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| ID | Type | Description | Link |
|---|---|---|---|
| jRCT2051220179 | Registry Identifier | Japan Registry of Clinical Trials | |
| MOH_2023-04-30_012590 | Registry Identifier | Israel Clinical Research Site - MyTrials | |
| CTR20233469 | Registry Identifier | China: Drug Clinical Trial Registration and Information Disclosure Platform | |
| CTR20233470 | Registry Identifier | China: Drug Clinical Trial Registration and Information Disclosure Platform | |
| 2023-507522-16-00 | Other Identifier | EMA: Clinical Trials Information System (CTIS) |
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| Name | Class |
|---|---|
| Gilead Sciences | INDUSTRY |
| Taiho Pharmaceutical Co., Ltd. | INDUSTRY |
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This randomized Phase 3 open-label study will compare the efficacy of the T-cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif (ITIM) domain (TIGIT) monoclonal antibody domvanalimab, the anti programmed cell death protein 1 (PD-1) monoclonal antibody zimberelimab, and multiagent chemotherapy versus the anti PD-1 monoclonal antibody nivolumab and multiagent chemotherapy in the first-line treatment of participants with locally advanced unresectable or metastatic gastric, gastroesophageal junction (GEJ), and esophageal adenocarcinoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Domvanalimab + Zimberelimab + FOLFOX/CAPOX (PI Choice) | Experimental | 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. |
|
| Nivolumab + FOLFOX/CAPOX (PI Choice) | Active Comparator | Participants in this arm will receive Nivolumab Q2W and FOLFOX Q2W or Nivolumab Q3W + CAPOX Q3W. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Domvanalimab | Drug | Intravenous (IV) Aqueous Solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | From date of randomization until date of death from any cause (Approximately 15 months)] |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-free survival (PFS) | From date of randomization to date of the first documentation of disease progression or date of death from any cause, whichever comes first (Approximately 15 months) | |
| Objective response rate (ORR) | Proportion of randomized participants who achieved a confirmed best overall response of complete response (CR) or partial response (PR) (Approximately 15 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 | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Los Angeles | California | 90033 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40341124 | Derived | Yu J, Mehta R. Biomarker-Driven Approach to the Treatment of Metastatic Gastric or Gastroesophageal Adenocarcinoma. J Natl Compr Canc Netw. 2025 May;23(5):e257036. doi: 10.6004/jnccn.2025.7036. |
| Label | URL |
|---|---|
| STAR-221 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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| Zimberelimab | Drug | IV Aqueous Solution |
|
|
| Capecitabine | Drug | Oral Tablets |
|
| Fluorouracil | Drug | IV Aqueous Solution |
|
| Leucovorin | Drug | IV Aqueous Solution |
|
| Oxaliplatin | Drug | IV Aqueous Solution |
|
| Nivolumab | Drug | IV Aqueous Solution |
|
| Duration of response (DOR) | From the date of first confirmed response (CR or PR), until the date of first documented disease progression or date of death from any cause, whichever comes first (Approximately 15 months) |
| Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) | From on or after the date of first dose of any study treatment to the date of last study treatment specific safety follow-up or date of initiation of subsequent systemic anti-cancer therapy, whichever occurs first (Approximately 15 months) |
| Time to first symptom deterioration in the FACT-Ga gastric cancer subscale. | From the date of randomization to change from baseline in subscale greater than or equal to the deterioration threshold, or death from any cause, whichever comes first (Approximately 15 months) |
