Gastric CancerPhase 3FORTITUDE-102NCT05111626
Bemarituzumab Plus Chemotherapy and Nivolumab Versus Chemotherapy and Nivolumab for FGFR2b Overexpressed Untreated Advanced Gastric and Gastroesophageal Junction Cancer.
A Phase 3 study testing Bemarituzumab, Nivolumab and Chemotherapy in people with Gastric Cancer and Gastroesophageal Junction Adenocarcinoma, run by Amgen at 348 sites in 29 countries.
Trial summary
The main objective of Part 1 is to evaluate the safety and tolerability of bemarituzumab plus 5-fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) and nivolumab. The main objective Part 2 is to compare efficacy of bemarituzumab plus chemotherapy (mFOLFOX6 or capecitabine combined with oxaliplatin (CAPOX)) and… Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Gastric Cancer, Gastroesophageal Junction Adenocarcinoma
- What is being tested?
- Bemarituzumab, Nivolumab and Chemotherapy
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 515 participants
- Where
- 348 sitesin 29 countries
- Study dates
- 14 Mar 2022to 29 Oct 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult with unresectable, locally advanced or metastatic (not amenable to curative therapy) histologically documented gastric or gastroesophageal junction adenocarcinoma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST v1.1)
- Participant has no contraindications to nivolumab and either mFOLFOX6 or CAPOX chemotherapy as per local prescribing information. Participants in Part 1 must have no contraindications to mFOLFOX6. Participants in Part 2 with contraindications to mFOLFOX6 are permitted and may be administered the CAPOX regimen, if no contraindications for this regimen exist. Participants in Part 2 with contraindications to CAPOX are permitted and may be administered the mFOLFOX6 regimen, if no contraindications for this regimen exist
- Adequate organ function as follows:
- Absolute neutrophil count ≥ 1.5 x 10^9/L
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- Platelet count ≥ 100 x 10^9/L
- Hemoglobin ≥ 9 g/dL without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment
- Aspartate aminotransaminase (AST) and Alanine aminotransaminase (ALT) <3 x upper limit of normal (ULN) (or < 5 x ULN if liver involvement)
- Total bilirubin <1.5 x ULN (or < 2 x ULN if liver involvement or Gilbert's disease)
- Part 1 only: Calculated or measured creatinine clearance (CrCl) of ≥ 50 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age] × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female).
- Part 2 only: Calculated or measured creatinine clearance (CrCl) of ≥ 30 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age] × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female).
- INR or prothrombin time (PT) < 1.5 × ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment
- Additional Inclusion Criteria Part 2:
- No prior treatment for metastatic or unresectable disease except for a maximum of
- 1 dose of chemotherapy with or without nivolumab; prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed, provided it has been completed more than 6 months prior to the first dose of study treatment
- Fibroblast growth factor receptor 2b (FGFR2b) ≥ 10% 2+/3+ tumor cells (TC) as determined by centrally performed immunohistochemistry (IHC) testing, based on tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy.
Who cannot join
- Prior treatment with any selective inhibitor of the fibroblast growth factor (FGF)-FGFR pathway
- Known positive human epidermal growth factor receptor 2 (HER2) status
- Untreated or symptomatic central nervous system disease metastases and leptomeningeal disease
- Peripheral sensory neuropathy grade 2 or higher
- Clinically significant cardiac disease
- Other malignancy within the last 2 years (exceptions for definitively treated disease)
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- Chronic or systemic ophthalmologic disorders
- Major surgery or other investigational study within 28 days prior to randomization
- Palliative radiotherapy within 14 days prior to randomization
- Abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer
- Active autoimmune disease that has required systemic treatment (except replacement therapy) within the past 2 years or any other diseases requiring immunosuppressive therapy while on study
Trial locations and contacts
348 sites in 29 countries.
348 sites in 29 countries
China68 sites
Cancer Hospital of Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100032
The First Affiliated Hospital of Bengbu Medical University
Bengbu, Anhui, 233099
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130021
China-Japan Union Hospital of Jilin University
Changchun, Jilin, 130022
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410000
Xiangya Hospital of Central South University
Changsha, Hunan, 410000
Hunan Cancer Hospital
Changsha, Hunan, 410013
Changzhi Peoples Hospital
Changzhi, Shanxi, 046000
The First People's Hospital of Changzhou
Changzhou, Jiangsu, 213003
Sichuan Cancer Hospital
Chengdu, Sichuan, 610041
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400042
The first people's Hospital of Foshan
Foshan, Guangdong, 528000
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510030
Guangdong Provincial Peoples Hospital
Guangzhou, Guangdong, 510180
The First Affiliated Hospital of Hainan Medical University
