Locally Advanced Gastric or Gastroesophageal Junction CancerPhase 3NCT07522151
Clinical Study of Adebrelimab Therapy in the Perioperative Treatment of Gastric Cancer or Gastroesophageal Junction Cancer
A Phase 3 study testing Adebrelimab plus S-1 and oxaliplatin and Adebrelimab blank preparation plus S-1 and oxaliplatin. in people with Locally Advanced Gastric or Gastroesophageal Junction Cancer, run by Shanghai Shengdi Pharmaceutical Co., Ltd at 1 site in China.
Trial summary
This study was a randomized, double-blind, multi-center phase III clinical trial to evaluate the event-free survival (EFS) of Adebrelimab with S-1 and oxaliplatin versus placebo combined with S-1 and oxaliplatin, and to evaluate the efficacy, safety and tolerability of the two combination regimens. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Locally Advanced Gastric or Gastroesophageal Junction Cancer
- What is being tested?
- Adebrelimab plus S-1 and oxaliplatin and Adebrelimab blank preparation plus S-1 and oxaliplatin.
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 874 participants
- Where
- 1 siteChina
- Study dates
- 7 May 2026to Feb 2034
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with pathologically confirmed gastric cancer or gastroesophageal junction cancer.
- Age: ≥18 years old, <75 years old, both male and female are eligible.
- Before entering the study, the investigator has evaluated and determined that the subject is suitable and plans to undergo neoadjuvant therapy + radical surgery for curative purposes.
- Gastric cancer or gastroesophageal junction cancer applicable to the 8th edition of the AJCC gastric cancer staging criteria.
- Fresh specimens (preferred) or formalin-fixed, paraffin-embedded tumor tissue blocks or unstained tumor specimen sections obtained within 6 months before randomization can be provided.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 - 1.
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- Expected survival ≥ 6 months.
- Adequate organ and bone marrow function.
- Female subjects are either infertile or fertile, with a negative serum pregnancy test result within 3 days before the start of study medication and not in the lactation period. Fertile female subjects and male subjects whose partners are fertile must agree to avoid sperm/egg donation from the time of signing the informed consent form until 6 months after the last administration of the investigational drug, and comply with relevant contraceptive requirements.
- Consent has been obtained from the individual and the informed consent form has been signed, willing and able to comply with planned visits, study treatment, laboratory tests, and other trial procedures.
Who cannot join
- Gastric cancer known to be squamous cell carcinoma, undifferentiated carcinoma or other histological types, or adenocarcinoma mixed with other histological types.
- Gastric esophageal junction cancer, Siewert type I; or Siewert type II with esophageal invasion length ≥ 4 cm; or other cases not suitable for clinical staging assessment using the 8th edition of the AJCC gastric cancer staging criteria, or not suitable for conventional surgical methods or approaches for gastric cancer.
- The subject's weight has decreased by more than 20% within 2 months before randomization.
- Previous anti-tumor treatment for gastric cancer/gastric esophageal junction cancer (including chemotherapy, radiotherapy, immunotherapy, endocrine therapy, targeted therapy, biological therapy or tumor embolization).
- Known allergy to any component of the investigational drug (including adibelimab/placebo, tegafur, and oxaliplatin), or allergy to humanized monoclonal antibody products.
- Diagnosis of any other malignant tumor within 5 years before entering the study, except for locally treatable and cured skin basal cell carcinoma or squamous cell carcinoma, superficial bladder cancer, cervical carcinoma in situ, ductal carcinoma in situ of the breast, and papillary thyroid carcinoma.
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- History of immunodeficiency (including positive HIV test, other acquired or congenital immunodeficiency diseases) or organ transplantation (including allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation, etc.); history of active autoimmune disease, except for immune disorders that do not require systemic treatment (such as vitiligo, psoriasis, etc.) or autoimmune diseases that can be improved through hormone replacement therapy (such as type 1 diabetes or hypothyroidism).
- Severe, unhealed or open wounds, active ulcers, or untreated fractures.
- Active severe digestive system diseases.
- Presence of interstitial pneumonia or interstitial lung disease.
- Severe cardiovascular or metabolic diseases.
- Active HBV or HCV infection (HBsAg positive and viral copy number ≥ 2000 IU/mL, HCV antibody positive and HCV RNA above the upper limit of normal at the research center), or co-infection with hepatitis B and hepatitis C.