| Orange |
| California |
| 92868 |
| United States |
| Research Site | Santa Monica | California | 90404 | United States |
| Research Site | New Haven | Connecticut | 06520 | United States |
| Research Site | Washington D.C. | District of Columbia | 22057 | United States |
| Research Site | Fort Myers | Florida | 33901 | United States |
| Research Site | St. Petersburg | Florida | 33705 | United States |
| Research Site | Tallahassee | Florida | 32308 | United States |
| Research Site | Louisville | Kentucky | 40202 | United States |
| Research Site | Louisville | Kentucky | 40217 | United States |
| Research Site | New Orleans | Louisiana | 70121 | United States |
| Research Site | Boston | Massachusetts | 02114 | United States |
| Research Site | Ann Arbor | Michigan | 48109 | United States |
| Research Site | Saint Louis Park | Minnesota | 55426 | United States |
| Research Site | Mineola | New York | 11501 | United States |
| Research Site | New York | New York | 10016 | United States |
| Research Site | New York | New York | 10065 | United States |
| Research Site | Durham | North Carolina | 27710 | United States |
| Research Site | Cleveland | Ohio | 44106 | United States |
| Research Site | Cleveland | Ohio | 44111 | United States |
| Research Site | Columbus | Ohio | 43219 | United States |
| Research Site | Mayfield Heights | Ohio | 44124 | United States |
| Research Site | Portland | Oregon | 97225 | United States |
| Research Site | Nashville | Tennessee | 37203 | United States |
| Research Site | Nashville | Tennessee | 37232 | United States |
| Research Site | Dallas | Texas | 75390 | United States |
| Research Site | Fort Worth | Texas | 76104 | United States |
| Research Site | Houston | Texas | 77054 | United States |
| Research Site | Fairfax | Virginia | 22031 | United States |
| Research Site | Seattle | Washington | 98109 | United States |
| Research Site | Milwaukee | Wisconsin | 53226 | United States |
| Research Site | Buenos Aires | Argentina |
| Research Site | La Rioja | Argentina |
| Research Site | Mar del Plata | Argentina |
| Research Site | Clayton | Australia |
| Research Site | Murdoch | Australia |
| Research Site | Barretos | Brazil |
| Research Site | Ijuí | Brazil |
| Research Site | Natal | Brazil |
| Research Site | Porto Alegre | Brazil |
| Research Site | Halifax | Canada |
| Research Site | Montreal | Canada |
| Research Site | Ottawa | Canada |
| Research Site | Toronto | Canada |
| Research Site | La Florida | Chile |
| Research Site | Port Montt | Chile |
| Research Site | Providencia | Chile |
| Research Site | Recoleta | Chile |
| Research Site | Santiago | Chile |
| Research Site | Talca | Chile |
| Research Site | Changchun | China |
| Research Site | Changzhou | China |
| Research Site | Fuzhou | China |
| Research Site | Guangzhou | China |
| Research Site | Haikou | China |
| Research Site | Hangzhou | China |
| Research Site | Hefei | China |
| Research Site | Shanghai | China |
| Research Site | Tianjin | China |
| Research Site | Zhengzhou | China |
| Research Site | Bordeaux | France |
| Research Site | Brest | France |
| Research Site | Caen | France |
| Research Site | Lille | France |
| Research Site | Lyon | France |
| Research Site | Montpellier | France |
| Research Site | Plérin | France |
| Research Site | Poitiers | France |
| Research Site | Toulouse | France |
| Research Site | Villejuif | France |
| Research Site | Kutaisi | 4600 | Georgia |
| Research Site | Tbilisi | 112 | Georgia |
| Research Site | Tbilisi | 144 | Georgia |
| Research Site | Tbilisi | 159 | Georgia |
| Research Site | Tbilisi | 186 | Georgia |
| Research Site | Guatemala City | Guatemala |
| Research Site | Quetzaltenango | Guatemala |
| Research Site | Happy Valley | Hong Kong |
| Research Site | Hong Kong | Hong Kong |
| Research Site | Tuenmen | Hong Kong |
| Research Site | Budapest | Hungary |
