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Domvanalimab

Phase 3

Advanced Upper Gastrointestinal Tract Adenocarcinoma | Small molecule | Oncology |Arcus Biosciences, Inc.|Last Updated: Jul 21, 2026

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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,040
FDA Designations
No designations recorded
Clinical trial landscape

Domvanalimab · 5 trials · 7 indications

Phase 3 1Phase 2 3Phase 1 1
NCT05568095A Clinical Trial of a New Combination Treatment, Domvanalimab and Zimberelimab, Plus Chemotherapy, for People With an Upper Gastrointestinal Tract Cancer That Cannot be Removed With Surgery That Has Spread to Other Parts of the BodyAdvanced Upper Gastrointestinal Tract Adenocarcinoma
ACTIVE NOT_RECRUITING1,040 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Clinical Trial of a New Combination Treatment, Domvanalimab and Zimberelimab, Plus Chemotherapy, for People With an Upper Gastrointestinal Tract Cancer That Cannot be Removed With Surgery That Has Spread to Other Parts of the Body
Advanced Upper Gastrointestinal Tract AdenocarcinomaUnlock trial analytics
Study Endpoints
Primary Endpoints
Overall survival
From date of randomization until date of death from any cause (Approximately 15 months)]
Number of Participants with Adverse Events (AEs)
Up to 18 months
Objective Response Rate (ORR) as measured by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Up to 18 months
Progression-free Survival (PFS)
From randomization until death from any cause (up to 7 years)
Objective response rate (ORR)
From randomization until the first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

ORR as assessed by RECIST v1.1

Number of Participants with Treatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE v5.0
From First Dose Date to 100 Days After Last Dose

Number of Participants Treated with domvanalimab or domvanalimab in Combination with zimberelimab with Treatment Emergent Adverse Events (TEAEs) as Assessed by CTCAE v5.0

Secondary Endpoints
Progression-free survival (PFS)
From date of randomization to date of the first documentation of disease progression or date of death from any cause, whichever comes first (Approximately 15 months)
Objective response rate (ORR)
Proportion of randomized participants who achieved a confirmed best overall response of complete response (CR) or partial response (PR) (Approximately 15 months)
Duration of response (DOR)
From the date of first confirmed response (CR or PR), until the date of first documented disease progression or date of death from any cause, whichever comes first (Approximately 15 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Domvanalimab + Zimberelimab + FOLFOX/CAPOX (PI Choice)EXPERIMENTALParticipants in this arm will receive Domvanalimab and zimberelimab doses once every 4 weeks (Q4W) in addition to chemotherapy with FOLFOX (oxaliplatin, leucovorin, fluorouracil) once every 2 weeks (Q2W) or Domvanalimab and zimberelimab once every 3 weeks (Q3W) in addition to chemotherapy with CAPOX (capecitabine and oxaliplatin) Q3W.
Nivolumab + FOLFOX/CAPOX (PI Choice)ACTIVE_COMPARATORParticipants in this arm will receive Nivolumab Q2W and FOLFOX Q2W or Nivolumab Q3W + CAPOX Q3W.
A1: First Line - Treatment Naïve ParticipantsEXPERIMENTALDomvanalimab and zimberelimab once every 4 weeks (Q4W) in addition to FOLFOX chemotherapy by intravenous (IV) infusion once every 2 weeks (Q2W)
A2: First Line - Treatment Naïve ParticipantsEXPERIMENTALZimberelimab Q4W in addition to chemotherapy with FOLFOX administered by IV infusion Q2W
A3 First Line - Treatment Naïve ParticipantsEXPERIMENTALNon-randomized A3 safety run-in cohort: Domvanalimab and zimberelimab co-administered Q4W via IV infusion over 60 minutes in addition to FOLFOX chemotherapy via IV infusion Q2W. After completion of A3 safety run-in cohort, participants are randomized to the A3 arm. Domvanalimab and zimberelimab co-administered Q4W via IV infusion over 30 minutes, in addition to FOLFOX chemotherapy via IV infusion Q2W
A4 First Line - Treatment Naïve ParticipantsEXPERIMENTALZimberelimab administered Q4W via IV infusion over 30 minutes, in addition to FOLFOX chemotherapy via IV infusion Q2W
B1: Second Line or greater Checkpoint Inhibitor Naïve ParticipantsEXPERIMENTALDomvanalimab and zimberelimab administered once every three weeks (Q3W) by IV infusion
B2: Second Line or greater Checkpoint Inhibitor Naïve ParticipantsEXPERIMENTALQuemliclustat Q2W and zimberelimab Q4W administered by IV infusion
Cohort C1: Second Line or greater - Checkpoint Inhibitor Experienced ParticipantsEXPERIMENTALDomvanalimab and zimberelimab Q3W administered by IV infusion
Arm A - Study Part 1 (Platinum-based Chemotherapy)ACTIVE_COMPARATORParticipants will receive carboplatin, pemetrexed, and paclitaxel by intravenous (IV) infusion.
Arm B - Study Part 1 (Zimberelimab Monotherapy)EXPERIMENTALParticipants will receive zimberelimab monotherapy by IV infusion.
Arm C - Study Part 1 (Domvanalimab + Zimberelimab Combination Therapy)EXPERIMENTALParticipants will receive zimberelimab in combination with AB154 by IV infusion.
Arm D - Study Part 2 (Domvanalimab + Zimberelimab Combination Therapy)EXPERIMENTALParticipants will receive domvanalimab in combination with zimberelimab by IV infusion.
Arm E - Study Part 2 (Pembrolizumab)ACTIVE_COMPARATORParticipants will receive pembrolizumab by IV infusion.
Arm 1 (zimberelimab monotherapy)EXPERIMENTALParticipants will receive zimberelimab as an intravenous (IV) infusion.
Arm 2 (domvanalimab and zimberelimab combination therapy)EXPERIMENTALParticipants will receive domvanalimab IV in combination with zimberelimab IV infusion.
Arm 3 (domvanalimab, etrumadenant, and zimberelimab combination therapy)EXPERIMENTALParticipants will receive oral etrumadenant in combination with domvanalimab IV and zimberelimab IV infusion
Domvanalimab MonotherapyEXPERIMENTALVarying Doses of domvanalimab Monotherapy
Domvanalimab + zimberelimab Q2W Combination TherapyEXPERIMENTALVarying Doses of domvanalimab in Combination With Varying Doses of zimberelimab
Domvanalimab + zimberelimab Q3W Combination TherapyEXPERIMENTALVarying Doses of domvanalimab in Combination With Varying Doses of zimberelimab
Domvanalimab + zimberelimab Q4W Combination TherapyEXPERIMENTALVarying Doses of domvanalimab in Combination With Varying Doses of zimberelimab
Domvanalimab and Zimberelimab Q6W combination therapyEXPERIMENTALVarying Doses of domvanalimab in Combination With Varying Doses of zimberelimab
Fixed dose Domvanalimab Q3W or Q4W and Zimberelimab Q3W, Q4WEXPERIMENTALVarying Doses of domvanalimab in Combination With Varying Doses of zimberelimab
Interventions
NameTypeDescription
DomvanalimabDRUGIntravenous (IV) Aqueous Solution
ZimberelimabDRUGIV Aqueous Solution
CapecitabineDRUGOral Tablets
FluorouracilDRUGIV Aqueous Solution
LeucovorinDRUGIV Aqueous Solution
OxaliplatinDRUGIV Aqueous Solution
NivolumabDRUGIV Aqueous Solution
QuemliclustatDRUGAdministered as specified in the treatment arm
CarboplatinDRUGParticipants receive carboplatin, pemetrexed, and paclitaxel at a target area under the curve.
PaclitaxelDRUGParticipants receive carboplatin, pemetrexed, and paclitaxel at a target area under the curve.
PemetrexedDRUGParticipants receive carboplatin, pemetrexed, and paclitaxel at a target area under the curve.
PembrolizumabDRUGPembrolizumab is a humanized Immunoglobulin G4 monoclonal antibody targeting the PD-1 receptor
EtrumadenantDRUGEtrumadenant is an A2aR and A2bR antagonist
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites168

