CClinicalTrials.gg
RecruitingNCT07221149Updated Sep 30, 2026

A Study to Evaluate the Safety and Efficacy of Pumitamig in Combination With Chemotherapy Versus Nivolumab in Combination With Chemotherapy in Participants With Previously Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma (ROSETTA Gastric-204)

A Phase 2/3 interventional study of Pumitamig and Folfox in Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma, sponsored by Bristol-Myers Squibb. Recruiting at 161 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Bristol-Myers Squibb · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
690
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of Pumitamig in combination with chemotherapy versus Nivolumab in combination with chemotherapy in participants with previously untreated advanced or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma

02

Conditions studied

  • Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma

Keywords

  • Gastric Cancer
  • Gastroesophageal Junction Cancer
  • Esophageal Adenocarcinoma
03

Who can participate

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

Inclusion criteria

  • Participants must be previously untreated with systemic treatment for advanced/metastatic disease, histologically or cytologically confirmed advanced or metastatic gastric cancer (GC), gastroesophageal junction adenocarcinoma (GEJC) or distal esophageal adenocarcinoma (EAC). GEJ involvement can be confirmed via biopsy, endoscopy, or imaging.
  • Participants must have a documented programmed cell death-(ligand)1 (PD-L1) ≥ 1 or \< 1 status for Phase 2, and document PD-L1 ≥ 1 status for the Phase 3 part of the study.
  • Participants must have documented human epidermal growth factor receptor 2 (HER2)-negative cancer, as determined according to local guidelines.
  • Participants must have measurable disease as defined by RECIST v1.1.

Exclusion criteria

Exclusion Criteria

  • Participants must not have untreated known central nervous system (CNS) metastases.
  • Participants must not have significant cardiovascular disease, such as myocardial infarction, unstable angina, arterial thrombosis, cerebrovascular accident within 6 months prior to randomization, uncontrolled hypertension (≥ 160 systolic, ≥ 100 diastolic mm Hg) despite optimal medical management, or congenital long QT syndrome.
  • Participants must not have evidence of major coagulation disorders (eg, hemophilia).
  • Participants must not have a history of deep vein thrombosis, pulmonary embolism, or any other significant thromboembolism within 3 months prior to randomization, unless the participant has been fully treated (eg, inferior vena cava filter placed) and/or adequately anticoagulated on a stable dose.
  • Participants must not have a history of abdominal fistula or gastrointestinal (GI) perforation within 6 months of randomization.
  • Participants must not have had major surgery, open biopsy, or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of study intervention.
  • Other protocol-defined Inclusion/Exclusion criteria apply.
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
690 participants (estimated)

Study arms

  • Experimental
    Arm A1

    Drug: Pumitamig · Drug: Folfox · Drug: Capox

  • Experimental
    Arm A2

    Drug: Pumitamig · Drug: Folfox · Drug: Capox

  • Experimental
    Arm C

    Drug: Pumitamig · Drug: Folfox · Drug: Capox

  • Experimental
    Arm D

    Drug: Folfox · Drug: Capox · Drug: Nivolumab

Interventions

  • DrugPumitamig

    Specified dose on specified days

    Also known as: BMS-986545, BNT327, PM8002

  • DrugFolfox

    Specified dose on specified days

  • DrugCapox

    Specified dose on specified days

  • DrugNivolumab

    Specified dose on specified days

05

What researchers measure

Primary outcomes

  1. Objective Response (OR) (confirmed complete response (CR) or partial response (PR)) by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 per investigator assessment

    Phase 2

    Time frame: Up to 2 years after the last participant is randomized

  2. Progression Free Survival (PFS) by RECIST v1.1 per blinded independent central review (BICR)

    Phase 3

    Time frame: Up to approximately 33 months

  3. Overall survival (OS)

    Phase 3

    Time frame: Up to approximately 47 months

Secondary outcomes

  1. PFS by RECIST v1.1 per investigator assessment

    Phase 2

    Time frame: Up to approximately 33 months

  2. Duration of Response (DOR) (CR or PR) by RECIST v1.1 per investigator assessment

    Phase 2

    Time frame: Up to approximately 33 months

  3. Time to Response (TTR) (CR or PR) by RECIST v1.1 per investigator assessment

    Phase 2

    Time frame: Up to approximately 33 months

  4. Disease control (Best Overall Response (BOR) of confirmed CR, confirmed PR, or Stable Disease (SD)) by RECIST v1.1 per investigator assessment

