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Solid TumorPhase 2NCT07432295

Givastomig Combined With Nivolumab and Chemotherapy in Adults With CLDN18.2 Positive Metastatic Gastric Cancer (GIVA-2)

A Phase 2 study testing Givastomig, Nivolumab and 5Fluorouracil in people with Solid Tumor and Advanced Cancer, run by I-Mab Biopharma US Limited at 6 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if givastomig in combination with standard therapy works to treat adults with cancer in the stomach and/or esophagus (GEA adenocarcinoma). It will also help the researchers to learn more about the safety of givastomig. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor, Advanced Cancer, Metastatic Cancer
What is being tested?
Givastomig, Nivolumab and 5Fluorouracil
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
6 sitesin 3 countries
Study dates
11 Feb 2026to Aug 2030
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed unresectable, locally advanced, or metastatic gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma (EAC).
  • Treatment-naïve for advanced/metastatic disease (prior adjuvant/neoadjuvant therapy allowed if ≥6 months since last dose).
  • CLDN18.2 positive (membrane intensity score ≥1+ on ≥1% of tumor cells).
  • PD-L1 positive (CPS ≥1).
  • At least 1 measurable lesion per RECIST v1.1.
  • ECOG performance status 0 or 1.
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  • Adequate organ function, including:
  • Hematologic: WBC ≥2,000/μL; ANC ≥1,500/μL; platelets ≥100,000/μL; hemoglobin ≥9 g/dL
  • Hepatic: AST/ALT ≤3×ULN (≤5×ULN if liver metastases); bilirubin ≤1.5×ULN (≤3×ULN if Gilbert's)
  • Renal: Creatinine ≤1.5×ULN or eGFR ≥50 mL/min/1.73 m²
  • Life expectancy ≥90 days.
  • Women of childbearing potential (WOCBP) and men must use effective contraception during the study and for a defined period after treatment.
  • Willing and able to provide informed consent and comply with study procedures

Who cannot join

  • HER2-positive tumors.
  • Second malignancy within 3 years, except certain skin or cervical cancers.
  • Active or unstable gastrointestinal ulcer or bleeding within 6 weeks.
  • Active autoimmune disease requiring systemic therapy within past 2 years or ongoing immunosuppressive therapy.
  • Active pneumonitis or history requiring steroids/immunosuppressive therapy within 3 years.
  • Participation in another therapeutic clinical trial.
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  • Major surgery or significant injury within 4 weeks prior to first dose, or planned major surgery within 6 months.
  • Radiotherapy within protocol-specified timeframes without adequate recovery.
  • Active CNS metastases or carcinomatous meningitis (previously treated brain metastases allowed if stable).
  • Significant cardiovascular disease (NYHA Class 3-4 CHF, recent MI, unstable angina, TIA/stroke, or major cardiac procedures within 6 months).
  • Active or uncontrolled HIV, hepatitis B, or hepatitis C infection, or immunodeficiency (controlled infection allowed).
  • Receipt of live vaccine within 30 days or other vaccines within 7 days of first dose.
  • Active infection requiring parenteral therapy.
  • Known hypersensitivity to study drug components (e.g., DPD deficiency).
  • Any other condition or laboratory abnormality that, in the investigator's judgment, increases risk or interferes with study participation.

Trial locations and contacts

6 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

I-MAB US Clinical Trials contact

301-294-4408

us.info@imabbio.com

6 sites in 3 countries

United States3 sites, 3 recruiting
  • I-Mab Site 1002

    Boston, Massachusetts, 02114

    I-Mab PI - 1002

    Recruiting
  • I-MAB Site 1005

    Duarte, California, 91010

    I-MAB PI - 1005

    Recruiting
  • I-Mab Site 1016

    Goodyear, Arizona, 85338

    I-Mab PI - 1016

    Recruiting

Other trials in United States

Japan2 sites, 2 recruiting
  • I-Mab Site - 4001

    Kashiwa

    I-Mab PI 4001

    Not yet recruiting
  • I-Mab Site 4005

    Tokyo

    I-Mab PI - 4005

    Recruiting

Other trials in Japan

China1 site, 1 recruiting
  • I-Mab Site 2001

    Beijing

    I-Mab PI - 2001

    Recruiting

Other trials in China

About this study

Official title: A Randomized, Multicenter, Open-Label, Phase 2 Study of Givastomig (TJ033721) in Combination With Nivolumab and Chemotherapy Versus Nivolumab and Chemotherapy in Participants With Previously Untreated CLDN18.2 Positive and PD-1L Positive Locally Advanced or Metastatic Gastric, Esophageal, or Gastroesophageal Junction Adenocarcinoma

