A Trial of Adebrelimab Plus (SHR-A1811/SHR-A1904 With Chemotherapy) or SHR-8068 as Treatment for Gastric/GEJ Cancer
A Multi-cohort, Multi-center Phase II Clinical Study of Adebrelimab in Combination With SHR-A1811/SHR-A1904 and Chemotherapy or Adebrelimab in Combination With SHR-8068 as the Treatment in Subjects With Gastric or Gastroesophageal Junction Cancer
1 other identifier
interventional
200
1 country
2
Brief Summary
This is a multi-cohort, multi-center Phase II clinical study exploring the efficacy of treatment with either Adebrelimab plus SHR-A1811/SHR-A1904 and chemotherapy, or Adebrelimab plus SHR-8068 in patients with gastric or gastroesophageal junction (GEJ) cancer. The study also evaluates the safety and tolerability of these combination regimens.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 gastric-cancer
Started Aug 2025
Shorter than P25 for phase_2 gastric-cancer
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 31, 2025
CompletedFirst Posted
Study publicly available on registry
August 7, 2025
CompletedStudy Start
First participant enrolled
August 28, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2027
January 9, 2026
January 1, 2026
11 months
July 31, 2025
January 7, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Pathological complete response (pCR) rate assessed by the Pathology Review Committee (PRC).
Approximately 13 weeks.
Secondary Outcomes (8)
Incidence and severity of adverse events (AEs) evaluated per NCI-CTCAE v5.0.
Approximately 1 year.
Incidence and severity of serious adverse events (SAEs) evaluated per NCI-CTCAE v5.0.
Approximately 1 year.
Major pathological response (MPR) rate assessed by the Pathology Review Committee (PRC).
Approximately 13 weeks.
Pathological complete response (pCR) rate evaluated by the investigational site's pathology assessment.
Approximately 13 weeks.
Event-Free Survival (EFS).
Approximately 1 year.
- +3 more secondary outcomes
Study Arms (3)
Cohort A - Adebrelimab in combination with SHR-A1811 and chemotherapy
EXPERIMENTALCohort B - Adebrelimab in combination with SHR-A1904
EXPERIMENTALCohort D - Adebrelimab in combination with SHR-8068
EXPERIMENTALInterventions
SHR-A1811 for injection.
SHR-A1904 for injection.
Adebrelimab injection.
Eligibility Criteria
You may qualify if:
- Patients with histologically confirmed gastric or gastroesophageal junction adenocarcinoma who have not received prior anti-tumor therapy for gastric/gastroesophageal junction cancer.
- Age: ≥18 and ≤70 years, both male and female.
- Ability to provide fresh tumor tissue (preferred) or archival formalin-fixed paraffin-embedded (FFPE) tumor blocks/unstained slides obtained within 6 months before enrollment.
- Availability of biomarker testing results before enrollment.
- ECOG performance status of 0-1.
- Life expectancy ≥ 6 months.
- Adequate organ and bone marrow function.
- Female participants must be either non-childbearing potential or of childbearing potential with a negative serum pregnancy test within 3 days prior to treatment initiation and not lactating. Childbearing-potential participants and their partners must agree to avoid sperm/ovum donation and comply with contraception requirements from informed consent signing until 8 months after the last dose.
- Voluntarily signed informed consent form, with willingness and ability to comply with scheduled visits, treatments, laboratory tests, and study procedures.
You may not qualify if:
- Known squamous cell carcinoma, undifferentiated carcinoma, mixed adenocarcinoma with other histologic types, or other non-adenocarcinoma gastric cancers.
- % body weight loss within 2 months before enrollment.
- Prior treatments: Anti-tumor therapy for gastric/gastroesophageal junction cancer; Participation in other drug trials with last dose ≤4 weeks or ≤5 half-lives (whichever longer) before enrollment; Major surgery within 28 days before enrollment; Live attenuated vaccination within 28 days before enrollment or planned during/within 60 days after treatment.
- Known hypersensitivity to any study drug component (Adebrelimab, SHR-A1811, SHR-A1904, SHR-8068, fluorouracil, capecitabine, tegafur/gimeracil/oteracil) or humanized monoclonal antibodies.
- Other malignancies within 5 years, except curatively treated basal/squamous cell skin cancer, superficial bladder cancer, cervical carcinoma in situ, ductal breast carcinoma in situ, or papillary thyroid cancer.
- History of immunodeficiency, organ transplantation, or active autoimmune disease.
- Clinically significant bleeding within 3 months or bleeding predisposition at screening; Arterial/venous thromboembolism within 6 months or at screening.
- Non-healing wounds, active ulcers, or untreated fractures.
- Active severe gastrointestinal disorders.
- Interstitial pneumonia or lung disease.
- Severe cardiovascular/cerebrovascular diseases or metabolic disorders.
- Active HBV/HCV infection or HBV-HCV co-infection.
- Active tuberculosis (TB) within 1 year by history/CT, or prior untreated active TB \>1 year ago.
- Severe infection within 4 weeks before first dose; CTCAE ≥Grade 2 active infection requiring systemic antibiotics within 2 weeks; Chronic infections potentially affecting treatment/surgery.
- History of drug abuse or illicit substance use.
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050010, China
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 31, 2025
First Posted
August 7, 2025
Study Start
August 28, 2025
Primary Completion (Estimated)
August 1, 2026
Study Completion (Estimated)
May 1, 2027
Last Updated
January 9, 2026
Record last verified: 2026-01