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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-006291-16 | EudraCT Number | ||
| 2024-511917-40-00 | EU Trial (CTIS) Number |
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| Name | Class |
|---|---|
| Gilead Sciences | INDUSTRY |
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The purpose of this study is to evaluate the safety and preliminary clinical activity of treatment combinations with and without chemotherapy in participants with locally advanced unresectable or metastatic gastric, GEJ, and esophageal adenocarcinoma. Chemotherapy will consist of FOLFOX (oxaliplatin, leucovorin, fluorouracil).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A1: First Line - Treatment NaĂŻve Participants | Experimental | Domvanalimab and zimberelimab once every 4 weeks (Q4W) in addition to FOLFOX chemotherapy by intravenous (IV) infusion once every 2 weeks (Q2W) |
|
| A2: First Line - Treatment NaĂŻve Participants | Experimental | Zimberelimab Q4W in addition to chemotherapy with FOLFOX administered by IV infusion Q2W |
|
| A3 First Line - Treatment NaĂŻve Participants | Experimental | Non-randomized A3 safety run-in cohort: Domvanalimab and zimberelimab co-administered Q4W via IV infusion over 60 minutes in addition to FOLFOX chemotherapy via IV infusion Q2W. After completion of A3 safety run-in cohort, participants are randomized to the A3 arm. Domvanalimab and zimberelimab co-administered Q4W via IV infusion over 30 minutes, in addition to FOLFOX chemotherapy via IV infusion Q2W |
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| A4 First Line - Treatment NaĂŻve Participants | Experimental | Zimberelimab administered Q4W via IV infusion over 30 minutes, in addition to FOLFOX chemotherapy via IV infusion Q2W |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Domvanalimab | Drug | Administered as specified in the treatment arm |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Adverse Events (AEs) | Up to 18 months | |
| Objective Response Rate (ORR) as measured by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 | Up to 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) as measured by PD-L1 Expression Level | Up to 18 months | |
| Overall survival (OS) | From date of first dose until the date of death due to any cause (approximately 18 months) |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Arcus Biosciences, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Phoenix | Arizona | 85054 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41109921 | Derived | Janjigian YY, Oh DY, Pelster M, Wainberg ZA, Prusty S, Nelson S, DuPage A, Thompson A, Koralek DO, Sison EAR, Rha SY. Domvanalimab and zimberelimab in advanced gastric, gastroesophageal junction or esophageal cancer: a phase 2 trial. Nat Med. 2025 Dec;31(12):4274-4280. doi: 10.1038/s41591-025-04022-w. Epub 2025 Oct 18. |
| Label | URL |
|---|---|
| ARC-21 - Public website | View source |
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Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan [SAP], Clinical Study Report [CSR]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions.
For more information, please visit our website.
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| B1: Second Line or greater Checkpoint Inhibitor NaĂŻve Participants | Experimental | Domvanalimab and zimberelimab administered once every three weeks (Q3W) by IV infusion |
|
| B2: Second Line or greater Checkpoint Inhibitor NaĂŻve Participants | Experimental | Quemliclustat Q2W and zimberelimab Q4W administered by IV infusion |
|
| Cohort C1: Second Line or greater - Checkpoint Inhibitor Experienced Participants | Experimental | Domvanalimab and zimberelimab Q3W administered by IV infusion |
|
| Quemliclustat | Drug | Administered as specified in the treatment arm |
|
| Zimberelimab | Drug | Administered as specified in the treatment arm |
|
| Fluorouracil | Drug | Administered as specified in the treatment arm |
|
| Leucovorin | Drug | Administered as specified in the treatment arm |
|
| Oxaliplatin | Drug | Administered as specified in the treatment arm |
|
| Progression-free survival (PFS) as determined by the Investigator according to RECIST v1.1 | Up to 18 months |
| Disease Control (complete response, partial response, or stable disease) for greater than equal to 12 weeks | Up to 18 months |
| Duration of response (DOR) as determined by the Investigator according to RECIST v1.1 | Up to 18 months |
| Plasma concentration of domvanalimab | Up to 18 months |
| Plasma concentration of zimberelimab | Up to 18 months |
| Plasma concentration of quemliclustat | Up to 18 months |
| Percentage of participants with anti-drug antibodies to domvanalimab | Up to 18 months |
| Percentage of participants with anti-drug antibodies to zimberelimab | Up to 18 months |
| Los Angeles |
| California |
| 90033 |
| United States |
| Research Site | Santa Monica | California | 90024 | United States |
| Research Site | Derby | Connecticut | 06418 | United States |
| Research Site | Fort Myers | Florida | 33901 | United States |
| Research Site | Jacksonville | Florida | 32224 | United States |
| Research Site | St. Petersburg | Florida | 33705 | United States |
| Research Site | Boston | Massachusetts | 02109 | United States |
| Research Site | New York | New York | 10021-0005 | United States |
| Research Site | New York | New York | 10032 | United States |
| Research Site | Durham | North Carolina | 27710 | United States |
| Research Site | Columbus | Ohio | 43219 | United States |
| Research Site | Oklahoma City | Oklahoma | 73104 | United States |
| Research Site | Portland | Oregon | 97213 | United States |
| Research Site | Nashville | Tennessee | 37203 | United States |
| Research Site | Nashville | Tennessee | 37232 | United States |
| Research Site | Fairfax | Virginia | 22031 | United States |
| Research Site | Toronto | Canada |
| Research Site | Las Condes | Chile |
| Research Site | Recoleta | Chile |
| Research Site | Santiago | Chile |
| Research Site | Talca | Chile |
| Research Site | Bordeaux | France |
| Research Site | Brest | France |
| Research Site | Caen | France |
| Research Site | Lille | France |
| Research Site | Lyon | France |
| Research Site | Marseille | France |
| Research Site | Montpellier | France |
| Research Site | Plérin | France |
| Research Site | Poitiers | France |
| Research Site | Rouen | France |
| Research Site | Toulouse | France |
| Research Site | Villejuif | France |
| Research Site | Belgrade | Serbia |
| Research Site | Kamenitz | Serbia |
| Research Site | Kragujevac | Serbia |
| Research Site | Busan | South Korea |
| Research Site | Daegu | South Korea |
| Research Site | Hwasun | South Korea |
| Research Site | Seongnam-si | South Korea |
| Research Site | Seoul | South Korea |
| Research Site | Suwon | South Korea |
| ID | Term |
|---|---|
| C562730 | Adenocarcinoma Of Esophagus |
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
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| ID | Term |
|---|---|
| C000723779 | quemliclustat |
| C000719848 | zimberelimab |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077150 | Oxaliplatin |
| ID | Term |
|---|---|
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
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