    Phase 2

    Time frame: Up to approximately 33 months

  5. Recommended dose of Pumitamig for Phase 3

    Phase 2

    Time frame: Up to approximately 33 months

  6. Objective response (OR) by RECIST v1.1 per BICR

    Phase 3

    Time frame: Up to approximately 33 months

  7. DOR by RECIST v1.1 per BICR

    Phase 3

    Time frame: Up to approximately 33 months

06

Study locations

101 of 161 sites recruiting
  • Mayo Clinic in Arizona - Phoenix
    Phoenix, Arizona 85054, United States
    • Mohamad Sonbol, Site 0284 · Contact · 480-301-8000
    Recruiting
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
    • Syma Iqbal, Site 0437 · Contact · 310-994-2096
    Recruiting
  • University of California, Irvine (UCI) Health - UC Irvine Medical Center
    Orange, California 92868, United States
    • Farshid Dayyani, Site 0277 · Contact · 714-456-5153
    Recruiting
  • Local Institution - 0428
    San Francisco, California 94158, United States
    • Site 0428 · Contact
    Not yet recruiting
  • Florida Cancer Specialists - South
    Fort Myers, Florida 33901, United States
    • Fadi Kayali, Site 0429 · Contact · 239-274-9930
    Recruiting
  • Mayo Clinic in Florida
    Jacksonville, Florida 32224, United States
    • Conor O'Donnell, Site 0433 · Contact · 904-953-2000
    Recruiting
  • Florida Cancer Specialists - North
    St. Petersburg, Florida 33701, United States
    • Muhammad Imam, Site 0430 · Contact · 000-000-0000
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    • Allan Lima Pereira, Site 0246 · Contact · 813-745-4436
    Recruiting
  • Emory University
    Atlanta, Georgia 30308, United States
    • Gideon T Dosunmu, Site 0377 · Contact
    Recruiting
  • Local Institution - 0379
    Chicago, Illinois 60637, United States
    • Site 0379 · Contact
    Not yet recruiting
  • Local Institution - 0268
    Iowa City, Iowa 52242, United States
    • Site 0268 · Contact
    Not yet recruiting
  • Mayo Clinic in Rochester, Minnesota
    Rochester, Minnesota 55905, United States
    • Ben George, Site 0259 · Contact · 507-284-2511
    Recruiting
  • Missouri Cancer Associates
    Columbia, Missouri 65201, United States
    • John R. Ogden, Site 0426 · Contact
    Recruiting
  • Local Institution - 0286
    Omaha, Nebraska 68198, United States
    • Site 0286 · Contact
    Not yet recruiting
  • Northwell Health/ RJ Zuckerberg Cancer Center
    Lake Success, New York 11042, United States
    • Nicholas Hornstein, Site 0386 · Contact · 323-533-7275
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    • Yelena Janjigian, Site 0242 · Contact · 646-888-4186
    Recruiting
  • Local Institution - 0274
    Rochester, New York 14642, United States
    • Site 0274 · Contact
    Not yet recruiting
  • University of North Carolina Medical Center
    Chapel Hill, North Carolina 27599, United States
    • Brent Hanks, Site 0245 · Contact
    Recruiting
  • Local Institution - 0443
    Cleveland, Ohio 44106, United States
    • Site 0443 · Contact
    Not yet recruiting
  • Local Institution - 0222
    Cleveland, Ohio 44195, United States
    • Site 0222 · Contact
    Not yet recruiting
  • Oncology Associates Of Oregon, Pc
    Eugene, Oregon 97401, United States
    • Marc Uemura, Site 0432 · Contact · 541-214-8284
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Portland, Oregon 97213-2982, United States
    • Spencer Shao, Site 0419 · Contact · 503-528-5005
    Recruiting
  • UPMC Hillman Cancer Center
    Pittsburgh, Pennsylvania 15232, United States
    • Anwaar Saeed, Site 0407 · Contact · 816-898-9413
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
    • Meredith Pelster, Site 0417 · Contact · 615-986-4366
    Recruiting
