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GastricNCT07538856

Safety and Efficacy of CT0494BCP in Participants With Advanced Gastric/Esophagogastric Junction Adenocarcinoma

An observational study of Gastric and Gastric / Gastroesophageal Junction Adenocarcinoma, run by Beijing GoBroad Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA) To evaluate preliminary efficacy of CT0494BCP To evaluate the cellular metabolism kinetics of CT0494BCP The investigational drug in this study is CT0494BCP… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Initial Dose (Dose Group 1), Dose Group 2 and Dose Group 3
How many people
50 participants
Where
1 siteChina
Study dates
Apr 2026to Mar 2028
Phase
Observational
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Gastric/Esophagogastric Junction Adenocarcinoma

Who may be able to join

  • Volunteer to participate in the clinical trial; I fully understand and are informed of this trial and sign the informed consent form; Willing to follow and able to complete all trial procedures; Age 18-70 years (inclusive), male or female; Participants with pathologically confirmed advanced gastric/esophagogastric junction adenocarcinoma; Failed at least second-line treatment (if the first-line treatment includes three drugs including taxanes [or anthracyclines], platinum and fluoropyrimidines, the participants can also be enrolled into the trial as eligible as assessed by the investigator); Participant's tumor tissue sample is CLDN18.2 positive by immunohistochemistry (IHC) staining (expression intensity ≥ 2 + and% positive tumor cells ≥ 40%); Estimated survival > 12 weeks; Measurable tumor lesions according to RECIST v1.1; ECOG performance status 0 ~ 1;
  • Unless otherwise specified, participants should meet the following criteria before clearing the lymphoma (local laboratory results that do not meet the following criteria are allowed to perform a re-examination within one week; if they still do not meet the criteria, they cannot clear the lymphoma):
  • Blood routine: neutrophil (NE) ≥ 1.5 × 109/L, lymphocyte (LY) 0.5 × 109/L, platelet (PLT) ≥ 75 × 109/L, hemoglobin (Hb) ≥ 9.0 g/dL (no transfusion, platelet transfusion, cell growth factor [except recombinant erythropoietin] and other supportive treatment within 14 days before detection); Blood biochemistry: endogenous creatinine clearance ≥ 50 mL/min (using Cockcroft-Gault formula), alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN), aspartate aminotransferase (AST) ≤ 2.5 × ULN, total bilirubin ≤ 2 × ULN; Serum lipase and amylase ≤ 2 × ULN; Alkaline phosphatase ≤ 2.5 × ULN; AST, ALT and alkaline phosphatase ≤ 5 × ULN if there is bone metastasis or liver metastasis; Prothrombin time (PT) prolongation ≤ 4 s. 10. Female participants of childbearing potential must have a negative serum pregnancy test at screening and be willing to use a highly effective and reliable method of contraception for 1 year after the last dose of study treatment. The available methods are: bilateral tubal ligation/bilateral salpingectomy or bilateral tubal occlusion; Or approved oral, injected or implanted hormonal methods of birth control; Or barrier contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository; Male participants who are sexually active with a female of childbearing potential who have not had a vasectomy must agree to use a barrier method of birth control, such as a condom with spermicidal foam/gel/film/cream/suppository, or to use a contraceptive method for their partner (see Inclusion Criterion # 10). All men absolutely refrain from donating sperm for 1 year after the last dose of study treatment.

