Clinical trial Recruiting at 28 sites Phase 1 Interventional Ages 18 and up

Evaluating CHS-114 with Toripalimab for Advanced Solid Tumors

Official title: A Phase 1B, Multicenter, Open-Label Study of the Safety and Efficacy of CHS-114 in Combination With Toripalimab With or Without Other Treatments in Participants With Advanced or Metastatic Solid Tumors (TREGCHECK 102)

Run by Coherus Oncology, Inc. · NCT06657144 · Data updated 2026-11-12

This study is testing a new treatment combining CHS-114 and toripalimab to see if it helps people with advanced stomach or esophageal cancer feel better.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment154 (estimated)
SponsorCoherus Oncology, Inc.
Industry-sponsored
Drugs / interventionsbevacizumab, ramucirumab, cetuximab, panitumumab, fruqintinib, chemotherapy, radiation, toripalimab
Locations30 sites (Tucson, Arizona and 29 other locations)
StatusRecruiting
StartedApril 1, 2025
Main results expectedJanuary 2028
Study endsJanuary 2028
Registry record updatedJuly 15, 2026
Trial IDNCT06657144 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals with unresectable, locally advanced or metastatic gastric, GEJ, or esophageal adenocarcinoma who have progressed after first-line therapy.

Probably not a fit

Patients with resectable tumors or those who have not progressed after first-line therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess the safety and initial effectiveness of CHS-114 when used in combination with toripalimab and/or other standard treatments for patients with advanced or metastatic solid tumors. Participants must have at least one measurable lesion and have resolved any acute effects from prior therapies. The study specifically targets patients with unresectable gastric, gastro-esophageal junction, or esophageal adenocarcinoma that is HER2-negative and microsatellite stable.

Why it matters

Potential benefit: If successful, this treatment combination could provide a new therapeutic option for patients with advanced solid tumors.

How similar studies have gone: Other studies have shown promise with similar combinations in treating advanced solid tumors, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* At least 1 measurable lesion based on RECIST v1.1 as determined by the Investigator.
* Resolved acute effects of any prior therapy to baseline severity or Grade 1 in accordance with National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) v5.0, except for adverse events (AEs) not constituting a safety risk per Investigator judgement.

Cohort A (2L Gastric, Gastro-esophageal-junction \[GEJ\], Esophageal Adenocarcinoma \[EAC\]) Specific Inclusion Criteria:

* Histologically or cytologically documented unresectable, locally advanced or metastatic gastric, GEJ, or esophageal adenocarcinoma that is human epidermal growth factor receptor 2 (HER2) - negative and microsatellite stable (MSS)/proficient mismatch repair (pMMR).
* Progressed during or after first line systemic therapy that includes a platinum and fluoropyrimidine doublet with or without anti-programmed death receptor 1 (PD-1)/programmed death ligand 1 (PD-L1)-directed therapy (that is, in the second line setting).
* Consent to provide tumor tissue samples (baseline and on-treatment) is required for enrollment.

Cohort B (2L Esophageal Squamous Cell Carcinoma \[ESCC\]) - Specific Inclusion Criteria:

* Histologically or cytologically documented unresectable, locally advanced or metastatic ESCC.
* Progressed during or after first line systemic therapy including a doublet of platinum and fluoropyrimidine or paclitaxel with or without anti-PD-1/PD-L1-directed therapy or anti-CTLA-4 and anti-PD-1/PD-L1-directed combination therapy.
* Consent to provide results from prior PD-L1 IHC assay score by FDA-approved or equivalent PD-L1 IHC diagnostic tests.
* Consent to provide archival tumor tissue sample (baseline) is required for enrolment.

Cohort C (1L Esophageal Squamous Cell Carcinoma \[ESCC\]) - Specific Inclusion Criteria:

* Histologically or cytologically documented unresectable, locally advanced or metastatic ESCC.
* Consent to provide baseline tumor tissue is required.
* Consent to provide results from prior PD-L1 IHC assay score by FDA-approved or equivalent PD-L1 IHC diagnostic tests.
* Calculated creatinine clearance ≥60 mL/min.

Cohort D, Arms D1 and D2 (4L+ Colorectal Carcinoma \[CRC\]) - Specific Inclusion Criteria:

* Histologically and/or cytologically documented unresectable advanced or metastatic colorectal adenocarcinoma. RAS, BRAF, and microsatellite instability/mismatch repair status for each participant must be documented, according to country level guidelines.
* Participants who have no available therapies with a proven clinical benefit available in the participant's country per investigator. These therapies include the following: fluoropyrimidine, oxaliplatin, irinotecan-based chemotherapy, anti-VEGF biological therapy (eg, bevacizumab, aflibercept, ramucirumab), an anti-EGFR therapy (eg, cetuximab, panitumumab) if RAS wildtype unless right-sided, either trifluridine/tipiracil, fruqintinib or regorafenib, and a BRAF inhibitor (ie, encorafenib) in BRAF V600E mutant).
* Participants who received oxaliplatin in the adjuvant setting and developed metastatic disease during or within 6 months of completing adjuvant therapy are considered eligible without receiving oxalipatin-based therapy in the metastatic setting.
* Consent to provide baseline tumor tissue sample is required for enrolment.