Haikou, Hainan, 570102
The First Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310016
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230022
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230031
Inner Mongolia Autonomous Region Peoples Hospital
Hohhot, Inner Mongolia, 010017
Qilu Hospital of Shandong University
Jinan, Shandong, 250011
The Affiliated Cancer Hospital of Shandong First Medical University
Jinan, Shandong, 250117
Affiliated Hospital of Jining Medical University
Jining, Shandong, 272007
Yunnan Cancer Hospital
Kunming, Yunnan, 650106
Lanzhou University Second Hospital
Lanzhou, Gansu, 730030
Gansu Provincial Cancer Hospital
Lanzhou, Gansu, 730050
Linfen Central Hospital
Linfen, Shanxi, 100032
Taizhou Hospital of Zhejiang Province
Linhai, Zhejiang, 317000
Lishui Municipal central Hospital
Lishui, Zhejiang, 323000
The First Affiliated Hospital of Henan University of science and Technology
Luoyang, Henan, 471000
The Affiliated Hospital of Southwest Medical University
Luzhou, Sichuan, 646000
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210008
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210009
Guangxi Medical University Cancer Hospital
Nanning, Guangxi, 530021
The First Affiliate Hospital of Ningbo University
Ningbo, Zhejiang, 315010
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266000
Ruijin Hospital Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200025
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Zhongshan Hospital Fudan University
Shanghai, Shanghai Municipality, 200032
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200123
Cancer Hospital of Shantou University Medical College
Shantou, Guangdong, 515031
Liaoning Cancer Hospital
Shenyang, Liaoning, 110042
Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050011
Taihe Hospital Affiliated Hospital of Hubei University of Medicine
Shiyan, Hubei, 442000
The Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215004
Tianjin Medical University Cancer institute and hospital
Tianjin, Tianjin Municipality, 300060
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430000
Tongji Hospital Tongji Medical College Of Hust
Wuhan, Hubei, 430030
Hubei Cancer Hospital
Wuhan, Hubei, 430079
Gansu Wuwei Tumour Hospital
Wuwei, Gansu, 733000
Affiliated Hospital of Jiangnan University
Wuxi, Jiangsu, 214122
The First Affiliated Hospital of Xian Jiaotong University
Xi'an, Shaanxi, 710061
Shaanxi Provincial People Hospital
Xi'an, Shaanxi, 710068
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221002
Affiliated Hospital of Yangzhou University
Yangzhou, Jiangsu, 225001
Northern Jiangsu Peoples Hospital
Yangzhou, Jiangsu, 225001
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750004
Henan Cancer Hospital
Zhengzhou, Henan, 450000
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
United States37 sites
Saint Lukes University Health Network
Allentown, Pennsylvania, 18104
Texas Oncology Central-South
Austin, Texas, 78705
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Gabrail Cancer Center, LLC
Canton, Ohio, 44718
The Oncology Institute Clinical Research
Cerritos, California, 90703
Medical University of South Carolina
Charleston, South Carolina, 29425
University of Illinois Chicago
Chicago, Illinois, 60612
Henry Ford Health System
Detroit, Michigan, 48202
Cancer and Blood Specialty Clinic
Downey, California, 90241
City of Hope National Medical Center
Duarte, California, 91010
Summit Medical Group
Florham Park, New Jersey, 07932
Florida Cancer Specialists - Fort Myers
Fort Myers, Florida, 33901
West Cancer Center
Germantown, Tennessee, 38138
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Mayo Clinic
Jacksonville, Florida, 32224
University of California Los Angeles
Los Angeles, California, 90095
Aurora Health Care Metro Inc
Milwaukee, Wisconsin, 53215
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Yale New Haven Hospital Yale Cancer Center
New Haven, Connecticut, 06520
Memorial Sloan Kettering Cancer Center
New York, New York, 10022
Virginia Oncology Associates
Norfolk, Virginia, 23502
University of California Irvine
Orange, California, 92868
Adventist Health System/Sunbelt, Inc d/b/a AdventHealth Orlando
Orlando, Florida, 32804
Orlando Health Cancer Institute
Orlando, Florida, 32806
Mayo Clinic - Arizona
Phoenix, Arizona, 85054
FirstHealth Cancer Center
Pinehurst, North Carolina, 28374
Providence Cancer Institute Franz Clinic
Portland, Oregon, 97213
Torrance Memorial Physician Network
Redondo Beach, California, 90277
Mayo Clinic
Rochester, Minnesota, 55905
Translational Research in Oncology - US Inc
Santa Monica, California, 90404
Translational Research in Oncology US Inc, Trio Central Pharmacy
Santa Monica, California, 90404
Stony Brook University Medical Center
Stony Brook, New York, 11794-7263
Olive View-University of California in Los Angeles Medical Center
Sylmar, California, 91342
United States Oncology Regulatory Affairs Corporate Office
The Woodlands, Texas, 77380
US Oncology Research Investigational Products Center
The Woodlands, Texas, 77380
Northwest Cancer Specialists - Vancouver
Vancouver, Washington, 98684
Presbyterian Intercommunity Hospital Health Whitter Hospital
Whittier, California, 90602
Japan20 sites
Hyogo Cancer Center
Akashi-shi, Hyōgo, 673-8558
Chiba Cancer Center
Chiba, Chiba, 260-8717
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395
