A Clinical Trial of a New Combination Treatment, Domvanalimab and Zimberelimab, Plus Chemotherapy, for People With an Upper Gastrointestinal Tract Cancer That Cannot be Removed With Surgery That Has Spread to Other Parts of the Body (STAR-221)
Advanced Upper Gastrointestinal Tract Adenocarcinoma
About this trial
This is an interventional treatment trial for Advanced Upper Gastrointestinal Tract Adenocarcinoma focused on measuring Domvanalimab, Zimberelimab, Nivolumab, Advanced upper gastrointestinal tract adenocarcinoma, Gastroesophageal junction cancer, Esophageal adenocarcinoma, Gastric cancer, Gastric adenocarcinoma
Eligibility Criteria
Inclusion Criteria:
- Age >= 18 years at the time of signing the informed consent.
- Capable of giving signed informed consent which is in compliance with the requirements and restrictions listed in the informed consent form (ICF) and in protocol.
- Histologically confirmed diagnosis of locally advanced unresectable or metastatic gastric, GEJ, or esophageal adenocarcinoma.
- Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1.
- At least one measurable target lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Exclusion Criteria:
Underlying medical or psychiatric conditions that, in the investigator's or sponsor's opinion, will make the administration of study-specified therapy hazardous, including but not limited to:
- Interstitial lung disease, including history of interstitial lung disease or non-infectious pneumonitis. Active viral, bacterial, or fungal infections requiring parenteral treatment within 14 days of randomization.
- Clinically significant cardiovascular disease, such as New York Heart Association Class II or greater cardiac disease or cerebrovascular accident within 3 months prior to randomization, unstable angina, or new onset angina within 3 months prior to randomization, myocardial infarction within 6 months prior to randomization, or unstable arrhythmia within 3 months prior to randomization.
- History of prior solid-organ transplantation, including allogenic bone marrow transplantation.
- Dementia, psychiatric, or substance abuse disorders that would interfere with satisfying the requirements of the trial.
- Known human epidermal growth factor receptor 2 (HER-2) positive tumor.
- Known untreated, symptomatic, or actively progressing central nervous system (CNS) (brain) metastases. Participants with leptomeningeal metastases are excluded from enrollment.
- Received prior systemic treatment for locally advanced unresectable or metastatic gastric, GEJ, or esophageal adenocarcinoma.
- Disease progression within 6 months of neoadjuvant or adjuvant chemotherapy.
Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Genesis Cancer and Blood InstituteRecruiting
- Kaiser Permanente - Los Angeles Medical CenterRecruiting
- Norris Comprehensive Cancer CenterRecruiting
- University of California Irvine Health Chao Family Comprehensive Cancer CenterRecruiting
- UCLA Health - Santa Monica Cancer CareRecruiting
- Millennium Reasearch & Clinical Development'Recruiting
- Georgetown Lombardi Comprehensive Cancer CenterRecruiting
- SCRI - Florida Cancer Specialists - South Region Research OfficeRecruiting
- SCRI - Florida Cancer Specialists - North Region Research OfficeRecruiting
- SCRI - Florida Cancer Specialists - Panhandle Research OfficeRecruiting
- SCRI - Florida Cancer Specialists - East Region Research OfficeRecruiting
- Centricity ResearchRecruiting
- University of Louisville James Graham Brown Cancer CenterRecruiting