  • Tennessee Oncology
    Nashville, Tennessee 37203, United States
    • Brian Grieb, Site 0255 · Contact
    Recruiting
  • Texas Oncology - Amarillo Cancer Center
    Amarillo, Texas 79124, United States
    • Anton Melnyk, Site 0423 · Contact · 325-692-0188
    Recruiting
  • Texas Oncology-Austin Central
    Austin, Texas 78731, United States
    • Vivian Cline, Site 0416 · Contact · 512-427-9400
    Recruiting
  • Texas Oncology
    Beaumont, Texas 77702, United States
    • Pavel Levin, Site 0424 · Contact
    Recruiting
  • Texas Oncology - Northeast Texas
    Denison, Texas 75020, United States
    • Amir Faridi, Site 0415 · Contact · 000-000-0000
    Recruiting
  • Texas Oncology - DFW
    Grapevine, Texas 76051, United States
    • Ravi Patel, Site 0421 · Contact
    Recruiting
  • University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    • Jaffer Ajani, Site 0233 · Contact · 713-792-2828
    Recruiting
  • Texas Oncology - San Antonio
    San Antonio, Texas 78240, United States
    • John R. Ogden, Site 0427 · Contact
    Recruiting
  • Oncology and Hematology Associates of Southwest Virginia, Inc. - Salem
    Salem, Virginia 24153, United States
    • Mark Kochenderfer, Site 0413 · Contact · 540-982-0237
    Recruiting
  • University of Wisconsin Carbone Cancer Center - University Hospital
    Madison, Wisconsin 53792, United States
    • Nataliya Uboha, Site 0271 · Contact · 608-265-9966
    Recruiting
  • Centro Médico Fleischer
    Ciudad Autónoma de Buenos Aires, Buenos Aires C1414, Argentina
    • Guillermo Mendez, Site 0069 · Contact · +5491162691673
    Recruiting
  • Instituto Alexander Fleming
    Ciudad Autónoma de Buenos Aires, Buenos Aires C1426ANZ, Argentina
    • Federico Esteso, Site 0061 · Contact · 01132218900
    Recruiting
  • Hospital Italiano de Buenos Aires
    ABB, Buenos Aires F.D. C1199ABB, Argentina
    • Maria Alicia Verzura, Site 0066 · Contact · 54111555960279
    Recruiting
  • Centro de Educación Médica e Investigaciones clínicas "Dr. Norberto Quirno" (CEMIC)
    Buenos Aires, C1431FWO, Argentina
    • Julieta Grasselli, Site 0054 · Contact · 541158826679
    Recruiting
  • Liverpool Hospital
    Liverpool, New South Wales 2170, Australia
    • Aflah Roohullah, Site 0176 · Contact · 0472877240
    Recruiting
  • Sunshine Coast University Hospital
    Birtinya, Queensland 4575, Australia
    • Michael Allen, Site 0080 · Contact · +61752021111
    Recruiting
  • Lyell McEwin Hospital
    Elizabeth Vale, South Australia 5112, Australia
    • Anas Alawawdeh, Site 0077 · Contact · 0881829000
    Recruiting
  • Monash Health
    Clayton, Victoria 3168, Australia
    • David Lau, Site 0085 · Contact · (03)95946666
    Recruiting
  • Warringal Medical Centre
    Melbourne, Victoria 3084, Australia
    • Niall Tebbutt, Site 0400 · Contact · 0410582006
    Recruiting
  • St. John of God Murdoch Hospital
    Murdoch, Western Australia 6150, Australia
    • Kynan Feeney, Site 0083 · Contact · +61894389599
    Recruiting
  • Núcleo de Oncologia e Hematologia do Ceará
    Fortaleza, Ceará 60115-281, Brazil
    • José Rocha, Site 0208 · Contact · 85999872264
    Recruiting
  • Centro de Investigação Clínica Ciências Médicas
    Belo Horizonte, Minas Gerais 30140-085, Brazil
    • Gabriela Freitas Chaves, Site 0204 · Contact
    Recruiting
  • Liga Norte Riograndense Contra o Câncer
    Natal, Rio Grande do Norte 59062-000, Brazil
    • Sulene Oliveira, Site 0226 · Contact · 5584991191032
    Recruiting
  • Hospital de Clinicas de Porto Alegre
    Porto Alegre, Rio Grande do Sul 90035-903, Brazil
    • Sergio Azevedo, Site 0210 · Contact · 351222055700
    Recruiting
  • Clinica Viver
    Santa Maria, Rio Grande do Sul 97015-373, Brazil
