Claudin 18.2-Targeted Chimeric Antigen Receptor T-cells in Subjects With Unresectable, Locally Advanced, or Metastatic Gastric, Gastroesophageal Junction (GEJ), Esophageal, or Pancreatic Adenocarcinoma

1. Prior treatment with cellular immunotherapy (e.g., CAR-T) or gene therapy product.

2. Antitumor therapy prior to Screening as follows (Part A and Part B Monotherapy Regimen \[second- or later-line subjects\] subjects only):

* Any systemic anticancer therapy (including investigational) within 7 days or at least 5 halflives, whichever is shorter.

* Monoclonal antibody therapy within 2 weeks. Type of monoclonal antibody should be communicated with Sponsor.

Palliative radiotherapy is permitted with a safety break, the length of which is at the discretion of the Investigator. Radiotherapy directed at sites of disease assessment is also permitted at the discretion of the Investigator and exclusion of the radiated site for disease assessments.

3. Unstable/active ulcer, varices, or digestive tract bleeding or recent digestive surgery that may have increased risk of bleeding.

4. Clinically significant ascites, pleural or peritoneal effusions requiring weekly clinical intervention at screening.

5. Subjects who are on therapeutic anticoagulation. (Note: subjects who are on therapeutic antiplatelet therapy or prophylactic anticoagulation are permitted to participate if deemed to not be at an increased risk of bleeding from their underlying disease or procedures and are required to obtain approval from Sponsor. Similarly, subjects who can have therapeutic anticoagulation de-escalated to prophylactic dosing prior to LB1908 infusion are also eligible).

6. Known inherited or acquired immune deficiency without the ability of medical control or normalization.

7. History or known brain metastasis or leptomeningeal metastasis. Part B Cohorts MR1 and MR2: Subjects can have brain metastases if previously treated and confirmed stable for at least 4 weeks prior to study entry.

8. Subjects with heavy tumor burden such as significant lung disease or extensive liver metastases (e.g., \> 5 liver lesions or a single dominant lesion \> 5 cm in maximal dimension).

9. Active autoimmune disease receiving immunosuppressants (e.g., cyclosporine or high dose systemic steroids) prior to screening as follows:

* Within 2 weeks or 5 half-lives, whichever is longer (those with inhaled or topical steroids recently or currently are not excluded.)

* Immune-related AEs due to prior immune checkpoint therapy must be ≤ Grade 1 with no ongoing immunosuppression, including a systemic steroid dose ≤ 20 mg daily of prednisone equivalent.

10. Impaired cardiac function or clinically significant cardiac disease including:

* Unstable angina or myocardial infarction or coronary artery bypass graft (CABG) within 6 months prior to apheresis.

* New York Heart Association (NYHA) Stage III or IV congestive heart failure.

* History of medically uncontrolled clinically significant cardiac arrhythmia (e.g., ventricular tachycardia), complete left bundle branch block, high-grade atrioventricular (AV) block, or third-degree AV block.

11. Prior or active malignancy other than the study indication requiring active therapy and/or in the judgment of the Investigator or Sponsor may affect the interpretation of the study endpoints, including the following exceptions:

* Smoldering low grade malignancies may be acceptable as long as the Investigator assesses them of having a significant longer life expectancy than the underlying gastric/pancreatic tumor, after discussion with the Sponsor. Carcinoma in situ.

* Non-melanoma skin cancer (e.g., basal cell or squamous cell carcinoma).

12. Serious and/or uncontrolled medical condition that, in the Investigator's judgment, would cause unacceptable safety risk, interfere with study procedures or results, or compromise compliance with the protocol, such as:

* Active, uncontrolled, viral, bacterial, or systemic fungal infection.

* Requirement of supplemental oxygen to maintain oxygen saturation.

* Clinical evidence of dementia or altered mental status.

13. Active central nervous system (CNS) disorder, stroke or seizure within 6 months of screening.

14. Current known active infection with human immunodeficiency virus (HIV), hepatitis B, and/or hepatitis C virus (HBV/HCV).

* For subjects who are known carriers of HBV, active hepatitis B infection must be ruled out based on negative serologic testing and/or determination of HBV deoxyribonucleic acid (DNA) viral load per institutional guidelines.

* For subjects with known history of HCV infection, confirmation of sustained virologic response (SVR) is required for study eligibility, defined as ≥24 weeks from initiation of antiviral therapy.

15. Contraindications or life-threatening allergies, hypersensitivity, or intolerance to LB1908b excipients, such as dimethyl sulfoxide (DMSO); or to fludarabine, cyclophosphamide, or tocilizumab.

16. Ongoing toxicity from previous anticancer therapy that has not resolved to Grade 2 or less, except for alopecia, fatigue, nausea, and constipation.

For Part B Cohorts CR1 and CR2: toxicity from ongoing chemotherapy that is reversible and expected to resolve (based on the discretion of the treating physician) by the time of LD chemotherapy is not necessarily exclusionary.

17. Any prior ≥ Grade 3 gastritis or gastric mucosal injury with zolbetuximab, or lower grade events that have not recovered to Grade 1 or baseline.

18. Major surgery within 4 weeks prior to enrollment, failure to adequately recover from recent surgery, or planned surgery within 4 weeks after LB1908 administration.

19. Pregnant or breast-feeding.

20. Plans to become pregnant or breastfeed, or father a child within 1 year after receiving a LB1908 infusion.

21. Previous history of allogeneic hematopoietic stem cell transplantation (HSCT), major organ transplant or in preparation for organ transplant.

What this study is about