The goal of this clinical trial is to learn if givastomig in combination with standard therapy works to treat adults with cancer in the stomach and/or esophagus (GEA adenocarcinoma). It will also help the researchers to learn more about the safety of givastomig. The main questions it aims to answer are:

  • Does the addition of givastomig to standard therapy increase the amount of time that participants survive without progression of their cancer?
  • What toxicities do participants experience when taking givastomig?
Read more

Participants may be able to take part in the study if they have unresectable or metastatic GEA and if their cancer cells express certain proteins called Claudin 18.2 (CLDN18.2) and PD-L1. Participants whose cancer cells express a protein called HER2 cannot take part.

Up to 180 participants will be randomly assigned to received givastomig at one of two doses in combination with an immunotherapy medicine called nivolumab and chemotherapy OR to receive nivolumab and chemotherapy alone. These therapies will be given primarily via intravenous (into a vein) infusion every 2 or 3 weeks.

Participants will:

  • Visit the study treatment center for infusions and/or check-ups and tests every 1-3 weeks
  • Report any changes in their symptoms to their study doctors
  • Have scans to check for any changes in their cancer every 8-12 weeks
Read the detailed description

This is a randomized, global, open-label, multicenter Phase 2 study evaluating the efficacy and safety of givastomig (TJ033721) in combination with nivolumab and chemotherapy compared with nivolumab and chemotherapy alone in participants with previously untreated, HER2-negative, CLDN18.2-positive, and PD-L1-positive locally advanced, unresectable, or metastatic gastroesophageal adenocarcinoma (GEA).

Approximately 180 participants will be randomized in a 1:1:1 ratio to one of three treatment arms. Two investigational arms will receive givastomig in combination with nivolumab and chemotherapy, and the control arm will receive nivolumab and chemotherapy alone. Chemotherapy will consist of either modified FOLFOX (mFOLFOX) or CAPOX, administered according to local standard of care. Participants enrolled in the United States, Japan, and South Korea will receive mFOLFOX only. Randomization will be stratified by chemotherapy regimen (mFOLFOX vs CAPOX) and by CLDN18.2 expression level (<75% vs ≥75% of tumor cells with membrane intensity score ≥2+).

Participants in the investigational arms will receive givastomig administered every 2 weeks or every 3 weeks, depending on the chemotherapy regimen. Tumor assessments will be performed at protocol-defined intervals and evaluated according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Enrollment of participants with high CLDN18.2 expression (defined as membrane intensity score ≥1+ in ≥75% of tumor cells) will be capped at approximately 50% of the total study population. Enrollment of participants receiving CAPOX will be capped at approximately 30% of the total study population.

Study treatment will continue until disease progression, unacceptable toxicity, withdrawal of consent, death, or completion of study treatment, whichever occurs first. The duration of chemotherapy treatment will follow the respective product labeling or local standards of care.

Being tested
Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
Medical subject headings
Neoplasm Metastasis, Stomach Neoplasms, Adenocarcinoma Of Esophagus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GivastomigDrug

    Also called TJ033721

    Givastomig 8mg/kg Q2W IV or 12mg/kg Q3W IV

  • NivolumabDrug

    Q2 or Q3W IV

  • 5FluorouracilDrug

    Also called 5-FU

    Q2W IV

  • LeucovorinDrug

    Q2W IV

  • OxaliplatinDrug

    Q2W or Q3W IV

  • CapecitabineDrug

    Twice daily x 14 days every 3 weeks PO

Study groups in NCT07432295
Study groupRoleWhat they receive
Experimental: Givastomig Arm 1 CombinationExperimentalGivastomig (IV) 8 mg/kg every 2 weeks (Q2W) in combination with nivolumab and modified FOLFOX (mFOLFOX) or Givastomig 12 mg/kg every 3 weeks (Q3W) in combination with nivolumab and CAPOX
Receives: Drug: Givastomig; Drug: Nivolumab; Drug: 5Fluorouracil; Drug: Leucovorin; Drug: Oxaliplatin; Drug: Capecitabine
Experimental: Givastomig Arm 2 CombinationExperimentalGivastomig (IV) 12 mg/kg every 2 weeks (Q2W) in combination with nivolumab and modified FOLFOX (mFOLFOX) or Givastomig 18 mg/kg every 3 weeks (Q3W) in combination with nivolumab and CAPOX
Receives: Drug: Givastomig; Drug: Nivolumab; Drug: 5Fluorouracil; Drug: Leucovorin; Drug: Oxaliplatin; Drug: Capecitabine
Control: Nivolumab Plus ChemotherapyActive comparatorNivolumab in combination with modified FOLFOX (mFOLFOX) or CAPOX
Receives: Drug: Nivolumab; Drug: 5Fluorouracil; Drug: Leucovorin; Drug: Oxaliplatin; Drug: Capecitabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS), BICR-assessed