    • Luis Carlos Moreira Antunes, Site 0425 · Contact
    Recruiting
  • Faculdade de Medicina de Sao Jose do Rio Preto
    São José do Rio Preto, 15090-000, Brazil
    • Kathia Abdalla, Site 0221 · Contact · +551733216638
    Recruiting
  • Local Institution - 0088
    Calgary, Alberta T2N 5G2, Canada
    • Site 0088 · Contact
    Not yet recruiting
  • Local Institution - 0119
    Halifax, Nova Scotia B3H 3A7, Canada
    • Site 0119 · Contact
    Not yet recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2M9, Canada
    • Elena Elimova, Site 0121 · Contact · 4169464501ext.2520
    Recruiting
  • Local Institution - 0175
    Sherbrooke, Quebec J1H 5N4, Canada
    • Site 0175 · Contact
    Not yet recruiting
  • Local Institution - 0068
    Santiago, Santiago Metropolitan 7500921, Chile
    • Site 0068 · Contact
    Not yet recruiting
  • Local Institution - 0056
    Santiago, Santiago Metropolitan 7710007, Chile
    • Site 0056 · Contact
    Not yet recruiting
  • Local Institution - 0055
    Santiago, Santiago Metropolitan 8420383, Chile
    • Site 0055 · Contact
    Not yet recruiting
  • Beijing Cancer hospital
    Beijing, Beijing Municipality 100142, China
    • Lin Shen, Site 0418 · Contact · 13911219511
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, Fujian 350014, China
    • Yigui Chen, Site 0276 · Contact · 8613509339525
    Recruiting
  • Local Institution - 0232
    Guangzhou, Guangdong 510000, China
    • Site 0232 · Contact
    Not yet recruiting
  • The Sixth Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong 510655, China
    • Yanhong Deng, Site 0280 · Contact · 8613925106525
    Recruiting
  • Guangxi Medical University Affiliated Tumor Hospital
    Nanning, Guangxi 530200, China
    • Yongqiang Li, Site 0231 · Contact · 13457161928
    Recruiting
  • Local Institution - 0237
    Harbin, Heilongjiang 150081, China
    • Site 0237 · Contact
    Not yet recruiting
  • Local Institution - 0282
    Weihui, Henan 453100, China
    • Site 0282 · Contact
    Not yet recruiting
  • Local Institution - 0249
    Zhengzhou, Henan 450008, China
    • Site 0249 · Contact
    Not yet recruiting
  • Local Institution - 0279
    Wuhan, Hubei 430079, China
    • Site 0279 · Contact
    Not yet recruiting
  • Local Institution - 0292
    Changsha, Hunan 410031, China
    • Site 0292 · Contact
    Not yet recruiting
  • Local Institution - 0256
    Nanjing, Jiangsu 210009, China
    • Site 0256 · Contact
    Not yet recruiting
  • Local Institution - 0440
    Yangzhou, Jiangsu 225001, China
    • Site 0440 · Contact
    Not yet recruiting
  • Local Institution - 0409
    Nanchang, Jiangxi 330006, China
    • Site 0409 · Contact
    Not yet recruiting
  • Local Institution - 0244
    Shenyang, Liaoning 110042, China
    • Site 0244 · Contact
    Not yet recruiting
  • Local Institution - 0273
    Jinan, Shandong 250117, China
    • Site 0273 · Contact
    Not yet recruiting
  • Shanghai East Hospital
    Shanghai, Shanghai Municipality 200120, China
    • Yong Gao, Site 0258 · Contact · 8613310167477
    Recruiting
  • Local Institution - 0243
    Taiyuan, Shanxi 030001, China
    • Site 0243 · Contact
    Not yet recruiting
  • Local Institution - 0260
    Chengdu, Sichuan 610041, China
    • Site 0260 · Contact
    Not yet recruiting
  • Local Institution - 0248
    Tianjin, Tianjin Municipality 300060, China
    • Site 0248 · Contact
    Not yet recruiting
  • Local Institution - 0408
    Hangzhou, Zhejiang 310003, China
    • Site 0408 · Contact
    Not yet recruiting
  • Local Institution - 0252
    Hangzhou, Zhejiang 310052, China
    • Site 0252 · Contact
    Not yet recruiting
  • Local Institution - 0269
    Shanghai, 200032, China
