples, ItalyRecruiting→Withdrawn
    • Site RO40004 · Timișoara, RomaniaRecruiting→Withdrawn
    • Site KR82011 · Goyang-si, South KoreaActive, not recruiting→Withdrawn
    Show 2 added (1 United States, 1 Spain)
    • Stony Brook University Hospital Cancer Center · Stony Brook, United States
    • Site ES34024 · Madrid, Spain
    Show 1 removed
    • Site ES34024 · Barcelona, Spain
    + 1 other change: verification date
  2. Oct 20, 2026
    2 sites added, 1 site removed. 6 sites changed recruiting status (6 now withdrawn)
    Show 6 sites
    • UAB Medicine - UAB Hospital · Birmingham, United StatesRecruiting→Withdrawn
    • University of Nebraska Medical Center · Omaha, United StatesRecruiting→Withdrawn
    • Site BE32006 · Edegem, BelgiumRecruiting→Withdrawn
    • Site CL56001 · Santiago, ChileRecruiting→Withdrawn
    • Site DE49016 · Wolfsburg, GermanyRecruiting→Withdrawn
    • Site KR82008 · Seoul, South KoreaActive, not recruiting→Withdrawn
    Show 2 added (1 Brazil, 1 Italy)
    • BR55009 · São Paulo, Brazil
    • Site IT39003 · Ancona, Italy
    Show 1 removed
    • Site IT39003 · Torrette Di Ancona, Italy
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06901531
Responsible party
Sponsor
First posted
Mar 30, 2025
Start date
May 22, 2025
Primary completion
Sep 30, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Nov 5, 2026

Study contacts

Astellas Pharma Global Development Inc.
Contact
astellas.registration@astellas.com
800-888-7704
Medical Monitor
study director · Astellas Pharma Global Development, Inc.

Oversight

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

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Studies of the drug tested here: Zolbetuximab

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