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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-524095-27 | Other Identifier | EU Trial (CTIS) Number |
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The goal of this clinical study is to learn more about the study drug, Denikitug (DEN, GS-1811), to evaluate the efficacy and safety of Denikitug Monotherapy and Denikitug-based combinations in in participants with human epidermal growth factor receptor 2 (HER2)-Negative, unresectable, recurrent, and/or metastatic, gastroesophageal junction (GEJ), and esophageal adenocarcinomas.
The primary objective of this study is to assess the effect of DEN as a monotherapy or in combination with nivolumab (NIVO) or ramucirumab (RAM) and paclitaxel (PAC) on objective response rate (ORR) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST Version1.1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Arm A: DEN (Dose A) and NIVO | Experimental | Participants will receive DEN Dose A as an IV infusion in combination with NIVO as an IV infusion. |
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| Part 1: Arm B: DEN (Dose B) and NIVO | Experimental | Participants will receive DEN Dose B as an IV infusion in combination with NIVO as an IV infusion. |
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| Part 1: Arm C: DEN (Dose B) | Experimental | Participants will receive DEN Dose B as an IV infusion. |
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| Part 2: Arm D: Safety Run-in (SRI) Cohort | Experimental | Participants will receive DEN in combination with ramucirumab (RAM) and paclitaxel (PAC). If dose for DEN is deemed safe during the SRI Cohort, the study will move forward into the Expansion Period. |
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| Part 2: Arm D: Expansion Cohort | Experimental | If DEN dose is deemed safe in Arm D: SRI Cohort, participants will receive DEN at recommended dose as an IV infusion in combination with RAM and PAC. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Denikitug | Drug | Administered Intravenously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | ORR is defined as the percentage of participants who have achieved complete response (CR) or partial response (PR) as assessed by the investigator according to RECIST Version 1.1. | Up to 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Response (DOR) | DOR is defined as the time of first response CR or PR as assessed by investigator, per RECIST Version 1.1 until the date of first documented progressive disease (PD) or death, whichever comes first. | Up to 4 years |
| Progression-Free Survival (PFS) |
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Key Inclusion Criteria:
Histologically or cytologically confirmed diagnosis of locally advanced, unresectable, or metastatic gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma (EAC).
Human epidermal growth factor receptor 2 (HER2)-negative status, as determined by local assessment using a validated immunohistochemistry assay, in situ hybridization or other amplification testing.
Has had disease progression during or after first line of systemic therapy for advanced or metastatic gastric, GEJ, or EACs, which must have included at least one of the following:
Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
Have adequate organ function.
Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use methods of contraception.
Key Exclusion Criteria:
Prior/Concurrent Therapy or Clinical Study Experience
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gilead Clinical Study Information Center | Contact | 1-833-445-3230 (GILEAD-0) | GileadClinicalTrials@gilead.com |
| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Recruiting | Boston | Massachusetts | 02114 | United States | |
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| Label | URL |
|---|---|
| Gilead Clinical Trials Website | View source |
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Arms in Part 1 received treatment in parallel. Part 1 and Part 2 were sequential assignment.
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|
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| Nivolumab | Drug | Administered Intravenously |
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| Ramucirumab | Drug | Administered Intravenously |
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| Paclitaxel | Drug | Administered Intravenously |
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PFS is defined as the time from date of first dose until PD or death from any cause, whichever comes first as assessed by the investigator according to RECIST Version 1.1. |
| Up to 4 years |
| Overall Survival (OS) | OS is defined as the length of time from first dose until the date of death from any cause. | Up to 4 years |
| Percentage of Participants Experiencing Treatment-Emergent Adverse Event (TEAEs) According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 | First dose date up to 120 days post last dose, up to 4 years. |
| Percentage of Participants Experiencing Clinical Laboratory Abnormalities According to the NCI CTCAE v5.0 | First dose date up to 120 days post last dose, up to 4 years. |
| Pharmacokinetic (PK) Parameter: Serum concentration of DEN | Up to 4 years |
| PK Parameter: Cmax for Denikitug | Cmax is defined as the maximum observed concentration. | Up to 4 years |
| PK Parameter: AUCall for Denikitug | AUCall is defined as the cumulative areas under the curve for all time points. | Up to 4 years |
| Percentage of Participants who Developed Treatment-Emergent Antidrug Antibody (ADA) Against Denikitug | Up to 4 years |
| Chris O'Brien Lifehouse |
| Recruiting |
| Camperdown |
| New South Wales |
| 2050 |
| Australia |
| Royal Brisbane and Women's Hospital | Recruiting | Herston | Queensland | 4029 | Australia |
| Hollywood Private Hospital | Recruiting | Nedlands | Western Australia | 6009 | Australia |
| ID | Term |
|---|---|
| C562730 | Adenocarcinoma Of Esophagus |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| D000096662 | Ramucirumab |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| 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 |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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