Gifu University Hospital
Gifu, Gifu, 501-1194
Kansai Medical University Hospital
Hirakata-shi, Osaka, 573-1191
National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577
Saitama Cancer Center
Kitaadachi-gun, Saitama, 362-0806
Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047
The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Koto-ku, Tokyo, 135-8550
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Niigata Cancer Center Hospital
Niigata, Niigata, 951-8566
Osaka International Cancer Institute
Osaka, Osaka, 541-8567
Kindai University Hospital
Osakasayama-shi, Osaka, 589-8511
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Osaka University Hospital
Suita-shi, Osaka, 565-0871
Shizuoka Cancer Center
Sunto-gun, Shizuoka, 411-8777
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Kanagawa Prefectural Hospital Organization Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
France19 sites
Centre Hospitalier Universitaire Amiens Picardie - Hopital Sud
Amiens, 80054
Centre Hospitalier Regional Universitaire de Besancon, Hopital Jean Minjoz
Besançon, 25030
Institut Bergonie
Bordeaux, 33000
Centre Hospitalier Universitaire de Brest - Cavale Blanche
Brest, 29609
Centre Hospitalier Universitaire de Clermont Ferrand, Hopital Estaing
Clermont-Ferrand, 63003
Centre Hospitalier Regional Universitaire de Lille - Hopital Claude Huriez
Lille, 59037
Centre Hospitalier Universitaire de Limoges - Hopital Dupuytren
Limoges, 87042
Centre Leon Berard
Lyon, 69373
Centre Antoine Lacassagne
Nice, 06189
Hopital Europeen Georges Pompidou
Paris, 75015
Hopital Saint Louis
Paris, 75475
Institut Mutualiste Montsouris
Paris, 75674
Centre Hospitalier Universitaire de Rennes - Hopital Pontchaillou
Rennes, 35033
Centre Hospitalier Universitaire de Rouen
Rouen, 76031
Centre Rene Gauducheau - Institut de Cancerologie de l Ouest
Saint-Herblain, 44800
Centre Hospitalier Universitaire Nord de Saint Etienne - Hopital Nord
Saint-Priest-en-Jarez, 42270
Institut de cancerologie Strasbourg Europe
Strasbourg, 67065
Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
Toulouse, 31059
Institut Gustave Roussy
Villejuif, 94805
Spain16 sites
Complexo Hospitalario Universitario A Coruna Hospital Teresa Herrera
A Coruña, Galicia, 15006
Hospital del Mar
Barcelona, Catalonia, 08003
Hospital Universitari Vall d Hebron
Barcelona, Catalonia, 08035
Hospital Clinic i Provincial de Barcelona
Barcelona, Catalonia, 08036
Hospital General Universitario de Elche
Elche, Valencia, 03203
Institut Catala d Oncologia Hospitalet Hospital Duran i Reynals
L'Hospitalet de Llobregat, Catalonia, 08908
Hospital General Universitario Gregorio Maranon
Madrid, 28009
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Hospital Universitario de Navarra
Pamplona, Navarre, 31008
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario Virgen del Rocio
Seville, Andalusia, 41013
Hospital Clinico Universitario de Valencia
Valencia, Valencia, 46010
Hospital General Universitario de Valencia
Valencia, Valencia, 46014
Germany15 sites
Charite - Universitaetsmedizin Berlin, Campus Virchow
Berlin, 13353
Universitaetsklinikum Dresden
Dresden, 01307
Krankenhaus Nordwest GmbH
Frankfurt am Main, 60488
Haematologisch Onkologische Praxis Eppendorf
Hamburg, 20249
Medizinische Hochschule Hannover
Hanover, 30625
Universitaetsklinikum Schleswig-Holstein
Kiel, 24105
Universitaetsklinikum Leipzig
Leipzig, 04103
Regional Kliniken Holding Klinikum Ludwigsburg
Ludwigsburg, 71640
Johannes Gutenberg Universitaet Mainz
Mainz, 55131
Universitaetsmedizin Mannheim
Mannheim, 68167
Klinikum der LMU Muenchen
München, 81377
Klinikum rechts der Isar der TUM
München, 81675
Universitaetsklinikum der Eberhard Karls Universitaet Tuebingen
Tübingen, 72076
Universitaetsklinikum Ulm
Ulm, 89081
Klinikum der Stadt Wolfsburg
Wolfsburg, 38440
Brazil14 sites
Fundacao Pio 12 Hospital de Amor de Barretos
Barretos, São Paulo, 14784-400
Personal Oncologia de Precisao e Personalizada
Belo Horizonte, Minas Gerais, 30130-090
Hospital Sirio Libanes
Brasília, Federal District, 70200-730
Hospital Evangelico de Cachoeiro de Itapemirim
Cachoeiro de Itapemirim, Espírito Santo, 29308-014
Hospital Haroldo Juacaba - Instituto do Cancer do Ceara
Fortaleza, Ceará, 60430-230
Liga Norte-Riograndense Contra O Cancer
Natal, Rio Grande do Norte, 59075-740
Hospital das Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-003
Centro Gaucho Integrado de Oncologia, Hematologia, Ensino e Pesquisa - Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90110-270
Instituto Coi
Rio de Janeiro, 22793-080
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Instituto do Cancer Arnaldo Vieira de Carvalho
São Paulo, São Paulo, 01221-020
Sociedade Beneficente de Senhoras Hospital Sirio Libanes
São Paulo, São Paulo, 01308-050
Fundacao Antonio Prudente AC Camargo Cancer Center
São Paulo, São Paulo, 01508-010
Instituto do Cancer do Estado de Sao Paulo Octavio Frias de Oliveira Icesp
São Paulo, 04501-000
Italy14 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
Ancona, 60126
Azienda Socio Sanitaria Territoriale Papa Giovanni xxiii
Bergamo, 24127
Istituto Ospedaliero Fondazione Poliambulanza
Brescia, 25124
Ente Ospedaliero IRCCS Saverio De Bellis
Castellana Grotte, 70013
Azienda Socio Sanitaria Territoriale di Cremona
Cremona, 26100
Azienda Ospedaliero Universitaria Careggi
Florence, 50134
Ospedale Policlinico San Martino IRCCS