Who cannot join

  • Pregnant or lactating females;
  • HIV, Treponema pallidum, HCV serology positive (HCV antibody positive but HCV-RNA negative can be included), Epstein-Barr virus (EBV) DNA (plasma or whole blood) positive, cytomegalovirus (CMV) DNA positive;
  • Any uncontrolled active infection, including but not limited to active tuberculosis, HBV infection (including HBsAg positive, or HBcAb positive with HBV DNA above the lower limit of the laboratory test in our center), and other bacterial, viral or fungal infections requiring drug treatment. Participants who use drugs to prevent infection and can continue the trial as judged by the investigator;
  • Known HER2-positive (defined as IHC3 +, or IHC2 + with amplification by FISH);
  • Clinically significant abnormal thyroid function as judged by the investigator (serum thyroid hormone determination includes at least FT3, FT4 and serum thyroid stimulating hormone TSH), but patients with hypothyroidism whose disease is under stable control as assessed by the investigator can enter the trial;
  • Toxic reactions caused by previous treatment have not recovered to CTCAE v6.0 ≤ Grade 1, except for alopecia and other tolerable events as judged by the investigator or laboratory abnormalities allowed in this trial;
Show all 27Show fewer
  • Received anti-tumor treatment for the disease under study within 2 weeks prior to CLL, including but not limited to surgery, systemic chemotherapy (or within 5 half-lives of the drug, whichever is shorter), radiotherapy, intervention, etc., or received anti-PD-(L) 1 monoclonal antibody therapy or CLDN18.2 targeted therapy or other non-marketed clinical trial drugs within 4 weeks prior to CLL (or within 5 half-lives of the drug, whichever is shorter);
  • Ongoing use of glucocorticoids within 7 days prior to CLL. Recent or current use of inhaled or topical dermal glucocorticoids and physiologic replacement therapy doses of glucocorticoids were not excluded;
  • Vaccination with live attenuated vaccines within 4 weeks prior to CLL or planned during the trial;
  • Participants with known active autoimmune disease, including but not limited to psoriasis or rheumatoid arthritis, or other conditions requiring chronic use of immunosuppressive therapy;
  • Previous allergies to immunotherapy, tocilizumab, cyclophosphamide, fludarabine or nab-paclitaxel and other related drugs, allergies to components of CT0494BCP such as albumin, DMSO or other severe allergies;
  • Previously received any genetic engineering modified cell therapy (including CAR-T, TCR-T cells, etc.);
  • Presence of known or suspected central nervous system metastases;
  • Central type or extensive lung metastasis, or extensive liver metastasis, or extensive bone metastasis;
  • The longest diameter of a single target lesion > 4 cm before CLL (lymph node lesion is short axis);
  • Participants with high risk of bleeding or perforation, such as deep and large ulcer in primary lesion, or anastomotic recurrence with full-thickness tumor invasion, or tumor lesion invasion into large vessels, as detected by CT/MRI or combined with gastroscopy;
  • Participants with current unstable or active ulcers, active gastrointestinal bleeding, or a history of major gastrointestinal bleeding within 3 months;
  • Participants who require anticoagulation therapy such as warfarin or heparin;
  • Participants who are receiving or anticipate the need to receive long-term antiplatelet therapy during the trial;
  • Abdominal/pleural effusion with clinical symptoms or requiring special treatment, such as repeated drainage, abdominal/pleural drug perfusion, etc. (participants with small amount of ascites/pleural effusion that can be detected by imaging examination or controllable as assessed by the investigator can be considered for enrollment);
  • Participants with a history of organ transplantation or who are awaiting organ transplantation;
  • Participants who have had major surgery or significant trauma within 4 weeks prior to CLL, or anticipate the need for major surgery during the trial;
  • Other conditions not suitable for participation in this trial as assessed by the investigator prior to CLL, including but not limited to: Poorly controlled diabetes with severe complications, poorly controlled hypertension (blood pressure > 160 mmHg/100 mmHg), hypertension requiring vasopressor drugs or symptomatic hypotension, cardiac insufficiency (including left ventricular ejection fraction [LVEF] < 50%), myocardial infarction within the past 6 months, arrhythmia or unstable angina poorly controlled by drug therapy, pulmonary embolism, severe chronic obstructive pulmonary disease, interstitial lung disease, clinically significant abnormal pulmonary function test, gastrointestinal obstruction or perforation within the past 3 months, severe inflammatory state (e.g. Increased neutrophils and/or C-reactive protein); Medical discussion with the sponsor is recommended if necessary;
  • Inability or unwillingness of the participant to comply with the protocol requirements as assessed by the investigator;
  • Blood oxygen saturation ≤ 95% (finger oxygen detection method is accepted, without oxygen inhalation);
  • Participant has signs of central nervous system disease or clinically significant abnormal neurological examination results or psychiatric disorders;
  • Patients with other incurable malignant tumors in the past 3 years or at the same time, except for cervical cancer in situ, skin basal cell carcinoma and other very low-grade tumors.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Changsong Qi Changsong Qi contact

