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Givastomig

Phase 2

Solid Tumor | Small molecule | Oncology |NovaBridge Biosciences|Trials Updated: May 14, 2026

Givastomig development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Feb 2026

Givastomig target and mechanism

Molecular targetCLDN18.2
Target classProtein
ModalitySmall molecule

Also known as TJ033721 (givastomig), TJ033721

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment510

FDA Designations

FAST_TRACK

Givastomig clinical trials

Givastomig · 2 trials · 8 indications

Phase 2 1Phase 1 1
NCT07432295Givastomig Combined With Nivolumab and Chemotherapy in Adults With CLDN18.2 Positive Metastatic Gastric Cancer (GIVA-2)Solid Tumor
RECRUITING180 Analytics
PHASE2RECRUITING
Givastomig Combined With Nivolumab and Chemotherapy in Adults With CLDN18.2 Positive Metastatic Gastric Cancer (GIVA-2)
Solid TumorUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival (PFS), BICR-assessed
Up to 5 years

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

Safety and Tolerability
Throughout treatment and up to 30 days after last dose

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

Dose-limiting toxicities (DLTs)
28 days
Incidence and severity of AEs
Up to 100 days post last dose

The CTCAE criteria will be used to assess adverse events on this trial.

Maximum tolerated or administered dose (MTD, MAD)
28 Days

Based on DLT definitions

Secondary Endpoints

Objective Response Rate (ORR), BICR-assessed
Up to 108 weeks
Duration of Response (DOR), BICR-assessed
Up to 108 weeks
Best Overall Response (BOR), BICR-assessed
Up to 108 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
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
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
Control: Nivolumab Plus ChemotherapyACTIVE_COMPARATORNivolumab in combination with modified FOLFOX (mFOLFOX) or CAPOX
TJ033721 (givastomig)EXPERIMENTALDose Escalation: TJ033721 will be administered at up to 8 dose levels (0.1, 0.3, 1, 3, 5, 8, 12 and 15 mg/kg) bi weekly (Q2W) and 1 dose level (18 mg/kg) every 3 weeks (Q3W) During dose expansion, TJ033721 will be administered Q2W, starting at the RP2D or MTD in dose escalation.
TJ033721 (givastomig) in combination with nivolumab and chemotherapyEXPERIMENTALTJ033721 will be administered in combination with nivolumab and chemotherapy
TJ033721 (givastomig) in combination chemotherapyEXPERIMENTALTJ033721 (givastomig) will be administered in combination chemotherapy
TJ033721 (givastomig) in combination with durvalumab and chemotherapyEXPERIMENTALTJ033721 (givastomig) will be administered in combination with durvalumab and chemotherapy

Interventions

NameTypeDescription
GivastomigDRUGGivastomig 8mg/kg Q2W IV or 12mg/kg Q3W IV
NivolumabDRUGQ2 or Q3W IV
5FluorouracilDRUGQ2W IV
LeucovorinDRUGQ2W IV
OxaliplatinDRUGQ2W or Q3W IV
CapecitabineDRUGTwice daily x 14 days every 3 weeks PO
TJ033721 (givastomig)DRUGTetravalent IgG(H)-scFv fusion-type of bi-specific antibody (BsAb)
TJ033721 (givastomig) , nivolumab, chemotherapyDRUGTetravalent IgG(H)-scFv fusion-type of bi-specific antibody (BsAb), nivolumab, chemotherapy
TJ033721 (givastomig), chemotherapyDRUGTetravalent IgG(H)-scFv fusion-type of bi-specific antibody (BsAb), chemotherapy
TJ033721 (givastomig), durvalumab, chemotherapyDRUGTetravalent IgG(H)-scFv fusion-type of bi-specific antibody (BsAb), durvalumab, chemotherapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * 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). * C...

Countries:United StatesChinaJapan
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Solid Tumor")

Frequently asked questions about Givastomig

What is Givastomig used for?

Givastomig is an investigational therapy being studied in adults with advanced or metastatic solid tumors, including gastric cancer, gastroesophageal junction carcinoma, esophageal adenocarcinoma, pancreatic ductal adenocarcinoma, and biliary tract cancer. It is being evaluated both as a single agent and in combination with nivolumab and chemotherapy in biomarker-selected patients whose tumors are CLDN18.2 positive.

What does Givastomig target?

Givastomig targets CLDN18.2, a protein expressed on certain tumor cells. By binding this target, the drug is designed to act on CLDN18.2 positive cancers. The clinical program selects patients based on CLDN18.2 status, and the Phase 2 study enrolls only those with CLDN18.2 positive metastatic gastric cancer.

Who is developing Givastomig?

Givastomig is being developed by NovaBridge Biosciences, which trades under the ticker NBP. The company is running the clinical program for the drug across sites in the United States, China, and Japan.

What phase is Givastomig in?

Givastomig is in Phase 2 development. It is an investigational drug and has not been approved by the FDA. The FDA has granted it Fast Track designation. Two trials are currently active and recruiting, with no completed trials reported to date.

What clinical trials is Givastomig in?

Givastomig is being studied in two recruiting trials. NCT07432295, known as GIVA-2, is a Phase 2 study of givastomig combined with nivolumab and chemotherapy in adults with CLDN18.2 positive metastatic gastric cancer, enrolling 180 patients. NCT04900818 is a Phase 1 study in advanced or metastatic solid tumors, enrolling 330 patients.

Is Givastomig the same as TJ033721?

Yes. Givastomig is also known as TJ033721. The two names refer to the same investigational compound, and the Phase 1 trial is listed under the designation TJ033721 (Givastomig). Searches for either name point to the same drug candidate from NovaBridge Biosciences.