Genova, 16132
IRCCS Ospedale San Raffaele
Milan, 20132
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Milan, 20162
Azienda Ospedaliero Universitaria Luigi Vanvitelli
Naples, 80131
Istituto Nazionale dei Tumori IRCCS Fondazione Giovanni Pascale
Naples, 80131
Istituto Oncologico Veneto IRCCS
Padova, 35128
Azienda Ospedaliera Universitaria Pisana
Pisa, 56126
South Korea13 sites
Kyungpook National University Chilgok Hospital
Daegu, 41404
Chungnam National University Hospital
Daejeon, 35015
National Cancer Center
Goyang-si Gyeonggi-do, 10408
Jeonbuk National University Hospital
Jeonju-si, Jeollabuk-do, 54907
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea Seoul St Marys Hospital
Seoul, 06591
Korea University Guro Hospital
Seoul, 08308
Argentina12 sites
Centro Medico Austral
Buenos Aires, Distrito Federal, C1019ABS
Fundacion Respirar
Buenos Aires, C1426ABP
Hospital Italiano
Capital Federal, C1199ABB
Cemic
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1431FWO
Sanatorio Allende
Córdoba, X5000JHQ
Hospital Privado Universitario de Cordoba
Córdoba, X5016KEH
Hospital Italiano de La Plata
La Plata, Buenos Aires, 1900
Centro Oncologico Riojano Integral
La Rioja, F5300COE
Hospital Provincial del Centenario
Rosario, Santa Fe Province, S2002KDS
Exelsus Oncologia Clinica
San Miguel de Tucumán, Tucumán Province, T4000
Fundacion Ars Medica
San Salvador de Jujuy, Jujuy Province, 4600
Clinica Viedma
Viedma, Río Negro Province, 8500
Poland12 sites
Beskidzkie Centrum Onkologii Szpital Miejski imienia Jana Pawla Drugiego
Bielsko-Biala, 43-300
Narodowy Instytut Onkologii im M Sklodowskiej-Curie Panstwowy Instytut Badawczy Oddzial w Gliwicach
Gliwice, 44-102
Przychodnia Lekarska Komed Roman Karaszewski
Konin, 62-500
Samodzielny Publiczny Szpital Kliniczny Nr 1
Lublin, 20-080
Szpital Kliniczny Ministerstwa Spraw Wewnetrznych i Administracji
Olsztyn, 10-228
Mazowiecki Szpital Wojewodzki im Sw Jana Pawla II w Siedlcach spzoo
Siedlce, 08-110
Centrum Medyczne Pratia Poznan
Skorzewo, 60-185
Uniwersytecki Szpital Kliniczny nr 1 im prof Tadeusza Sokolowskiego Pum w Szczecinie
Szczecin, 71-252
Lux med onkologia sp zoo szpital szamocka
Warsaw, 01-748
Narodowy Instytut Onkologii im Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Warsaw, 02-034
Mtz Clinical Research powered by Pratia
Warsaw, 02-172
Uniwersytecki Szpital Kliniczny im Jana Mikulicza-Radeckiego we Wroclawiu
Wroclaw, 50-556
Belgium10 sites
Universite Catholique de Louvain Cliniques Universitaires Saint Luc
Brussels, 1200
Institut Jules Bordet
Brussels, B-1070
Grand Hopital de Charleroi
Charleroi, 5530
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Universitair Ziekenhuis Gent
Ghent, 9000
Universitair Ziekenhuis Brussel
Jette, 1090
Universitair Ziekenhuis Leuven - Campus Gasthuisberg
Leuven, 3000
Hopital De Libramont
Libramont, 6800
Centre Hospitalier Universitaire de Liege - Sart Tilman
Liège, 4000
Algemeen Ziekenhuis Turnhout Campus Sint-Jozef
Turnhout, 2300
United Kingdom10 sites
Addenbrookes Hospital
Cambridge, CB2 0QQ
University Hospital Coventry
Coventry, CV2 2DX
Ninewells Hospital and Medical School
Dundee, DD1 9SY
Royal Free Hospital
London, NW3 2QG
Guys Hospital
London, SE1 9RT
Christie Hospital
Manchester, M20 4BX
Mount Vernon Cancer Centre
Northwood, HA6 2RN
Churchill Hospital
Oxford, OX3 7LE
Southampton General Hospital
Southampton, SP16 6YD
Torbay Hospital
Torquay, TQ2 7AA
Hungary8 sites
Semmelweis Egyetem
Budapest, 1082
Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet
Budapest, 1097
Orszagos Onkologiai Intezet
Budapest, 1122
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz Nyiregyhazi Josa Andras Tagkorhaz
Nyíregyháza, 4400
Tolna Varmegyei Balassa Janos Korhaz
Szekszárd, 7100
Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet
Szolnok, 5000
Komarom-Esztergom Varmegyei Szent Borbala Korhaz
Tatabánya, 2800
Portugal8 sites
Unidade Local de Saude de Braga, EPE
Braga, 4710-243
Unidade Local de Saude do Alto Ave, EPE
Guimarães, 4835-044
Hospital da Luz, SA
Lisbon, 1500-650
Unidade Local de Saude de Santa Maria, EPE - Hospital de Santa Maria
Lisbon, 1649-035
Unidade Local de Saude de Matosinhos, EPE - Hospital Pedro Hispano
Matosinhos Municipality, 4464-513
Hospital Cuf porto
Porto, 4100-180
Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE
Porto, 4200-072
Unidade Local de Saude de Sao Joao, EPE - Hospital de Sao Joao
Porto, 4200-319
Chile7 sites
IC La Serena Research
La Serena, 1720430
Centro De Estudios Clínicos Suecia SpA
Santiago, Santiago Metropolitan, 7510062
Centro de Estudios Clinicos SAGA Spa
Santiago, 7500653
Oncovida
Santiago, 7510032
Icegclinic
Santiago, 8241479
Centro de Estudios Clinicos e Investigaciones Medicas CeCim
Santiago, 8330336
Oncocentro Apys
Viña del Mar, Valparaiso, 2520598
Romania7 sites
Institutul Clinic Fundeni
Bucharest, 022328
Institutul Regional de Gastroenterologie si Hepatologie Prof Dr Octavian Fodor
Cluj-Napoca, 400000
Institutul Oncologic Prof Dr Ion Chiricuta Cluj-Napoca
Cluj-Napoca, 400015
Centrul de Oncologie Sf Nectarie SRL
Craiova, 200542
Institutul Regional de Oncologie Iasi
Iași, 700483
Spitalul Municipal Ploiesti
Ploieşti, 100337
SC Oncomed SRL
Timișoara, 300239
Austria6 sites
Medizinische Universitaet Graz
Graz, 8036
Medizinische Universitaet Innsbruck
Innsbruck, 6020
Landeskrankenhaus Feldkirch
Rankweil, 6830
Landeskrankenhaus Salzburg