010-50847588

gcc2@gobroadhealthcare.com

China1 site
  • BeijingGoBroadH

    Beijing, Beijing Municipality, 10000

Other trials in China

About this study

Official title: A Clinical Trial Exploring the Safety and Efficacy of CT0494BCP CAR-T Cell Injection in Participants With Advanced Gastric/Esophagogastric Junction Adenocarcinoma

To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA) To evaluate preliminary efficacy of CT0494BCP To evaluate the cellular metabolism kinetics of CT0494BCP The investigational drug in this study is CT0494BCP cells, including CT0494 cells and CT7095 cells. Dose escalation will be performed according to the Bayesian optimal interval (BOIN) design principle (refer to the dose escalation principle in Section 4.1 Study Design Description and the flow chart of BOIN design in Figure 2 for details) and dose expansion. In the dose escalation phase, CT0494 cells were tentatively assigned to 3 escalating doses of 3.0 × 108, 4.5 × 108 and 6.0 × 108, respectively, and CT7095 cells were tentatively assigned to 2 escalating doses of 1.5 × 108 and 3.0 × 108, respectively. If the exploratory dose is not identified as a possible recommended dose (RD), a possible RD may be explored by escalating to a higher dose or tapering to a lower dose at the discretion of the investigator and sponsor in consultation. Dose groups, number of subjects per dose group, and other escalation or de-escalation decisions may be adjusted during the study based on available data.

Read the detailed description

Total duration of study intervention per study participant: The study intervention for this study consists of: CLEAR PRECONDITION and CT0494BCP INFUSION.

  • Cleaning pretreatment Cleaning pretreatment was performed 5 days before cell infusion (D-5 ~ D-3).
  • Cell infusion CT0494BCP cells were infused on the day of cell infusion (D0) (CT7095 cells were recommended on D0 and CT0494 cells were recommended on D2).

Total duration of each study participant's participation in the study: The total duration of each study participant's participation in the study is from the screening period until completion or withdrawal from the study, whichever occurs first.

  • Target Pre-Screening Period Study participants will provide tumor tissue samples for CLDN18.2 target testing at the central laboratory after signing the prescreening informed consent form. For study participants who fail pre-screening and do not sign the main informed consent form, only study participant demographic information, time of signing the pre-screening informed consent form, and CLDN18.2 target test results will be recorded in the electronic case report form (eCRF).
  • Screening period Each study participant will sign the informed consent form before any study-related procedures are performed. Screening examinations were to be completed within approximately 2 weeks prior to CLL.
  • clearing stranguria Pre-treatment of study participants (D-5 ~ D-3) with lymphatic clearing is expected to last for 3 days.
  • Infusion and Post-infusion Observation Period and Follow-up Period Study participants enter a post-infusion observation period and follow-up period starting on the day of CT0494BCP infusion (D0), which is expected to last approximately 52 weeks. Study participants were closely observed for 4 weeks after infusion and followed every 6 weeks until completion of the 52-week follow-up visit or early withdrawal from treatment.
  • Long-term follow-up Study participants who prematurely withdraw or complete the CT0494BCP infusion and post-infusion observation period and follow-up period are required to enter the long-term follow-up period or enter a separate long-term follow-up study as required by the protocol until 15 years post-infusion.
Being tested
Initial Dose (Dose Group 1), Dose Group 2, Dose Group 3, Dose Group 4, Dose Group 5
Keywords
CT0494BCP