    • Site 0269 · Contact
    Not yet recruiting
  • Local Institution - 0399
    Pasto, Departamento de Nariño 520001, Colombia
    • Site 0399 · Contact
    Not yet recruiting
  • Local Institution - 0398
    Cali, Valle del Cauca Department 760032, Colombia
    • Site 0398 · Contact
    Not yet recruiting
  • Centre Leon Berard
    Lyon Cedex08, Auvergne-Rhône-Alpes 69373, France
    • Clelia Coutzac, Site 0058 · Contact · +33478785992
    Recruiting
  • CHRU de Brest
    Brest, Finistère 29609, France
    • Jean-Philippe Metges, Site 0064 · Contact · 33298223428
    Recruiting
  • Hopital Claude Huriez - CHU de Lille
    Lille, Nord 59000, France
    • Anthony Turpin, Site 0051 · Contact · +33320445461
    Recruiting
  • Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu
    Nantes, Pays de la Loire Region 44093, France
    • Yann Touchefeu, Site 0062 · Contact · 33240083163
    Recruiting
  • Centre Hospitalier Universitaire de Poitiers
    Poitiers, Vienne 86021, France
    • David Tougeron, Site 0046 · Contact · 33549444951
    Recruiting
  • Local Institution - 0060
    Marseille, 13385, France
    • Site 0060 · Contact
    Not yet recruiting
  • Hôpital Européen Georges Pompidou
    Paris, 75015, France
    • Aziz Zaanan, Site 0049 · Contact · 33156095064
    Recruiting
  • Charité - Universitaetsmedizin Berlin - Campus Bejnamin Franklin
    Berlin, 10117, Germany
    • Annika Kurreck, Site 0089 · Contact · +4930450657306
    Recruiting
  • Krankenhaus Nordwest GmbH
    Frankfurt, 60488, Germany
    • Thorsten Goetze, Site 0134 · Contact · 496976014187
    Recruiting
  • Facharztzentrum Eppendorf
    Hamburg, 20249, Germany
    • Alexander Stein, Site 0090 · Contact · 494036035220
    Recruiting
  • Nationales Centrum Fur Tumorerkrankungen (Nct)
    Heidelberg, 69120, Germany
    • Georg Haag, Site 0100 · Contact · 4962215637630
    Recruiting
  • Local Institution - 0112
    Leipzig, 04103, Germany
    • Site 0112 · Contact
    Not yet recruiting
  • Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
    Mainz, 55131, Germany
    • Markus Moehler, Site 0105 · Contact · 496131176076
    Recruiting
  • Universitätsmedizin Mannheim
    Mannheim, 68167, Germany
    • Ralf-Dieter Hofheinz, Site 0101 · Contact · +496213832488
    Recruiting
  • Universitaetsklinikum Ulm
    Ulm, 89081, Germany
    • Thomas Seufferlein, Site 0117 · Contact · 4973150044500
    Recruiting
  • Local Institution - 0306
    Nashik, Dādra and Nagar Haveli and Damān and Diu 422001, India
    • Site 0306 · Contact
    Not yet recruiting
  • Local Institution - 0305
    Mumbai, Maharashtra 400012, India
    • Site 0305 · Contact
    Not yet recruiting
  • Local Institution - 0403
    Delhi, 110029, India
    • Site 0403 · Contact
    Not yet recruiting
  • Local Institution - 0302
    Puducherry, 605006, India
    • Site 0302 · Contact
    Not yet recruiting

Showing the first 100 of 161 sites across 20 countries.

07

References and documents

Individual participant data

Plan to share: Yes — BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

Supporting information: Study protocol, Sap, Csr

08

Registry details

Key details

Study ID
NCT07221149
Lead sponsor
Bristol-Myers Squibb
Collaborators
BioNTech SE
Responsible party
Sponsor
First posted
Oct 27, 2025
Start date
Mar 13, 2026
Primary completion
Nov 8, 2030 (estimated)
Completion
Sep 11, 2032 (estimated)
Last update
Sep 30, 2026

Study contacts

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
Contact
Clinical.Trials@bms.com
855-907-3286
First line of the email MUST contain NCT # and Site #.
Contact
Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
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