Salzburg, 5020
Universitaetsklinikum Allgemeines Krankenhaus Wien
Vienna, 1090
Krankenhaus Wiener Neustadt
Wiener Neustadt, 2700
Bulgaria6 sites
Complex Oncology Center - Burgas
Burgas, 8000
Specialized Hospital for Active Treatment of Oncology - Haskovo EOOD
Haskovo, 6300
Multiprofile Hospital for Active Treatment - Uni Hospital OOD
Panagyurishte, 4500
Multiprofile Hospital for Active Treatment Central Onco Hospital OOD
Plovdiv, 4000
Military Medical Academy Multiprofile Hospital for Active Treatment - Sofia
Sofia, 1606
Multiprofile Hospital for Active Treatment Serdika EOOD
Sofia, 1632
Canada6 sites
London Health Sciences Centre
London, Ontario, N6A 5W9
Centre Hospitalier de L Universite de Montreal
Montreal, Quebec, H2X 3E4
Jewish General Hospital
Montreal, Quebec, H3T 1E2
CHU de Quebec Hopital de l Enfant Jesus
Québec, Quebec, G1J 1Z4
Princess Margaret Cancer Centre
Toronto, Ontario, M4G 2C1
Sunnybrook Research Institute Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Switzerland6 sites
Universitaetsspital Basel
Basel, 4031
Inselspital Bern
Bern, 3010
Kantonsspital Graubuenden
Chur, 7000
Hopitaux Universitaires de Geneve
Geneva, 1205
Onkozentrum Zuerich
Zurich, 8038
Universitaetsspital Zuerich
Zurich, 8091
Taiwan6 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756
China Medical University Hospital
Taichung, 40447
National Cheng Kung University Hospital
Tainan, 70403
Taipei Veterans General Hospital
Taipei, 11217
Tri-Service General Hospital
Taipei, 11490
Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
Taoyuan, 33305
Australia5 sites
Grampians Health
Ballarat, Victoria, 3350
Austin Health, Austin Hospital
Heidelberg, Victoria, 3084
GenesisCare -North Shore Oncology
St Leonards, New South Wales, 2065
Calvary Mater Newcastle Hospital
Waratah, New South Wales, 2298
The Queen Elizabeth Hospital
Woodville South, South Australia, 5011
Colombia5 sites
Fundacion Cardiovascular de Colombia
Bucaramanga, Santander Department, 681017
Fundacion Oftalmologica de Santander - Foscal
Floridablanca, Santander Department, 681004
Hospital Pablo Tobon Uribe
Medellín, Antioquia, 050034
Institucion Prestadora de Servicios de Salud Sociedad Médica Rionegro SA Somer SA
Rionegro, Antioquia, 054040
Sociedad de Oncologia y Hematologia del Cesar
Valledupar, Cesar Department, 200001
Czechia5 sites
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Fakultni nemocnice Olomouc
Olomouc, 779 00
Fakultni nemocnice Kralovske Vinohrady
Prague, 100 34
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Fakultni Thomayerova nemocnice
Prague, 140 59
Israel5 sites
Rambam Health Care Campus
Haifa, 3109601
Shaare Zedek Medical Center
Jerusalem, 9103102
Hadassah Ein-Kerem Medical Center
Jerusalem, 9112001
Sheba Medical Center
Ramat Gan, 5262000
Tel-Aviv Sourasky Medical Center
Tel Aviv, 6423906
Thailand5 sites
Chulabhorn Hospital
Bangkok, 10210
Siriraj Hospital
Bangkok, 10700
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Chiangrai Prachanukroh Hospital
Chiang Rai, 57000
Prince of Songkla Hospital
Songkhla, 90110
Singapore2 sites
National University Hospital
Singapore, 119074
National Cancer Centre Singapore
Singapore, 168583
About this study
Official title: A Phase 1b/3 Study of Bemarituzumab Plus Chemotherapy and Nivolumab Versus Chemotherapy and Nivolumab Alone in Subjects With Previously Untreated Advanced Gastric and Gastroesophageal Junction Cancer With FGFR2b Overexpression
The main objective of Part 1 is to evaluate the safety and tolerability of bemarituzumab plus 5-fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) and nivolumab.
The main objective Part 2 is to compare efficacy of bemarituzumab plus chemotherapy (mFOLFOX6 or capecitabine combined with oxaliplatin (CAPOX)) and nivolumab to placebo plus chemotherapy (mFOLFOX6 or CAPOX) and nivolumab as assessed by overall survival.
- Being tested
- Bemarituzumab, Nivolumab, Chemotherapy, Placebo
- Keywords
- Bemarituzumab, AMG 552, 5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6), Nivolumab, Gastric Cancer, Gastroesophageal Junction Adenocarcinoma, FGFR2b Overexpression, Capecitabine and Oxaliplatin (CAPOX)
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BemarituzumabDrug
Also called AMG 552
Bemarituzumab will be administered as intravenous (IV) infusion.
NivolumabDrug
Nivolumab will be administered as IV infusion.
ChemotherapyDrug
mFOLFOX6: 5-fluorouracil, leucovorin, and oxaliplatin will be administered as IV infusion.
OR CAPOX: oxaliplatin will be administered as IV infusion and capecitabine will be administered orally.
PlaceboOther
Placebo will be administered as IV infusion.
| Study group | Role | What they receive |
|---|---|---|
| Part 1 Safety Lead-in: Bemarituzumab with mFOLFOX6 and Nivolumab | Experimental | Participants will be administered bemarituzumab at different doses with mFOLFOX6 and nivolumab to determine the recommended phase 3 dose (RP3D) based on occurrence of dose-limiting toxicities (DLTs), and on an evaluation of the overall safety, tolerability, and pharmacokinetics (PK). Receives: Drug: Bemarituzumab; Drug: Nivolumab; Drug: Chemotherapy |
| Part 2: Bemarituzumab with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab | Experimental | Participants will be administered bemarituzumab at the RP3D determined from Part 1 in combination with mFOLFOX6 and nivolumab on a 14-day cycle.
