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This is a **combination regimen** consisting of three agents used or investigated primarily for the first-line treatment of **locally advanced or metastatic gastric and gastroesophageal junction cancer with FGFR2b overexpression**. - **Bemarituzumab** is a humanized, afucosylated monoclonal antibody that selectively binds to and inhibits signaling through **fibroblast growth factor receptor 2b (FGFR2b)**, leading to impaired tumor growth and enhanced antibody-dependent cellular cytotoxicity (ADCC)[1][3][5]. - **CAPOX** refers to the combination of **capecitabine** (an oral prodrug of 5-fluorouracil, a DNA synthesis inhibitor) and **oxaliplatin** (a platinum-based DNA crosslinker), forming a standard chemotherapy backbone for GI cancers. - **Nivolumab** is a monoclonal antibody that targets **programmed cell death protein 1 (PD-1)**, functioning as an **immune checkpoint inhibitor** to enhance anti-tumor T-cell responses. This combination regimens leverages: - Targeted inhibition of tumor growth signals (bemarituzumab/FGFR2b), - Broad cytotoxic chemotherapy (CAPOX), - Immune system activation against cancer cells (nivolumab/PD-1 antagonism).
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