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Not yet recruitingNCT06942767Updated Apr 27, 2025

Combination of QLS31905, QL2107 and Chemotherapy as First-line Therapy in CLDN18.2-positive Unresectable Locally Advanced or Metastatic Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma

A Phase 2 interventional study of QLS31905 for Injection and QL2107 Injection in Gastric Adenocarcinoma and Gastroesophageal Junction Adenocarcinoma, sponsored by Qilu Pharmaceutical Co., Ltd.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-27.

Sponsored by Qilu Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This is an open-label, multicenter Phase II clinical study aimed at evaluating the tolerability, safety, efficacy, PK profile, and immunogenicity of QLS31905 for Injection combined with QL2107 Injection and XELOX regimen in the first-line treatment of CLDN18.2-positive unresectable locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.

Read the detailed description

QLS31905 is a bispecific antibody targeting CD3 and CLDN18.2 independently developed by Qilu Pharmaceutical Co., Ltd.

QL2107 is a biosimilar of pembrolizumab (Keytruda®) developed by Qilu Pharmaceutical Co., Ltd.

This is an open-label, multicenter Phase II clinical study aimed at evaluating the tolerability, safety, efficacy, PK profile, and immunogenicity of QLS31905 for Injection combined with QL2107 Injection and XELOX regimen in the first-line treatment of CLDN18.2-positive unresectable locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.

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Conditions studied

  • Gastric Adenocarcinoma
  • Gastroesophageal Junction Adenocarcinoma

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Keywords

  • CLDN18.2, gastric or gastroesophageal junction (GEJ) adenocarcinoma
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In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's planned enrollment of 100 is above the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Qilu Pharmaceutical Co., Ltd. is the lead sponsor of 193 studies on the registry; 119 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Subjects with unresectable locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma confirmed by histopathological or cytological examination;
  • Subjects with at least one measurable lesion designated as a target lesion, as assessed by the investigator according to RECIST v1.1. Lesions that have received radiotherapy or other local treatments may be considered measurable if they demonstrate imaging PD;
  • No prior systemic anti-tumor treatment for locally advanced or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma.

Exclusion criteria

Exclusion Criteria:

  • Subjects with a known history of severe or repeated allergy, intolerance, or contraindication to QLS31905, QL2107, or other large molecule protein preparations, as well as Oxaliplatin Injection or Capecitabine Tablets and any components in their preparations;
  • Subjects had other second primary malignancies within 5 years prior to the first dose;
  • Subjects with clinically significant hemorrhage within 3 months before the first dose
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    QLS31905+QL2107+ XELOX

    QLS31905+QL2107+ oxaliplatin + capecitabine

    Drug: QLS31905 for Injection · Drug: QL2107 Injection · Drug: Oxaliplatin Injection · Drug: Capecitabine Tablets

Interventions

  • DrugQLS31905 for Injection

    QLS31905 for Injection

  • DrugQL2107 Injection

    QL2107 Injection

  • DrugOxaliplatin Injection

    Oxaliplatin Injection

  • DrugCapecitabine Tablets

    Capecitabine Tablets

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What researchers measure

Primary outcomes

  1. DLT

    Dose Limiting Toxicity,for Dose Escalation Stage

    Time frame: up to 42 days following first dose

  2. MTD

    Maximum Tolerated Dose,for Dose Escalation Stage.

    Time frame: up to 42 days following first dose

  3. ORR (Objective Response Rate)

    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 investigator per RECIST 1.1

    Time frame: Approximately 24 months

Secondary outcomes

  1. AE (adverse events)

    AEs are any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

    Time frame: Approximately 24 months

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

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

    Time frame: Approximately 24 months

  3. DOR (Duration of Response)

    DOR is defined as the time from the date of the first response (CR/PR) until the date of radiological progressive disease or death due to any cause (whichever occurs first)

    Time frame: Approximately 24 months

  4. PFS (Progression Free Survival)

    PFS is defined as the duration from the subject's first dose of the investigational product to the first imaging confirmation of radiological progressive disease or death due to any cause (whichever occurs first).

    Time frame: Approximately 24 months

  5. OS (Overall Survival)

    OS is defined as the duration from the first dose of the investigational product to the time point when death occurs due to any cause.

    Time frame: Approximately 24 months

  6. Maximum concentration (Cmax)

    Cmax will be derived from the PK serum samples collected.

    Time frame: Approximately 24 months

  7. Terminal elimination half-life (T1/2)

    T1/2 will be derived from the PK serum samples collected.

    Time frame: Approximately 24 months

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Study locations

No study locations are listed for this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06942767
Lead sponsor
Qilu Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Apr 24, 2025
Start date
Jun 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Mar 2028 (estimated)
Last update
Apr 27, 2025

Study contacts

Lin Shen, PHD
Contact
linshenpku@163.com
010-881965671

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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