Or participants will be administered bemarituzumab in combination with CAPOX and nivolumab on a 21-day cycle. Receives: Drug: Bemarituzumab; Drug: Nivolumab; Drug: Chemotherapy |
| Part 2: Placebo with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab | Placebo comparator | Participants will be administered placebo comparator in combination with mFOLFOX6 and nivolumab on a 14-day cycle.
Or participants will be administered placebo comparator in combination with CAPOX and nivolumab on a 21-day cycle. Receives: Drug: Nivolumab; Drug: Chemotherapy; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Number of Participants Who Experienced DLTs
Measured: 28 days
Part 1: Number of Participants Who Experienced One or More Treatment-Emergent Adverse Events (TEAEs)
Measured: Up to 4.5 years
Part 1: Number of Participants Who Experienced One or More Related TEAEs
Measured: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Vital Signs
Measured: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Visual Acuity
Measured: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Physical Examinations
Measured: Up to 4.5 years
Part 1: Number of Participants with Clinically Significant Changes in Clinical Laboratory Tests
Measured: Up to 4.5 years
Part 2: Overall Survival in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Up to 4.5 years
Secondary outcomes (32)
Part 1: Objective Response (OR)
Measured: Up to 4.5 years
Part 1: Duration of Response (DoR)
Measured: Up to 4.5 years
Part 1: Disease Control Rate (DCR)
Measured: Up to 4.5 years
Part 1: Progression Free Survival (PFS)
Measured: Up to 4.5 years
Part 1: Overall Survival
Measured: Up to 4.5 years
Part 1: Maximum Observed Concentration (Cmax) of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 1: Area Under the Concentration Time Curve (AUC) of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 1: Observed Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 1: Number of Participants With Anti-Bemarituzumab Antibody Formation
Measured: Day 1 to up to 4.5 years
Part 2: PFS in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Up to 4.5 years
Part 2: Overall Survival in All Randomized Participants
Measured: Up to 4.5 years
Part 2: PFS in All Randomized Participants
Measured: Up to 4.5 years
Part 2: Number of Participants Who Experienced One or More TEAEs
Measured: Up to 4.5 years
Part 2: Number of Participants With Clinically Significant Changes in Vital Signs
Measured: Up to 4.5 years
Part 2: Number of Participants With Clinically Significant Changes in Visual Acuity
Measured: Up to 4.5 years
Part 2: Number of Participants with Clinically Significant Changes in Clinical Laboratory Tests
Measured: Up to 4.5 years
Part 2: OR
Measured: Up to 4.5 years
Part 2: DoR
Measured: Up to 4.5 years
Part 2: DCR
Measured: Up to 4.5 years
Part 2: Mean Score in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Version 3.0 (QLQ-C30) Individual Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Up to 4.5 years
Part 2: Change From Baseline in EORTC QLQ-C30 Individual Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Baseline to up to 4.5 years
Part 2: Mean Score in Stomach Cancer Related Symptoms Measured by EORTC Quality of Life Questionnaire-Stomach 22 (QLQ-STO22) in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Up to 4.5 years
Part 2: Change From Baseline in Stomach Cancer Related Symptoms Measured by EORTC QLQ-STO22 in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Baseline to up to 4.5 years
Part 2: Mean Score of Visual Analogue Scale (VAS) Scores as Measured by EuroQol 5-dimensional (EQ-5D-5L) in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Up to 4.5 years
Part 2: Change From Baseline of VAS Scores as Measured by EQ-5D-5L in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Baseline to up to 4.5 years
Part 2: Time to Deterioration in Stomach Cancer Related Symptoms Measured by EORTC QLQ-STO22 in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Day 1 to up to 4.5 years
Part 2: Time to Deterioration in Health-Related Quality of Life (HRQoL) Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Day 1 to up to 4.5 years
Part 2: Time to Deterioration in Physical Function Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Measured: Day 1 to up to 4.5 years
Part 2: AUC of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 2: Cmax of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 2: Ctrough of Bemarituzumab
Measured: Day 1 to up to 4.5 years
Part 2: Number of Participants With Anti-Bemarituzumab Antibody Formation
Measured: Day 1 to up to 4.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Nov 2021
- Study start14 Mar 2022
- Primary completion14 Oct 2025
- Study completion29 Oct 2025
Why it stopped: Study was terminated by sponsor
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Gastric CancerStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- 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
- Sequential
- Model description
- This is a Phase 1b/3 study: * Phase 1b (Part 1) is a single-arm open-label study, which will enroll about 20 participants * Phase 3 (Part 2) is a randomized double-blind 2-arm study, which will enroll 508 participants
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 515 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05111626
- Sponsor's protocol ID
- 20210098
- Other IDs
- 2023-505458-16, 2023
- Acronym
- FORTITUDE-102
- Status last verified
- Sep 2026
- First submitted
- 29 Oct 2021
- Last updated
- 10 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Publications
Maron SB, Xu RH, Wainberg ZA, Rha SY, Zhang Y, Pietrantonio F, Oliveira SCS, Li Y, Chen MH, Korphaisarn K, Elimova E, Calderon CA, Herpe FV, Yong WP, Dos Santos TM, Tan M, Isse K, Yanes RE, Shitara K. Global prevalence of FGFR2b protein overexpression in advanced gastric cancer and gastroesophageal junction cancers: pooled analysis of two bemarituzumab phase III studies. ESMO Open. 2026 Jun;11(6):107698. doi: 10.1016/j.esmoop.2026.107698. Epub 2026 May 26.
PubMed 42190313Yu 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.