Key Exclusion Criteria:

* History of prior malignancy other than the cancer under study that is progressing or has required active treatment within the past 3 years.
* Symptomatic or untreated central nervous system metastases, including leptomeningeal metastases, requiring concurrent treatment, including but not limited to surgery, radiation, and/or corticosteroids.
* Major surgery requiring general anesthesia within 28 days prior to the first dose of study treatment, still recovering from prior surgery, or with surgery scheduled during the study.
* Prior exposure to anti-C-C motif chemokine receptor 8 (CCR8) antibody.
* History of Grade 4 allergic or anaphylactic reaction to any monoclonal antibody (mAb) therapy or any excipient in the study treatment.
* Active uncontrolled bacterial, fungal, or viral infection including hepatitis B virus (HBV), hepatitis C virus (HCV), known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness.
* Any condition that, in the opinion of the Investigator or Sponsor, would interfere with the interpretation of study results.

Cohort A (2L Gastric, Gastro-esophageal-junction \[GEJ\], Esophageal Adenocarcinoma \[EAC\]) Specific Exclusion Criteria:

* Received ≥ 2 prior systemic anticancer therapies for advanced or metastatic disease.
* Participants at high risk for developing esophageal fistula by clinical assessment or imaging, such as prior history or associated symptoms of esophageal fistula or T4 classification assessed by endoscopic ultrasound (EUS).

Cohort B (2L Esophageal Squamous Cell Carcinoma \[ESCC\]) - Specific Exclusion Criteria:

* Received ≥ 2 prior systemic anticancer therapies for advanced or metastatic disease.
* Participants at high risk for developing esophageal fistula by clinical assessment or imaging, such as prior history or associated symptoms of esophageal fistula or T4 classification assessed by endoscopic ultrasound (EUS).

Cohort C (1L Esophageal Squamous Cell Carcinoma \[ESCC\]) - Specific Exclusion Criteria:

* Received ≥ 1 prior systemic anticancer therapies for advanced or metastatic disease.
* Participants who progressed during or within 6 months following the last dose of neoadjuvant, or perioperative therapy with curative intent.
* Participants at high risk for developing esophageal fistula by clinical assessment or imaging, such as prior history or associated symptoms of esophageal fistula or T4 classification assessed by endoscopic ultrasound (EUS).
* Known dihydropyrimidine dehydrogenase deficiency or thymidine synthase gene polymorphism predisposing the participant to 5-FU toxicity.
* Known allergies to 5-FU or cisplatin.

Note: Other protocol-specified inclusion/exclusion criteria apply.

Where it's running

  • City of Hope
    Duarte, California, United States
    Recruiting
  • University of Colorado - Aurora Cancer Center
    Aurora, Colorado, United States
    Recruiting
  • Winship Cancer Center - Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Ochsner Health
    New Orleans, Louisiana, United States
    Recruiting
  • Henry Ford Health System
    Detroit, Michigan, United States
    Recruiting
  • Comprehensive Cancer Center of Nevada
    Las Vegas, Nevada, United States
    Recruiting
Show 24 more locations
  • Christus St Vincent Regional Medical Center
    Santa Fe, New Mexico, United States
    Recruiting
  • START New York
    Lake Success, New York, United States
    Recruiting
  • David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York, United States
    Recruiting
  • University of Pittsburg Medical Center _UPMC Hillman Cancer Center
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Prisma Health Cancer Institute
    Greenville, South Carolina, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • Texas Oncology - Central South
    Austin, Texas, United States
    Recruiting
  • START San Antonio, LLC.
    San Antonio, Texas, United States
    Recruiting
  • Huntsman Cancer Institute, University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • START Mountain Region, LLC.
    West Valley City, Utah, United States
    Recruiting
  • Virginia Cancer Specialists
    Fairfax, Virginia, United States
    Recruiting
  • Changhua Christian Hospital
    Chang-hua, Taiwan
    Recruiting
  • E-Da Cancer Hospital
    Kaohsiung City, Taiwan
    Recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital
    Kaohsiung City, Taiwan
    Recruiting
  • Taichung Veterans General Hospital
    Taichung, Taiwan
    Recruiting
  • China Medical University Hospital
    Taichung, Taiwan
    Recruiting
  • National Cheng Kung University Hospital
    Tainan, Taiwan
    Recruiting
  • Chi Mei Hospital
    Tainan, Taiwan
    Recruiting
  • National Taiwan University Hospital
    Taipei, Taiwan
    Recruiting
  • Taipei Veterans General Hospital
    Taipei, Taiwan
    Recruiting
  • Mackay Memorial Hospital
    Taipei, Taiwan
    Recruiting
  • The University of Arizona Cancer Center
    Tucson, Arizona, United States
    Withdrawn
  • Virginia Oncology Associates
    Norfolk, Virginia, United States
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.