Recruiting
Phase 2

Denikitug, Nivolumab, Ramucirumab, Paclitaxel

Sponsor:

Gilead Sciences

Code:

NCT07546812

Conditions

HER2-negative

Gastroesophageal Junction

Esophageal Adenocarcinoma

Gastric Adenocarcinoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Denikitug

Nivolumab

Ramucirumab

Paclitaxel

Study Details

Brief summary:

The goal of this clinical study is to learn more about the study drug, Denikitug (DEN, GS-1811), to evaluate the efficacy and safety of Denikitug Monotherapy and Denikitug-based combinations in in participants with human epidermal growth factor receptor 2 (HER2)-Negative, unresectable, recurrent, and/or metastatic, gastroesophageal junction (GEJ), and esophageal adenocarcinomas.

The primary objective of this study is to assess the effect of DEN as a monotherapy or in combination with nivolumab (NIVO) or ramucirumab (RAM) and paclitaxel (PAC) on objective response rate (ORR) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST Version1.1).

Conditions

HER2-negative

Gastroesophageal Junction

Esophageal Adenocarcinoma

Gastric Adenocarcinoma

Study ID

NCT07546812

Start date

Aug 7, 2026

Status verified date

Aug, 2026

Completion date

Jan, 2030

Anticipated

Primary completion date

Jan, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

  • Histologically or cytologically confirmed diagnosis of locally advanced, unresectable, or metastatic gastric, gastroesophageal junction (GEJ), or esophageal adenocarcinoma (EAC).
  • Human epidermal growth factor receptor 2 (HER2)-negative status, as determined by local assessment using a validated immunohistochemistry assay, in situ hybridization or other amplification testing.
  • Has had disease progression during or after first line of systemic therapy for advanced or metastatic gastric, GEJ, or EACs, which must have included at least one of the following:

1. Platinum- and fluoropyrimidine-based chemotherapy.
2. Therapy with an anti-programmed cell death protein 1 (PD1) or anti-programmed cell death ligand 1 (anti-PD-L1) monoclonal antibody (patients with PD-L1-positive tumors must have received prior PD-1/PD-L1-based therapy).
3. Zolbetuximab or other Claudin-18 (CLDN18).2-targeted therapy, if indicated based on biomarker status.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
  • Have adequate organ function.
  • Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use methods of contraception.

Key Exclusion Criteria:

  • Active or history of autoimmune disease requiring systemic treatment within 2 years, inflammatory bowel disease (IBD) (Crohn's/ulcerative colitis), celiac disease, or noninfectious enteritis/colitis. (Physiologic hormone replacement not considered systemic treatment).
  • History or current noninfectious pneumonitis/interstitial lung disease, including radiation-induced pneumonitis requiring steroids or active/recurrent pneumonitis of any etiology.
  • Documented microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR) disease by local polymerase chain reaction (PCR) (microsatellite status) and/or informed consent form (ICH) (mismatch repair (MMR)) assay
  • (For Part 2 only) Has known history of peripheral neuropathy ≥ Grade 2 (per National Cancer Institute(NCI)-Common Tenninology Criteria for Adverse Events (CTCAE) Version 5.0).
  • (For Part 2 only) Known coagulopathy that increases the risk of bleeding, bleeding diatheses. Any other Grade 3 or higher hemorrhage/bleeding event within 28 days prior to enrollment.

Prior/Concurrent Therapy or Clinical Study Experience

  • Prior treatment with DEN or other C-C chemokine receptor 8 (CCR8)-targeted agents.
  • Prior Lonsurf (trifluridine-tipiracil) or paclitaxel (PAC)-based regimens in the first-line setting for advanced/metastatic gastroesophageal adenocarcinoma.
  • Any systemic therapy (including investigational) targeting vascular endothelial growth factor (VEGF) or VEGF receptor (VEGFR) signaling pathways.
  • Anticancer biologic within 4 weeks, orchemotherapy, targeted small molecule, or radiation therapy within 2 weeks prior to enrollment with unresolved adverse events (AE)s (Grade >2). (Observational study participants are eligible).
  • Prior allogenic tissue/solid organ or stem cell transplantation. (Exception: corneal transplant not requiring systemic immunosuppression is allowed).

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Enrollment

120 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1: Arm A: DEN (Dose A) and NIVO

Participants will receive DEN Dose A as an IV infusion in combination with NIVO as an IV infusion.

experimental: Part 1: Arm B: DEN (Dose B) and NIVO

Participants will receive DEN Dose B as an IV infusion in combination with NIVO as an IV infusion.

experimental: Part 1: Arm C: DEN (Dose B)

Participants will receive DEN Dose B as an IV infusion.

experimental: Part 2: Arm D: Safety Run-in (SRI) Cohort

Participants will receive DEN in combination with ramucirumab (RAM) and paclitaxel (PAC).

If dose for DEN is deemed safe during the SRI Cohort, the study will move forward into the Expansion Period.

experimental: Part 2: Arm D: Expansion Cohort

If DEN dose is deemed safe in Arm D: SRI Cohort, participants will receive DEN at recommended dose as an IV infusion in combination with RAM and PAC.

Interventions

Denikitug

Administered Intravenously

Nivolumab

Administered Intravenously

Ramucirumab

Administered Intravenously

Paclitaxel

Administered Intravenously

Primary outcome measure

  • Objective Response Rate (ORR) [ Time Frame: Up to 4 years ]

Central Contacts and Locations

Central contacts

Gilead Clinical Study Information Center

1-833-445-3230 (GILEAD-0)GileadClinicalTrials@gilead.com

Locations

Massachusetts General Hospital

Recruiting

Boston, Massachusetts, United States, 02114

New York Oncology Hematology

Recruiting

Albany, New York, United States, 12206

Weill Cornell Medicine - New York Presbyterian Hospital

Recruiting

New York, New York, United States, 10021

More Information

Sponsor

Gilead Sciences

Last update posted

Aug 21, 2026

Last verified

Aug, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Gilead Sciences on 2026-08-21.