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Practice-entering research

SPOTLIGHT — zolbetuximab + mFOLFOX6 in CLDN18.2+ gastric adenocarcinoma

A Phase 3 Study of Zolbetuximab Plus mFOLFOX6 Compared With Placebo Plus mFOLFOX6 as First-line Treatment of Subjects With Claudin 18.2-Positive, HER2-Negative Locally Advanced Unresectable or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma (SPOTLIGHT)

Phase
Phase III
Recruitment
Active, not recruiting
Results maturity
Final analysis
Publication
Peer-reviewed
Regulatory approval
FDA approval (US)
NCT
NCT03504397
Registry checked
2026-10-29
Editorial update
2026-10-29

Not a treatment recommendation. Experimental or ongoing research does not by itself replace standard care.

For patients

What is being studied? If the CLDN18.2 target is positive in stomach cancer, a special antibody drug may be added to chemotherapy. Testing is required.

Why promising? CLDN18.2-targeted mAb + chemotherapy showed first-line PFS benefit.

What is not proven? Benefit in CLDN18.2− disease; simultaneous access/standard in every region.

Is this standard care today? This listing alone does not replace standard care; approval and guideline context require clinician judgment.

For clinicians

Lancet 2023 SPOTLIGHT; GLOW is separate. This card is NCT03504397 / SPOTLIGHT only.

Cancer / population: Gastric / esophageal — CLDN18.2+ HER2− lokal ileri / metastatik mide veya GEJ

Intervention: Zolbetuximab + mFOLFOX6

Primary endpoint: PFS

Limitations: Biyobelirteç seçimi zorunlu; bulantı/kusma yönetimi kritik.

Landmark Atlas links

Cross-links are informational only; this module does not award or change gold stars.

Sources

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