What participants receive

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

  • Initial Dose (Dose Group 1)Drug

    CT0494 Cell Dose 3.0 × 108 CT7095 Cell Dose 1.5 × 108

  • Dose Group 2Drug

    CT0494 Cell Dose 4.5 × 108 CT7095 Cell Dose 1.5 × 108

  • Dose Group 3Drug

    CT0494 Cell Dose 6.0×108 CT7095 Cell Dose 1.5×108

  • Dose Group 4Drug

    CT0494 Cell Dose 3.0 × 108 CT7095 Cell Dose 3.0 × 108

  • Dose Group 5Drug

    CT0494 Cell Dose 4.5 × 108 CT7095 Cell Dose 3.0 × 108

  • Dose Group 6Drug

    CT0494 Cell Dose 6.0 × 108 CT7095 Cell Dose 3.0 × 108

Study groups in NCT07538856
Study groupRoleWhat they receive
Initial Dose (Dose Group 1)CT0494 Cell Dose 3.0 × 108 CT7095 Cell Dose 1.5 × 108
Receives: Drug: Initial Dose (Dose Group 1)
Dose Group 2CT0494 Cell Dose 4.5 × 108 CT7095 Cell Dose 1.5 × 108
Receives: Drug: Dose Group 2
Dose Group 3CT0494 Cell Dose 6.0×108 CT7095 Cell Dose 1.5×108
Receives: Drug: Dose Group 3
Dose Group 4CT0494 Cell Dose 3.0 × 108 CT7095 Cell Dose 3.0 × 108
Receives: Drug: Dose Group 4
Dose Group 5CT0494 Cell Dose 4.5 × 108 CT7095 Cell Dose 3.0 × 108
Receives: Drug: Dose Group 5
Dose Group 6CT0494 Cell Dose 6.0 × 108 CT7095 Cell Dose 3.0 × 108
Receives: Drug: Dose Group 6

What is being measured

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

  1. To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

    treatment-related adverse events (TRAE)

    Measured: 12 months after infusion

  2. To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

    • Frequency, type, and severity of adverse events, including treatment-emergent adverse events (TEAE)

    Measured: 12 months after infusion

  3. To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

    serious adverse events (SAE), and adverse events of special interest (AESI)

    Measured: To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

  4. To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

    Dose limiting toxicity (DLT)

    Measured: 28 days after infusion

  5. To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA)

    recommended dose (RD)

    Measured: 28 days after infusion

Secondary outcomes (6)
  1. To evaluate preliminary efficacy of CT0494BCP

    ORR

    Measured: 24 months

  2. To evaluate preliminary efficacy of CT0494BCP

    DOR

    Measured: 24 months

  3. To evaluate preliminary efficacy of CT0494BCP

    DCR

    Measured: 24 months

  4. To evaluate preliminary efficacy of CT0494BCP

    DDC

    Measured: 24 months

  5. To evaluate preliminary efficacy of CT0494BCP

    PFS

    Measured: 24 months

  6. To evaluate preliminary efficacy of CT0494BCP

    OS

    Measured: 24 months

Timeline

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

  1. First posted20 Apr 2026
  2. Study startApr 2026 (estimated)
  3. Primary completionApr 2027 (estimated)
  4. Study completionMar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07538856
Sponsor's protocol ID
CT0494BCP
Status last verified
Apr 2026
First submitted
13 Apr 2026
Last updated
20 Apr 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Gastric and Gastric / Gastroesophageal Junction Adenocarcinoma, run by Beijing GoBroad Hospital 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 3 inclusion and 27 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: opening soon, as of the sponsor's last update on 20 Apr 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.

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 Changsong Qi Changsong Qi (010-50847588, gcc2@gobroadhealthcare.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate the safety and tolerability of CT0494BCP following infusion in participants with advanced gastric/esophagogastric junction adenocarcinoma (G/GEJA) (time frame: 12 months after infusion). The study lists 5 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 20 Apr 2026.

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