PubMed 40341124Wainberg ZA, Kang YK, Lee KW, Qin S, Yamaguchi K, Kim IH, Saeed A, Oh SC, Li J, Turk HM, Teixeira A, Hitre E, Udrea AA, Cardellino GG, Sanchez RG, Zahlten-Kumeli A, Taylor K, Enzinger PC. Bemarituzumab as first-line treatment for locally advanced or metastatic gastric/gastroesophageal junction adenocarcinoma: final analysis of the randomized phase 2 FIGHT trial. Gastric Cancer. 2024 May;27(3):558-570. doi: 10.1007/s10120-024-01466-w. Epub 2024 Feb 3.
PubMed 38308771
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b/3 Study of Bemarituzumab Plus Chemotherapy and Nivolumab Versus Chemotherapy and Nivolumab Alone in Subjects With Previously Untreated Advanced Gastric and Gastroesophageal Junction Cancer With FGFR2b Overexpression
- ClinicalTrials.gov ID
- NCT05111626
- Acronym / sponsor ID
- FORTITUDE-102 / 20210098
- Keywords
- Bemarituzumab, AMG 552, 5-Fluorouracil, Leucovorin, and Oxaliplatin (mFOLFOX6), Nivolumab, Gastric Cancer, Gastroesophageal Junction Adenocarcinoma, FGFR2b Overexpression, Capecitabine and Oxaliplatin (CAPOX)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was terminated by sponsor
- Enrolment
- 515 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 14 Mar 2022 (actual)
- Primary completion
- 14 Oct 2025 (actual)
- Study completion
- 29 Oct 2025 (actual)
- First posted
- 8 Nov 2021 (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.
The main objective of Part 1 is to evaluate the safety and tolerability of bemarituzumab plus 5-fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) and nivolumab.
The main objective Part 2 is to compare efficacy of bemarituzumab plus chemotherapy (mFOLFOX6 or capecitabine combined with oxaliplatin (CAPOX)) and nivolumab to placebo plus chemotherapy (mFOLFOX6 or CAPOX) and nivolumab as assessed by overall survival.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
- Model description
- This is a Phase 1b/3 study: * Phase 1b (Part 1) is a single-arm open-label study, which will enroll about 20 participants * Phase 3 (Part 2) is a randomized double-blind 2-arm study, which will enroll 508 participants
| Arm | Type | Receives |
|---|---|---|
| Part 1 Safety Lead-in: Bemarituzumab with mFOLFOX6 and Nivolumab | Experimental | Drug: Bemarituzumab, Drug: Nivolumab, Drug: ChemotherapyParticipants will be administered bemarituzumab at different doses with mFOLFOX6 and nivolumab to determine the recommended phase 3 dose (RP3D) based on occurrence of dose-limiting toxicities (DLTs), and on an evaluation of the overall safety, tolerability, and pharmacokinetics (PK). |
| Part 2: Bemarituzumab with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab | Experimental | Drug: Bemarituzumab, Drug: Nivolumab, Drug: ChemotherapyParticipants will be administered bemarituzumab at the RP3D determined from Part 1 in combination with mFOLFOX6 and nivolumab on a 14-day cycle. Or participants will be administered bemarituzumab in combination with CAPOX and nivolumab on a 21-day cycle. |
| Part 2: Placebo with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab | Placebo comparator | Drug: Nivolumab, Drug: Chemotherapy, Other: PlaceboParticipants will be administered placebo comparator in combination with mFOLFOX6 and nivolumab on a 14-day cycle. Or participants will be administered placebo comparator in combination with CAPOX and nivolumab on a 21-day cycle. |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Adult with unresectable, locally advanced or metastatic (not amenable to curative therapy) histologically documented gastric or gastroesophageal junction adenocarcinoma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST v1.1)
- Participant has no contraindications to nivolumab and either mFOLFOX6 or CAPOX chemotherapy as per local prescribing information. Participants in Part 1 must have no contraindications to mFOLFOX6. Participants in Part 2 with contraindications to mFOLFOX6 are permitted and may be administered the CAPOX regimen, if no contraindications for this regimen exist. Participants in Part 2 with contraindications to CAPOX are permitted and may be administered the mFOLFOX6 regimen, if no contraindications for this regimen exist
- Adequate organ function as follows:
Key exclusion criteria (11 listed)
- Prior treatment with any selective inhibitor of the fibroblast growth factor (FGF)-FGFR pathway
- Known positive human epidermal growth factor receptor 2 (HER2) status
- Untreated or symptomatic central nervous system disease metastases and leptomeningeal disease
- Peripheral sensory neuropathy grade 2 or higher
- Clinically significant cardiac disease
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 |
|---|---|---|
| BemarituzumabAlso: AMG 552Bemarituzumab will be administered as intravenous (IV) infusion. | Drug | Part 1 Safety Lead-in: Bemarituzumab with mFOLFOX6 and Nivolumab, Part 2: Bemarituzumab with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab |
| NivolumabNivolumab will be administered as IV infusion. | Drug | Part 1 Safety Lead-in: Bemarituzumab with mFOLFOX6 and Nivolumab, Part 2: Bemarituzumab with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab, Part 2: Placebo with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab |
| ChemotherapymFOLFOX6: 5-fluorouracil, leucovorin, and oxaliplatin will be administered as IV infusion. OR CAPOX: oxaliplatin will be administered as IV infusion and capecitabine will be administered orally. | Drug | Part 1 Safety Lead-in: Bemarituzumab with mFOLFOX6 and Nivolumab, Part 2: Bemarituzumab with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab, Part 2: Placebo with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab |
| PlaceboPlacebo will be administered as IV infusion. | Other | Part 2: Placebo with chemotherapy (mFOLFOX6 or CAPOX) and Nivolumab |
Primary outcome
Part 1: Number of Participants Who Experienced DLTs
Time frame: 28 days
Part 1: Number of Participants Who Experienced One or More Treatment-Emergent Adverse Events (TEAEs)
Time frame: Up to 4.5 years
Part 1: Number of Participants Who Experienced One or More Related TEAEs
Time frame: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Vital Signs
