<?xml version="1.0" encoding="UTF-8"?><protocol_summary><protocol><id>15793</id><no>S2303-NCT06203600</no><status>Open</status><title>Randomized Phase II/III Trial of 2nd Line Nivolumab + Paclitaxel + Ramucirumab Versus Paclitaxel + Ramucirumab in Patients With PD-L1 CPS &gt;= 1 Advanced Gastric and Esophageal Adenocarcinoma (PARAMMUNE)&#xD;
</title><secondary_protocol_no>S2303</secondary_protocol_no><nct_id>NCT06203600</nct_id><sponsor_type>National</sponsor_type><age_group>Adult</age_group><treatment_type>Treatment</treatment_type><phase>II/III</phase><disease_site>Other</disease_site><PI>Noel, Marcus</PI><institution>Georgetown University Medical Center : Princess Jones; Lombardi Comprehensive Cancer Center : Princess Jones</institution><oncology_group>Gastrointestinal<DOWG_name>Oncology Group</DOWG_name></oncology_group><management_group>Lombardi Comprehensive Cancer Center (LCCC)</management_group><item><contact_id>14509</contact_id><item_description>Princess Jones</item_description><js_safe_str>Princess Jones</js_safe_str><email>paj24@georgetown.edu</email></item></protocol><sipVersion>2026.1.0 Build 16</sipVersion><copyright> &lt;a href="https://advarra.com" target="_blank"&gt;&amp;copy; 2026 Advarra, Inc.&lt;/a&gt; </copyright></protocol_summary>