RecruitingPhase 2NCT07176312

Zanidatamab in Combination With Pembrolizumab and Chemotherapy in HER2 and PD-L1 Positive Metastatic Gastroesophageal Adenocarcinoma (GEA) Patients

- ZANGEA - Phase II Study of Zanidatamab in Combination With Pembrolizumab and Chemotherapy in HER2 and PD-L1 Positive Metastatic Gastroesophageal Adenocarcinoma (GEA) Patients


Sponsor

Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest

Enrollment

80 participants

Start Date

Jan 16, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The ZANGEA trial is a open-label, single arm, multicenter phase II trial assessing the efficacy of zanidatamab in combination with pembrolizumab and chemotherapy in patients with metastatic gastroesophageal adenocarcinoma (GEA). The patients need to be previously untreated in the palliative setting and tested positive for HER2 and PD-L1.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether adding zanidatamab — a drug that targets HER2, a protein found on some cancer cells — to standard pembrolizumab immunotherapy and chemotherapy improves outcomes for people with advanced stomach or gastroesophageal junction cancer that is both HER2-positive and PD-L1-positive. **You may be eligible if...** - You are 18 years or older - You have been diagnosed with metastatic gastric (stomach) or gastroesophageal junction adenocarcinoma - Your tumor has been confirmed to be HER2-positive and PD-L1-positive - You are willing and able to follow the study schedule, lab tests, and procedures **You may NOT be eligible if...** - Your tumor does not express HER2 or PD-L1 - You have already received prior systemic treatment for metastatic disease - You have health conditions that make participation unsafe Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGZanidatamab

Zanidatamab 1,200 mg (patients \<70 kg at baseline) or 1,600 mg (patients ≥70 kg at baseline), administered i.v. on day 1 of each 2-week cycle (Q2W)

DRUGPembrolizumab

Pembrolizumab 400 mg, administered i.v. on day 1 of every third cycle (Q6W)

DRUGmFOLFOX

modified FOLFOX with Oxaliplatin 85 mg/m2 i.v. on day 1; Folinic Acid 400 mg/m2 i.v. on day 1; 5-FU 2,400 mg/m2 i.v. continuous infusion over 48 hours (no bolus!) on days 1 and 2 of each 2-week cycle (Q2W)


Locations(20)

Charité CVK

Berlin, Germany

Vivantes Klinikum im Friedrichshain

Berlin, Germany

Klinikum Bielefeld

Bielefeld, Germany

Städtisches Klinikum Dresden

Dresden, Germany

Evang. Kliniken Essen Mitte

Essen, Germany

Krankenhaus Nordwest

Frankfurt, Germany

Universitätsklinikum Göttingen

Göttingen, Germany

Hämatologisch Onkologische Praxis Eppendorf (HOPE)

Hamburg, Germany

Asklepios Klinik Altona

Hamburg, Germany

Universitätsklinikum Hamburg Eppendorf

Hamburg, Germany

St. Anna Hospital Herne

Herne, Germany

Universitätsklinikum Jena

Jena, Germany

Universitätsmedizin Mainz

Mainz, Germany

Johannes Wesling Klinikum Minden

Minden, Germany

Klinikum rechts der Isar der TU München

München, Germany

LMU Klinikum München Großhadern

München, Germany

MVZ für Hämatologie und Onkologie Ravensburg

Ravensburg, Germany

Krankenhaus Barmherzige Brüder Regensburg

Regensburg, Germany

Universitätsklinikum Ulm

Ulm, Germany

Klinikum Wolfsburg

Wolfsburg, Germany

View Full Details on ClinicalTrials.gov

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NCT07176312


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