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A Master Protocol of an Open-Label, Multi-Drug, Multi-Center, Phase II Platform Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumor Activity of Novel Agents or Combinations as Perioperative Treatment in Participants with Locally Advanced Resectable Gastroesophageal Adenocarcinoma (GEMINI-PeriOp GC)

A Phase II study of novel agents or combinations as perioperative treatment in participants with locally advanced resectable gastroesophageal adenocarcinoma - GEMINI-PeriOp GC

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250230
Enrollment
42
Registered
2025-07-11
Start date
2025-07-31
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastroesophageal Adenocarcinoma

Interventions

Sub-study 1: AZD0901 plus rilvegostomig and 5-FU or capecitabine Participants will receive AZD0901 plus rilvegostomig and 5-FU orcapecitabine as neoadjuvantcombination therapy (pre-surgeryperiod) and

Sponsors

Hibi Kazushige
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Histologically documented gastric, GEJ, or esophagealadenocarcinoma with resectable disease - Participants who are CLDN18.2-positive and HER2-negative in Sub-study 1 or HER2-positive in Sub-study 2; no specific requirements forSub-study 3 - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - Adequate organ and bone marrow function - Body weight > 35 kg

Exclusion criteria

Exclusion criteria: - Participants had any prior anti-cancer treatment or surgery for thecurrent gastric, GEJ, or esophageal cancer. - Active or prior documented autoimmune or inflammatory disorders requiring systemic treatment with steroids or other immunosuppressive treatment - Central nervous system (CNS) pathology - Uncontrolled infections - Participants with history of (non-infectious) interstitial lung disease(ILD)/pneumonitis, current ILD/pneumonitis, or suspectedILD/pneumonitis - History of another primary malignancy - Participants with any known or suspicious distant metastasis - Uncontrolled hepatitis B and/or chronic or active hepatitis B - Current or prior use of immunosuppressive medication within 14 days before the first dose of study intervention

Design outcomes

Primary

MeasureTime frame
Number of participants with adverseevents (AEs) and serious adverse events (SAEs) Percentage of participants with pathological complete response(pCR)

Countries

Canada, China, Gergia, Italy, Japan, Poland, Spain, Taiwan, Turkey, United Kingdom, United States

Contacts

Public ContactKazushige Hibi

Astrazeneka K.K

RD-clinical-information-Japan@astrazeneca.com+81-6-4802-3533

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026