- Active tuberculosis infection within 1 year before randomization (including but not limited to pulmonary tuberculosis, intestinal tuberculosis, etc.), or a history of active tuberculosis infection more than 1 year ago but without regular treatment.
- Severe infection within 4 weeks before randomization.
- Known history of abuse of psychotropic drugs or drug addiction.
- Presence of other serious physical or mental diseases or abnormal laboratory tests that may increase the risk of participation in the study, or interfere with the study results, and patients considered unsuitable for participation in the study by the investigator.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 10000
Jiafu Ji
Lin Shen
About this study
Official title: A Randomized, Double-blind, Multicenter Phase III Trial of Adebrelimab (SHR-1316) Plus S-1 and Oxaliplatin (SOX) Versus Placebo Plus S-1 and Oxaliplatin in the Perioperative Treatment of Resectable Gastric or Gastroesophageal Junction Cancer
This study was a randomized, double-blind, multi-center phase III clinical trial to evaluate the event-free survival (EFS) of Adebrelimab with S-1 and oxaliplatin versus placebo combined with S-1 and oxaliplatin, and to evaluate the efficacy, safety and tolerability of the two combination regimens.
- Being tested
- Adebrelimab plus S-1 and oxaliplatin, Adebrelimab blank preparation plus S-1 and oxaliplatin.
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Adebrelimab plus S-1 and oxaliplatinDrug
Adebrelimab plus S-1 and oxaliplatin
Adebrelimab blank preparation plus S-1 and oxaliplatin.Drug
Adebrelimab blank preparation plus S-1 and oxaliplatin.
| Study group | Role | What they receive |
|---|---|---|
| Treatment group A: Adebrelimab with SOX. | Experimental | Not described Receives: Drug: Adebrelimab plus S-1 and oxaliplatin |
| Treatment group B: placebo with SOX. | Experimental | Not described Receives: Drug: Adebrelimab blank preparation plus S-1 and oxaliplatin. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed EFS
Assessments BY INVESTIGATORS
Measured: About 8 years
Secondary outcomes (10)
Complete response (pCR) rate as assessed by the Pathology Review Committee (PRC)
Complete remission (pCR) rates after surgery
Measured: About 3 years
Rate of pathologically significant response (MPR) as assessed by the Pathology Review Committee (PRC)
Pathologically significant response (MPR) rate after surgery
Measured: About 3 years
EFS as assessed by an independent review committee (IRC)
Independent Review Committee (IRC) evaluation
Measured: About 8 years
DFS, as assessed by investigator /IRC
Investigator /IRC assessment
Measured: About 8 years
pCR rate by central pathological evaluation
Central pathological evaluation was studied
Measured: About 3 years
R0 resection rate of neoadjuvant therapy evaluated by investigators in different treatment groups
Patients who did not undergo surgery for gastric or gastroesophageal junction cancer because of various conditions other than disease progression were evaluated by the investigator
Measured: About 8 years
D2 radical resection rate of neoadjuvant therapy evaluated by investigators in different treatment groups
Patients who did not undergo surgery for gastric or gastroesophageal junction cancer because of various conditions other than disease progression were evaluated by the investigator
Measured: About 8 years
objective response rate (ORR) of neoadjuvant therapy evaluated by investigators in different treatment groups
Patients who did not undergo surgery for gastric or gastroesophageal junction cancer because of various conditions other than disease progression were evaluated by the investigator
Measured: About 8 years
The incidence of adverse events (AE) were evaluated according to NCI-CTCAE 6.0
NCI-CTCAE 6.0 was used for evaluation
Measured: About 4 years
The severity of serious adverse events (SAE) were evaluated according to NCI-CTCAE 6.0
NCI-CTCAE 6.0 was used for evaluation
Measured: About 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2026
- Study start7 May 2026
- Primary completionDec 2029 (estimated)
- Study completionFeb 2034 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Locally Advanced Gastric or Gastroesophageal Junction CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 874 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Shengdi Pharmaceutical Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07522151
- Sponsor's protocol ID
- SHR-1316-309
- Status last verified
- Apr 2026
- First submitted
- 3 Apr 2026
- Last updated
- 13 May 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multicenter Phase III Trial of Adebrelimab (SHR-1316) Plus S-1 and Oxaliplatin (SOX) Versus Placebo Plus S-1 and Oxaliplatin in the Perioperative Treatment of Resectable Gastric or Gastroesophageal Junction Cancer
- ClinicalTrials.gov ID
- NCT07522151
- Acronym / sponsor ID
- SHR-1316-309
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 874 participants (estimated)
- Lead sponsor
- Shanghai Shengdi Pharmaceutical Co., LtdIndustry (pharma, biotech, devices)
- Study start
- 7 May 2026 (actual)
- Primary completion
- Dec 2029 (estimated)
- Study completion
- Feb 2034 (estimated)
- First posted
- 13 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was a randomized, double-blind, multi-center phase III clinical trial to evaluate the event-free survival (EFS) of Adebrelimab with S-1 and oxaliplatin versus placebo combined with S-1 and oxaliplatin, and to evaluate the efficacy, safety and tolerability of the two combination regimens.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment group A: Adebrelimab with SOX. | Experimental | Drug: Adebrelimab plus S-1 and oxaliplatin |
| Treatment group B: placebo with SOX. | Experimental | Drug: Adebrelimab blank preparation plus S-1 and oxaliplatin. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Patients with pathologically confirmed gastric cancer or gastroesophageal junction cancer.
