This study is a prospective, multicenter, open-label, umbrella phase II clinical trial. Based on different multigene expression profiling subtypes and potential molecular characteristics of various pathways, 8 treatment arms and 13 treatment groups are preliminarily designed. After successful screening, investigators will assign eligible subjects to a treatment group based on the patient's genetic test report (if available) and performance status. For subjects without a genetic test report, they will be allocated to Arm H to receive immunotherapy combined with chemotherapy or other regimens.
Inclusion Criteria:
Exclusion Criteria:
liangtingbo@zju.edu.cn86+19941463683
patients with FGFR mutation. FGFR mutation inhibitor with GP/GEMOX.
patients with IDH1 mutation. IDH1 mutation inhibitor with GP/GEMOX
Patients with KRAS mutation. KRAS mutation inhibitor with GP/GEMOX
Patients with NTRK mutation. NTRK mutation inhibitor with GP/GEMOX.
Patients with BRAF V600E mutation. BRAF V600E mutation inhibitor with GP/GEMOX.
Patients with BRCA 1/2 mutation. BRCA 1/2 mutation inhibitor with GP/GEMOX.
Patients with HER2 positive. Trastuzumab rezetecan with GP/GEMOX.
Patients without any known target. ICI with GP/GEMOX.
yiwenchen0705@126.com86+15088682641
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