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Givastomig

Phase 2

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

Target and mechanism

ModalitySmall molecule

Also known as TJ033721 (givastomig), TJ033721

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment510

FDA Designations

FAST_TRACKACCELERATED_APPROVAL

Clinical trial landscape

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 9 trials (matched to "Solid Tumor")

Frequently asked questions about Givastomig

What is Givastomig used for?

Givastomig is an investigational small molecule being developed for the treatment of solid tumors, including advanced and metastatic cancers. It is specifically being studied in CLDN18.2 positive metastatic gastric cancer, gastroesophageal junction carcinoma, and esophageal adenocarcinoma. The drug is currently in Phase 2 clinical development.

Who makes Givastomig?

Givastomig is being developed by I-Mab, a biopharmaceutical company listed as I-Mab Sponsored ADR under the ticker symbol NBP. The company is conducting clinical trials for this investigational oncology drug.

What phase is Givastomig in?

Givastomig is currently in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug has received FDA designations including accelerated approval and fast track status for its development program.

What clinical trials is Givastomig in?

Givastomig is being studied in a Phase 2 clinical trial with NCT number NCT07432295, titled 'Givastomig Combined With Nivolumab and Chemotherapy in Adults With CLDN18.2 Positive Metastatic Gastric Cancer (GIVA-2)'. The trial is actively recruiting 180 participants across the United States, China, and Japan.

Is Givastomig the same as any other drug?

No alternative names for Givastomig have been disclosed. The drug is identified solely by its generic name Givastomig in clinical trial registrations and development documentation.