- Age: ≥18 years old, <75 years old, both male and female are eligible.
- Before entering the study, the investigator has evaluated and determined that the subject is suitable and plans to undergo neoadjuvant therapy + radical surgery for curative purposes.
- Gastric cancer or gastroesophageal junction cancer applicable to the 8th edition of the AJCC gastric cancer staging criteria.
- Fresh specimens (preferred) or formalin-fixed, paraffin-embedded tumor tissue blocks or unstained tumor specimen sections obtained within 6 months before randomization can be provided.
Key exclusion criteria (16 listed)
- Gastric cancer known to be squamous cell carcinoma, undifferentiated carcinoma or other histological types, or adenocarcinoma mixed with other histological types.
- Gastric esophageal junction cancer, Siewert type I; or Siewert type II with esophageal invasion length ≥ 4 cm; or other cases not suitable for clinical staging assessment using the 8th edition of the AJCC gastric cancer staging criteria, or not suitable for conventional surgical methods or approaches for gastric cancer.
- The subject's weight has decreased by more than 20% within 2 months before randomization.
- Previous anti-tumor treatment for gastric cancer/gastric esophageal junction cancer (including chemotherapy, radiotherapy, immunotherapy, endocrine therapy, targeted therapy, biological therapy or tumor embolization).
- Known allergy to any component of the investigational drug (including adibelimab/placebo, tegafur, and oxaliplatin), or allergy to humanized monoclonal antibody products.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Adebrelimab plus S-1 and oxaliplatinAdebrelimab plus S-1 and oxaliplatin | Drug | Treatment group A: Adebrelimab with SOX. |
| Adebrelimab blank preparation plus S-1 and oxaliplatin.Adebrelimab blank preparation plus S-1 and oxaliplatin. | Drug | Treatment group B: placebo with SOX. |
Primary outcome
Investigator-assessed EFS
Time frame: About 8 years
Assessments BY INVESTIGATORS
10 secondary outcomes
Complete response (pCR) rate as assessed by the Pathology Review Committee (PRC)
Time frame: About 3 years
Rate of pathologically significant response (MPR) as assessed by the Pathology Review Committee (PRC)
Time frame: About 3 years
EFS as assessed by an independent review committee (IRC)
Time frame: About 8 years
DFS, as assessed by investigator /IRC
Time frame: About 8 years
pCR rate by central pathological evaluation
Time frame: About 3 years
R0 resection rate of neoadjuvant therapy evaluated by investigators in different treatment groups
Time frame: About 8 years
D2 radical resection rate of neoadjuvant therapy evaluated by investigators in different treatment groups
Time frame: About 8 years
objective response rate (ORR) of neoadjuvant therapy evaluated by investigators in different treatment groups
Time frame: About 8 years
The incidence of adverse events (AE) were evaluated according to NCI-CTCAE 6.0
Time frame: About 4 years
The severity of serious adverse events (SAE) were evaluated according to NCI-CTCAE 6.0
Time frame: About 4 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 May 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Adebrelimab plus S-1 and oxaliplatin and Adebrelimab blank preparation plus S-1 and oxaliplatin. in people with Locally Advanced Gastric or Gastroesophageal Junction Cancer, run by Shanghai Shengdi Pharmaceutical Co., Ltd at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Bin Bai (+0518-81220121, bin.bai@hengrui.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Investigator-assessed EFS (time frame: About 8 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.