- Norton Cancer InstituteRecruiting
- Ochsner Cancer InstituteRecruiting
- Massachusetts General HospitalRecruiting
- University of Michigan Rogel Cancer CenterRecruiting
- Barbara Ann Karmanos Cancer CenterRecruiting
- HealthPartners Cancer Center at Regions HospitalRecruiting
- Nebraska Cancer Specialists - Oncology Hematology West PCRecruiting
- NYU Langone HospitalRecruiting
- Albert Einstein College of MedicineRecruiting
- Tisch Cancer Institute, Mount Sinai HospitalRecruiting
- Memorial Sloan Kettering Cancer Center - New YorkRecruiting
- Duke University Medical CenterRecruiting
- University Hospitals Cleveland Medical CenterRecruiting
- Mark H. Zangmeister Cancer CenterRecruiting
- Providence Cancer Center Oncology and Hematology Care Westside PortlandRecruiting
- Prisma Health Cancer InsituteRecruiting
- SCRI - Tennessee Oncology - Chattanooga - Memorial PlazaRecruiting
- SCRI - Tennessee Oncology - Nashville - CentennialRecruiting
- Vanderbilt - Ingram Cancer CenterRecruiting
- University of Texas Southwestern Medical CenterRecruiting
- The Center for Cancer & Blood Disorders - Fort WorthRecruiting
- USOR - Virginia Cancer Specialists - Fairfax OfficeRecruiting
- Monash UniversityRecruiting
- Gosford HospitalRecruiting
- Liverpool HospitalRecruiting
- Oncology West - MurdochRecruiting
- Fundação Pio XII - Hospital de Câncer de Barretos - Hospital de AmorRecruiting
- ONCOSITE - Centro de Pesquisa Clinica Em Oncologia Ltda.Recruiting
- Queen Elizabeth II Health Sciences Centre-Victoria GeneralRecruiting
- Hôpital Notre-DameRecruiting
- Princess Margaret Cancer CentreRecruiting
- IcegclinicRecruiting
- Oncovida - SantiagoRecruiting
- Hospital Puerto MonttRecruiting
- Bradford Hill Centro de Investigaciones Clinicas1Recruiting
- Centro de Estudios Clínicos SAGARecruiting
- Pontificia Universidad Catolica de Chile - Escuela De Medicina - Clinica UC San Carlos de ApoqRecruiting
- Clínica Universidad Católica del Maule - TalcaRecruiting
- Institut BergoniéRecruiting
- Hôpital Claude HuriezRecruiting
- Faculty of Medicine Siriraj HospitalRecruiting
- Hôpital de la TimoneRecruiting
- Centre Armoricain de Radiothérapie, d?Imagerie Médicale et d?OncologieRecruiting
- Centre Hospitalier Universitaire de PoitiersRecruiting
- Institut Gustave RoussyRecruiting
- Evex Hospitals - Kutaisi Referral HospitalRecruiting
- LLC Todua ClinicRecruiting
- Ltd Tbilisi State Medical University and Ingorokva High Medical Technology University ClinicRecruiting
- Multi-profile Clinic "New Hospitals"Recruiting
- New Vision University HospitalRecruiting
- Evgenidion Clinic SA - Agia TriasRecruiting
- General Oncology Hospital of Kifisias "Agioi Anargyroi"Recruiting
- Grupo Medico AngelesRecruiting
- Medi-k CayaláRecruiting
- Clínica Privada Dr. Rixci RamírezRecruiting
- INTEGRA Cancer InstituteRecruiting
- Centro Regional de Sub Especialidades Médicas (CRESEM) SARecruiting
- Hong Kong Sanatorium and HospitalRecruiting
- Tuen Mun HospitalRecruiting
- Queen Mary Hospital (The University of Hong Kong)Recruiting
- Humanity and Health Clinical Trial CentreRecruiting
- Queen Mary Hospital - Hong KongRecruiting
- Dél-pesti Centrumkórház - Országos Hematológiai és Infektológiai IntézetRecruiting
- Országos Onkológiai IntézetRecruiting
- Pécsi Tudományegyetem Klinikai KözpontRecruiting
- Tel Aviv Sourasky Medical CenterRecruiting
- Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia MedicaRecruiting
- Instituto Europeo di OncologiaRecruiting
