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This combination therapy is being evaluated in a Phase II clinical trial for the treatment of cancer-associated cachexia in patients with locally advanced (cStage III) gastric or gastroesophageal junction (GEJ) adenocarcinoma. The regimen integrates megestrol acetate, a synthetic progestin used as an appetite stimulant, with a neoadjuvant chemo-immunotherapy backbone consisting of serplulimab (an anti-PD-1 monoclonal antibody) and the SOX regimen (S-1 and oxaliplatin). The study, led by The First Affiliated Hospital with Nanjing Medical University, investigates whether adding megestrol acetate oral suspension to the standard neoadjuvant treatment improves nutritional status, mitigates weight loss, and enhances the efficacy of neoadjuvant therapy, potentially leading to improved surgical outcomes and radical D2 resection rates.
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