Key Inclusion Criteria: * Capable of giving signed informed consent which is in compliance with the requirements and restrictions listed in the informed consent form (ICF) and in protocol. * Histologically confirmed diagnosis of locally advanced unresectable or metastatic gastric, GEJ, or esophagea...

Countries:United StatesArgentinaAustraliaBrazilCanadaChileChinaFranceGeorgiaGuatemalaHong KongHungaryIsraelItalyJapanLithuaniaMalaysiaMexicoPeruPhilippinesPolandPortugalRomaniaSerbiaSouth KoreaSpainThailandTurkey (Türkiye)United KingdomSouth AfricaTaiwanVietnamSingapore
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Recent Changes (Last 90 Days)
LOWJul 21, 2026NCT05568095primaryCompletionDate: changed
MEDIUMJul 16, 2026NCT04262856TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT04262856TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT04262856TRIAL_REMOVED: changed
LOWJul 2, 2026NCT05329766lastUpdatePostDate: changed
LOWJul 2, 2026NCT05329766lastUpdatePostDate: changed
LOWJul 2, 2026NCT05329766lastUpdatePostDate: changed
LOWJun 16, 2026NCT04262856lastUpdatePostDate: changed
LOWJun 16, 2026NCT04262856lastUpdatePostDate: changed
LOWJun 16, 2026NCT04262856lastUpdatePostDate: changed
LOWJun 16, 2026NCT04262856lastUpdatePostDate: changed
LOWJun 2, 2026NCT04736173lastUpdatePostDate: changed
LOWJun 2, 2026NCT05329766lastUpdatePostDate: changed
LOWJun 2, 2026NCT05568095lastUpdatePostDate: changed
LOWJun 2, 2026NCT04736173lastUpdatePostDate: changed
LOWJun 2, 2026NCT05329766lastUpdatePostDate: changed
LOWJun 2, 2026NCT05568095lastUpdatePostDate: changed
LOWJun 2, 2026NCT04736173lastUpdatePostDate: changed