Patient description: The patient is a 35-year-old woman with myasthenia gravis, class IIa. She complains of diplopia and fatigue and weakness that affects mainly her upper limbs. She had a positive anti-AChR antibody test, and her single fiber electromyography (SFEMG) was positive. She takes pyridostigmine 60 mg three times a day. But she still has some symptoms that interfere with her job. She is a research coordinator and has 3 children. Her 70-year-old father has hypertension. She does not smoke or use illicit drugs. She drinks alcohol occasionally at social events. Her physical exam and lab studies were not remarkable for any other abnormalities. BP: 110/75 Hgb: 11 g/dl WBC: 8000 /mm3 Plt: 300000 /ml Creatinine: 0.5 mg/dl BUN: 10 mg/dl Beta hcg: negative for pregnancy

Clinical trial eligibility criteria: eligible ages (years): 18.0-75.0,  Gastric Cancer Stage III Voluntary participation in the clinical study; fully understands and is informed of the study and has signed the Informed Consent Form (ICF). 2. The gender is not limited. Age: ≥ 18 years and ≤ 75 years old. 3. Gastric or gastroesophageal junction adenocarcinoma confirmed by pathology. 4. Without evidence of distant metastatic disease before operation by imaging. 5. Received D2 or D2+ radical gastrectomy by open surgery (R0 resection). 6. Stage III gastric cancer confirmed by postoperative pathology (AJCC/UICC 8th TNM staging classification). 7. Participants with a performance status of 0 ~ 1 on the Eastern Cooperative Oncology Group (ECOG) within 7 days before the first dose of study treatment. 8. Life expectancy ≥ 6 months. 9. The functions of the vital organs meet requirements as follow (within 14 days before the first dose of study treatment, participant has not received treatment of blood transfusion, albumin, recombinant human thrombopoietin or granulocyte stimulating factor): A. Hematological function： White blood cell count (WBC): 3.5 × 10 ^ 9 / L ~12.0 × 10 ^ 9 / L； Absolute neutrophil count (ANC) ≥ 1.5 × 10 ^ 9 / L； Platelet count (PLT) ≥ 100 × 10 ^ 9 / L； Hemoglobin (Hb) ≥ 90 g / L. B. Hepatic function： Total bilirubin (TBIL) ≤ 1.5 × ULN (upper limit of normal) Aspartate aminotransferase (AST) ≤ 2.5 × ULN Alanine aminotransferase (ALT) ≤ 2.5 × ULN Albumin (ALB) ≥ 30 g / L. C. Renal function： Creatinine (Cr) ≤ 1.5 × ULN, or creatinine clearance ≥ 60 ml / min for those with creatinine level > 1.5 × ULN. D. Coagulation function：  Received previous chemotherapy, radiotherapy, targeted therapy or immunotherapy. 2. Previous or concurrent have other active malignant tumors (except for basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, prostate cancer or cervical cancer or breast cancer in situ that has undergone curative therapy). 3. Existence of unrecovered complications after radical gastrectomy before the first dose of study treatment (including but not limited to: infection, gastrointestinal bleeding/ obstruction, anastomotic fistula, pancreatic fistula and anastomotic stenosis). 4. Myocardial infarction within 6 months before the first dose of study treatment, uncontrolled angina, arrhythmia which need medical intervention (including but not limited to cardiac pacemaker), congestive heart failure (New York Heart Association (NYHA) class III or IV), echocardiogram shows left ventricular ejection fraction (LVEF) < 50%. 5. Existence of chronic diarrhea (watery diarrhea: ≥ 5 times per day). 6. Participants with active infection within 14 days before the first dose of study treatment which need medical intervention. 7. Participants with active tuberculosis. 8. Previous or concurrent diagnosed with interstitial lung disease by imaging or symptoms. 9. Any of the following test is positive: Human Immunodeficiency Virus (HIV) antibody, Hepatitis B surface Antigen (HBsAg), or Hepatitis C Virus (HCV) antibody. 10. Females who are pregnant or breastfeeding or expecting to conceive during the study period. 11. Participants who need long-term systemic steroid therapy (> 10 mg/d prednisone equivalent) or any other form of immunosuppressive therapy within 14 days before the first dose of study treatment or during the study period. 12. Concurrent or previous have severe allergic reaction to any antibody-based drugs. 13. Existence of any concurrent autoimmune disease, excepting participants with diabetes mellitus type I, hypothyroidism requiring only hormone replacement therapy and skin diseases without systemic treatment (such as vitiligo, psoriasis or alopecia). 14. Receive live vaccines within 28 days before the first dose of study treatment or during the study period, excepting inactivated viral vaccines for seasonal influenza. 15. Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation. 16. Existence of systemic disease that is difficult to control despite treatment with several agents, for example, diabetes mellitus, hypertension, etc. 17. Existence of other serious physical or mental diseases or serious laboratory abnormalities that may increase the risk of participating in the study. Participants who were judged unsuitable as subjects of this trial by investigator