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San RaffaeleRecruiting
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Istituto Clinico HumanitasRecruiting
- Azienda Sanitaria Universitaria Friuli Centrale ? P.O. Santa Maria della MisericordiaRecruiting
- Hyogo Cancer CenterRecruiting
- Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome HospitalRecruiting
- National Cancer Center - Kashiwa CampusRecruiting
- St. Marianna University HospitalRecruiting
- Cancer Institute Hospital of JFCRRecruiting
- Aichi Cancer CenterRecruiting
- Osaka Prefectural Hospital Organization - Osaka International Cancer InstituteRecruiting
- National Cancer Center HospitalRecruiting
- Kindai University HospitalRecruiting
- Gunma Prefectural Cancer CenterRecruiting
- Dong-A University HospitalRecruiting
- Severance HospitalRecruiting
- Kauno KlinikosRecruiting
- Klaipedos Universitetine LigonineRecruiting
- Nacionalinis Vėžio InstitutasRecruiting
- Vilniaus Universiteto Ligoninė Santariškių KlinikosRecruiting
- Hospital Pulau PinangRecruiting
- Hospital Kuala LumpurRecruiting
- Pusat Perubatan Universiti MalayaRecruiting
- Hospital Umum SarawakRecruiting
- Instituto Nacional de Cancerologia - MexicoRecruiting
- CLIMERS Clinical Medical ResearchRecruiting
- Centro Especializado en Investigacion y Tratamiento Oncologicos SCRecruiting
- Centro de Atención e Investigación Clínica en OncologíaRecruiting
- Hospital Zambrano Hellion TecSaludRecruiting
- Centro Hemato - Oncológico Privado (CHOP)Recruiting
- Dr Pablo O. Torre Memorial Hospital - Riverside Medical CenterRecruiting
- Baguio General Hospital and Medical CenterRecruiting
- Baguio General Hospital and Medical CenterRecruiting
- Cebu Doctors' University HospitalRecruiting
- Manila Doctors HospitalRecruiting
- Centro Hospitalar e Universitário de CoimbraRecruiting
- Fundação D. Anna de Sommer Champalimaud e Dr. Carlos Montez ChampalimaudRecruiting
- Instituto Português de Oncologia do Porto Francisco GentilRecruiting
- Spitalul Judetean de UrgentaRecruiting
- Institutul Clinic FundeniRecruiting
- MedisprofRecruiting
- Centrul De Oncologie Sf NectarieRecruiting
- Centrul de Radioterapie Amethyst ClujRecruiting
- Centrul de Oncologie EuroclinicRecruiting
- Institute of Oncology and Radiology of Serbia (Institut za onkologiju i radiologiju Srbije)Recruiting
- University Hospital Medical Center (KBC) Bezanijska KosaRecruiting
- Clinical Center KragujevacRecruiting
- Hospital Universitari Vall d'HebrónRecruiting
- Hospital Universitario HM SanchinarroRecruiting
- Hospital Universitario Ramón y CajalRecruiting
- Hospital Universitario Marqués de ValdecillaRecruiting
- Hospital Clínico Universitario de ValenciaRecruiting
- Sunpasitthiprasong HospitalRecruiting
- Barts Health NHS TrustRecruiting
- Sarah Cannon Research Institute LondonRecruiting
- University College London Hospitals NHS Foundation TrustRecruiting
- Oxford University Hospitals NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Domvanalimab + Zimberelimab + FOLFOX/CAPOX (PI Choice)
Nivolumab + FOLFOX/CAPOX (PI Choice)
Participants in this arm will receive Domvanalimab and zimberelimab doses once every 4 weeks (Q4W) in addition to chemotherapy with FOLFOX (oxaliplatin, leucovorin, fluorouracil) once every 2 weeks (Q2W) or Domvanalimab and zimberelimab once every 3 weeks (Q3W) in addition to chemotherapy with CAPOX (capecitabine and oxaliplatin) Q3W.
Participants in this arm will receive Nivolumab Q2W and FOLFOX Q2W or Nivolumab Q3W + CAPOX Q3W.