| Research Site | Kecskemét | Hungary |
| Research Site | Pécs | Hungary |
| Research Site | Jerusalem | Israel |
| Research Site | Petah Tikva | Israel |
| Research Site | Tel Aviv | Israel |
| Research Site | Florence | Italy |
| Research Site | Milan | Italy |
| Research Site | Milan | Italy |
| Research Site | Ravenna | Italy |
| Research Site | Rozzano | Italy |
| Research Site | Udine | Italy |
| Research Site | Akashi | Japan |
| Research Site | Bunkyō City | Japan |
| Research Site | Chiba | Japan |
| Research Site | Fukuoka | Japan |
| Research Site | Kashiwa-shi | Japan |
| Research Site | Kawasaki | Japan |
| Research Site | Kōtō City | Japan |
| Research Site | Matsuyama | Japan |
| Research Site | Nagaizumi-cho | Japan |
| Research Site | Nagoya | Japan |
| Research Site | Niigata | Japan |
| Research Site | Osaka | Japan |
| Research Site | Osakasayama-shi | Japan |
| Research Site | Ota-shi | Japan |
| Research Site | Saitama | Japan |
| Research Site | Tokyo | Japan |
| Research Site | Yokohama | Japan |
| Research Site | Kaunas | Lithuania |
| Research Site | Klaipėda | Lithuania |
| Research Site | Vilnius | Lithuania |
| Research Site | George Town | Malaysia |
| Research Site | Kuala Lumpur | Malaysia |
| Research Site | Kuching | Malaysia |
| Research Site | Colonia Centro | 94300 | Mexico |
| Research Site | Mexico City | 3100 | Mexico |
| Research Site | Mérida | 97134 | Mexico |
| Research Site | San Pedro Garza García | 66278 | Mexico |
| Research Site | Toluca | 50120 | Mexico |
| Research Site | San Isidro | Peru |
| Research Site | San Juán de Miraflores | Peru |
| Research Site | Surquillo | Peru |
| Research Site | Bacolod City | Philippines |
| Research Site | Baguio City | Philippines |
| Research Site | Cebu City | Philippines |
| Research Site | Manila | Philippines |
| Research Site | Lublin | Poland |
| Research Site | Tychy | Poland |
| Research Site | Warsaw | Poland |
| Research Site | Coimbra | Portugal |
| Research Site | Lisbon | Portugal |
| Research Site | Porto | Portugal |
| Research Site | Baia Mare | Romania |
| Research Site | Bucharest | Romania |
| Research Site | Cluj-Napoca | Romania |
| Research Site | Craiova | Romania |
| Research Site | Florești | Romania |
| Research Site | Iași | Romania |
| Research Site | Suceava | Romania |
| Research Site | Belgrade | Serbia |
| Research Site | Kragujevac | Serbia |
| Research Site | Busan | South Korea |
| Research Site | Daegu | South Korea |
| Research Site | Seongnam | South Korea |
| Research Site | Seoul | South Korea |
| Research Site | Barcelona | Spain |
| Research Site | Madrid | Spain |
| Research Site | Santander | Spain |
| Research Site | Valencia | Spain |
| Research Site | Zaragoza | Spain |
| Research Site | Bang Phlat | Thailand |
| Research Site | Hat Yai | Thailand |
| Research Site | Ubon Ratchathani | Thailand |
| Research Site | Adana | Turkey (Türkiye) |
| Research Site | Ankara | Turkey (Türkiye) |
| Research Site | Edirne | Turkey (Türkiye) |
| Research Site | Istanbul | Turkey (Türkiye) |
| Research Site | İzmit | Turkey (Türkiye) |
| Research Site | Malatya | Turkey (Türkiye) |
| Research Site | Mamak | Turkey (Türkiye) |
| Research Site | Van | Turkey (Türkiye) |
| Research Site | Yakutiye | Turkey (Türkiye) |
| Research Site | Yüreğir | Turkey (Türkiye) |
| Research Site | London | United Kingdom |
| Research Site | Manchester | United Kingdom |
| Research Site | Oxford | United Kingdom |
| Research Site | Sutton | United Kingdom |
| 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 |
|---|---|
| C000719848 | zimberelimab |
| D000069287 | Capecitabine |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077150 | Oxaliplatin |
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| 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 |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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