Time frame: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Visual Acuity
Time frame: Up to 4.5 years
Part 1: Number of Participants With Clinically Significant Changes in Physical Examinations
Time frame: Up to 4.5 years
Part 1: Number of Participants with Clinically Significant Changes in Clinical Laboratory Tests
Time frame: Up to 4.5 years
Part 2: Overall Survival in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Up to 4.5 years
32 secondary outcomes
Part 1: Objective Response (OR)
Time frame: Up to 4.5 years
Part 1: Duration of Response (DoR)
Time frame: Up to 4.5 years
Part 1: Disease Control Rate (DCR)
Time frame: Up to 4.5 years
Part 1: Progression Free Survival (PFS)
Time frame: Up to 4.5 years
Part 1: Overall Survival
Time frame: Up to 4.5 years
Part 1: Maximum Observed Concentration (Cmax) of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 1: Area Under the Concentration Time Curve (AUC) of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 1: Observed Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 1: Number of Participants With Anti-Bemarituzumab Antibody Formation
Time frame: Day 1 to up to 4.5 years
Part 2: PFS in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Up to 4.5 years
Part 2: Overall Survival in All Randomized Participants
Time frame: Up to 4.5 years
Part 2: PFS in All Randomized Participants
Time frame: Up to 4.5 years
Part 2: Number of Participants Who Experienced One or More TEAEs
Time frame: Up to 4.5 years
Part 2: Number of Participants With Clinically Significant Changes in Vital Signs
Time frame: Up to 4.5 years
Part 2: Number of Participants With Clinically Significant Changes in Visual Acuity
Time frame: Up to 4.5 years
Part 2: Number of Participants with Clinically Significant Changes in Clinical Laboratory Tests
Time frame: Up to 4.5 years
Part 2: OR
Time frame: Up to 4.5 years
Part 2: DoR
Time frame: Up to 4.5 years
Part 2: DCR
Time frame: Up to 4.5 years
Part 2: Mean Score in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Version 3.0 (QLQ-C30) Individual Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Up to 4.5 years
Part 2: Change From Baseline in EORTC QLQ-C30 Individual Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Baseline to up to 4.5 years
Part 2: Mean Score in Stomach Cancer Related Symptoms Measured by EORTC Quality of Life Questionnaire-Stomach 22 (QLQ-STO22) in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Up to 4.5 years
Part 2: Change From Baseline in Stomach Cancer Related Symptoms Measured by EORTC QLQ-STO22 in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Baseline to up to 4.5 years
Part 2: Mean Score of Visual Analogue Scale (VAS) Scores as Measured by EuroQol 5-dimensional (EQ-5D-5L) in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Up to 4.5 years
Part 2: Change From Baseline of VAS Scores as Measured by EQ-5D-5L in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Baseline to up to 4.5 years
Part 2: Time to Deterioration in Stomach Cancer Related Symptoms Measured by EORTC QLQ-STO22 in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Day 1 to up to 4.5 years
Part 2: Time to Deterioration in Health-Related Quality of Life (HRQoL) Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Day 1 to up to 4.5 years
Part 2: Time to Deterioration in Physical Function Scores in FGFR2b ≥ 10% 2+/3+ Tumor Cell Staining Participants
Time frame: Day 1 to up to 4.5 years
Part 2: AUC of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 2: Cmax of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 2: Ctrough of Bemarituzumab
Time frame: Day 1 to up to 4.5 years
Part 2: Number of Participants With Anti-Bemarituzumab Antibody Formation
Time frame: Day 1 to up to 4.5 years
Results and safety
The study was stopped early (reason given: Study was terminated by sponsor). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2026.
- Background: PubMed 42190313Maron SB, Xu RH, Wainberg ZA, Rha SY, Zhang Y, Pietrantonio F, Oliveira SCS, Li Y, Chen MH, Korphaisarn K, Elimova E, Calderon CA, Herpe FV, Yong WP, Dos Santos TM, Tan M, Isse K, Yanes RE, Shitara K. Global prevalence of FGFR2b protein overexpression in advanced gastric cancer and gastroesophageal junction cancers: pooled analysis of two bemarituzumab phase III studies. ESMO Open. 2026 Jun;11(6):107698. doi: 10.1016/j.esmoop.2026.107698. Epub 2026 May 26.
- Derived from this study: PubMed 40341124Yu 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.
- Derived from this study: PubMed 38308771Wainberg ZA, Kang YK, Lee KW, Qin S, Yamaguchi K, Kim IH, Saeed A, Oh SC, Li J, Turk HM, Teixeira A, Hitre E, Udrea AA, Cardellino GG, Sanchez RG, Zahlten-Kumeli A, Taylor K, Enzinger PC. Bemarituzumab as first-line treatment for locally advanced or metastatic gastric/gastroesophageal junction adenocarcinoma: final analysis of the randomized phase 2 FIGHT trial. Gastric Cancer. 2024 May;27(3):558-570. doi: 10.1007/s10120-024-01466-w. Epub 2024 Feb 3.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
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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. This study is not recruiting at the moment.
MD study director
Amgen
348 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bemarituzumab, Nivolumab and Chemotherapy in people with Gastric Cancer and Gastroesophageal Junction Adenocarcinoma, run by Amgen at 348 sites in 29 countries.
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 17 inclusion and 11 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: stopped early, as of the sponsor's last update on 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 348 sites in China, United States, Japan, France, Spain and 24 more countries. 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. Some participants in this study may receive a placebo. 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?
The study was stopped early (reason given: Study was terminated by sponsor). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Number of Participants Who Experienced DLTs (time frame: 28 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05111626, which also lists 3 linked publications.
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 10 Sep 2026.