    Compare PFS between participants receiving givastomig plus nivolumab and chemotherapy versus control (nivolumab plus chemotherapy)

    Measured: Up to 5 years

  2. Safety and Tolerability

    Incidence, severity, and type of adverse events, including treatment-emergent and immune-related adverse events, graded by NCI CTCAE v5.0

    Measured: Throughout treatment and up to 30 days after last dose

Secondary outcomes (14)
  1. Objective Response Rate (ORR), BICR-assessed

    Proportion of participants with complete or partial response by RECIST v1.1

    Measured: Up to 108 weeks

  2. Duration of Response (DOR), BICR-assessed

    Time participants maintain complete or partial response

    Measured: Up to 108 weeks

  3. Best Overall Response (BOR), BICR-assessed

    Best response achieved during treatment according to RECIST v1.1

    Measured: Up to 108 weeks

  4. Overall Survival (OS)

    Comparison of overall survival between arms

    Measured: Up to 5 years

  5. Optimized Dose of Givastomig

    Determine the recommended dose of givastomig in combination with nivolumab and chemotherapy

    Measured: Up to 2 years

  6. Peak Plasma Concentration (Cmax) of Givastomig

    Cmax will be derived from the PK plasma samples collected

    Measured: Up to 2 years

  7. Correlation of baseline CLDN18.2 expression with response and safety measures

    Tumor expression of CLDN18.2 will be assessed at baseline and will be correlated with measures of response (including ORR, PFS, OS) and safety (incidence of AEs)

    Measured: Baseline and up to 2 years

  8. Change in serum levels of soluble 4-1BB (s4-1BB) from baseline

    Serum s4-1BB levels will be assessed at baseline and while on treatment. Changes will be correlated with efficacy measures including ORR.

    Measured: Baseline and up to 2 years

  9. Health Related Quality of Life (HRQoL) measured by the Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30)

    The EORTC QLQ-C30 is a cancer specific instrument consisting of 5 functional domain scales: physical, role, emotional, social, and cognitive

    Measured: Baseline and up to 2 years

  10. Trough Plasma Concentration (Ctrough) of Givastomig

    Ctrough will be derived from the PK plasma samples collected

    Measured: Up to 2 years

  11. Number of participants positive for anti-drug antibody (ADA) to Givastomig

    Immunogenicity will be measured by the number of participants that are ADA positive

    Measured: Up to 2 years

  12. Correlation of baseline PDL1 expression with response and safety measures

    Tumor expression of PDL1 will be assessed at baseline and will be correlated with measures of response (including ORR, PFS, OS) and safety (incidence of AEs)

    Measured: Baseline and up to 2 years

  13. HRQoL measured by the Oesophago-Gastric Module (EORTC QLQ-OG25) questionnaire

    The EORTC-QLQ-OG25 questionnaire evaluates gastric cancer and gastroesophageal cancer specific symptoms

    Measured: Baseline and up to 2 years

  14. HRQoL measured by the EuroQOL Five Dimensions Questionnaire 5L (EQ-5D-5L)

    he EQ-5D-5L questionnaire is a validated measure of generic health outcomes including mobility, self-care, usual activities, pain/depression, and anxiety/depression

    Measured: Baseline and up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2026
  2. Study start11 Feb 2026
  3. Primary completionMar 2030 (estimated)
  4. Study completionAug 2030 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07432295
Sponsor's protocol ID
IMAB033721GCA201
Status last verified
May 2026
First submitted
11 Feb 2026
Last updated
14 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Givastomig, Nivolumab and 5Fluorouracil in people with Solid Tumor and Advanced Cancer, run by I-Mab Biopharma US Limited at 6 sites in 3 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 13 inclusion and 15 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 14 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 6 sites in United States, Japan, 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 I-MAB US Clinical Trials (301-294-4408, us.info@imabbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (PFS), BICR-assessed (time frame: Up to 5 years). The study lists 2 primary outcomes in all. 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 14 May 2026.

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