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Recruiting Phase 1, Phase 2 NCT04982276

NCT04982276 A Study of AK109 and AK104 in Advanced Gastric Adenocarcinoma or Gastroesophageal Junction Adenocarcinoma

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Clinical Trial Summary
NCT ID NCT04982276
Status Recruiting
Phase Phase 1, Phase 2
Sponsor Akeso
Condition Gastric Adenocarcinoma and Gastroesophageal Junction Adenocarcinoma
Study Type INTERVENTIONAL
Enrollment 138 participants
Start Date 2021-08-23
Primary Completion 2025-12-30

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age 75 Years
Study Type INTERVENTIONAL
Interventions
AK109paclitaxelpaclitaxel

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

Phase 1 is the earliest stage of human testing — safety and dosage are the primary focus. Visits are frequent and medical supervision is intensive. You will be among the first people to receive this treatment.

This trial targets 138 participants in total. It began in 2021-08-23 with a primary completion date of 2025-12-30.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

This is a multicentre, Phase Ib/II Clinical Study of AK109 and AK104 With or Without Chemotherapy in Second-line Treatment of Advanced Gastric Adenocarcinoma or Gastroesophageal Junction Adenocarcinoma .

Eligibility Criteria

Inclusion Criteria: 1. Written and signed informed consent 2. Age ≥ 18 years but ≤ 75 years 3. ECOG of 0 or 1. 4. Estimated life expectancy of ≥3 months. 5. Histologically or cytologically documented advanced unresectable or metastatic gastric adenocarcinoma or gastroesophageal Junction (GEJ) adenocarcinoma. 6. At least one measurable lesion per RECIST v1.1. 7. Gastric adenocarcinoma or gastroesophageal junction (GEJ) adenocarcinoma with failure of first-line treatment with anti-PD-1/L1 and chemotherapy 8. Adequate organ function. 9. Have agreed to take effective contraception from the date of signing the informed consent form until 120 days after the last administration. Exclusion Criteria: 1. Other invasive malignancies within 3 years, except for locally treatable (manifested as cured) malignancies, such as basal or skin squamous cell carcinoma, superficial bladder cancer, cervical or breast carcinoma in situ. 2. Any previous systemic therapy targeting VEGF or anti-VEGFR signaling pathways. 3. In addition to PD1 or PD-L1,Prior exposure to anti-CTLA-4 antibody, or any other antibody or drug therapy for T cell co-stimulatory or checkpoint pathways, such as ICOS or agonists (e.g. CD40, CD137, GITR and OX40 etc). 4. Known history of primary immunodeficiency virus infection. 5. Known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation. 6. Known history of interstitial lung disease. 7. Known history of active tuberculosis (TB). 8. Central nervous system (CNS) metastasis, meningeal metastasis, spinal cord compression, or leptomeningeal disease. 9. Patients with untreated chronic hepatitis B or HBV DNA exceeding 500IU/mL or active hepatitis C should be excluded. Patients with HCV antibody positive are eligible to participate in the study if the results of HCV RNA test show negative. 10. Known history of testing positive for human immunodeficiency virus (HIV). 11. Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage. 12. Subjects with active, known or suspected autoimmune disease, or a medical history of autoimmune disease, with the exceptions of the following: vitiligo, alopecia, Grave disease, psoriasis or eczema not requiring systemic treatment within the last 2 years, hypothyroidism (caused by autoimmune thyroiditis) only requiring steady doses of hormone replacement therapy and type I diabetes only requiring steady doses of insulin replacement therapy, or completely relieved childhood asthma that requires no intervention in adulthood, or primary diseases that will not relapse unless triggered by external factors. 13. Pregnant or lactating women.

Contact & Investigator

Central Contact

Ting Liu, MD

✉ clinicaltrials@akesobio.com

📞 +86 (0760) 8987 3999

Principal Investigator

Lin Shen, MD

PRINCIPAL INVESTIGATOR

Peking University Cancer Hospital & Institute

Frequently Asked Questions

Who can join the NCT04982276 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, up to 75 Years, studying Gastric Adenocarcinoma and Gastroesophageal Junction Adenocarcinoma. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

What phase is the NCT04982276 trial and what does that mean for participants?

Phase 1 trials are the first stage of human testing. The primary goal is to assess safety and determine appropriate dosage levels. Participants are closely monitored. These trials typically involve a small number of volunteers.

Is NCT04982276 currently recruiting?

Yes, NCT04982276 is actively recruiting participants. Contact the research team at clinicaltrials@akesobio.com for enrollment information.

Where is the NCT04982276 trial being conducted?

This trial is being conducted at Beijing, China.

Who is sponsoring the NCT04982276 clinical trial?

NCT04982276 is sponsored by Akeso. The principal investigator is Lin Shen, MD at Peking University Cancer Hospital & Institute. The trial plans to enroll 138 participants.

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ClinicalMetric — Independent clinical trial intelligence platform. Not affiliated with NIH, ClinicalTrials.gov, the U.S. FDA, or any pharmaceutical company, hospital, or clinical research organization. Trial data is sourced from ClinicalTrials.gov for informational purposes only and does not constitute medical advice. Do not make any treatment, enrollment, or health decisions based solely on information found here — always consult a qualified healthcare professional. Full Disclaimer  ·  Last Reviewed: April 2026  ·  Data Methodology