Clinical trial Recruiting at 34 sites Observational Ages 18 and up

Evaluating the effectiveness and safety of Trastuzumab Deruxtecan in advanced HER2-positive gastric cancer in China

Official title: Real-world Effectiveness and Safety of Trastuzumab Deruxtecan in Patients With Locally Advanced or Metastatic HER2-positive Gastric or Gastroesophageal Junction Adenocarcinoma in China: A Nation-wide, Multi-center, Prospective, Non-interventional Study

Run by Daiichi Sankyo · NCT06846996 · Data updated 2026-11-12

This study is testing how well Trastuzumab Deruxtecan works and how safe it is for people in China with advanced HER2-positive stomach cancer who are already receiving this treatment.

More HER2-positive Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment260 (estimated)
SponsorDaiichi Sankyo
Industry-sponsored
Drugs / interventionsTrastuzumab
Locations40 sites (Beijing and 39 other locations)
StatusRecruiting
StartedFebruary 27, 2025
Main results expectedJuly 31, 2027
Study endsJuly 31, 2027
Registry record updatedAugust 18, 2026
Trial IDNCT06846996 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with pathologically diagnosed locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma who are initiating treatment with T-DXd.

Probably not a fit

Patients who are pregnant, breastfeeding, or do not meet the inclusion criteria will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to gather real-world data on the effectiveness and safety of Trastuzumab Deruxtecan (T-DXd) in patients with locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma. The primary focus is to assess real-world time to treatment failure, while secondary objectives include evaluating treatment-related adverse events and time to next treatment. Participants will be those who have already initiated T-DXd treatment, and data will be collected without administering any additional drugs as part of the study protocol.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the real-world effectiveness and safety of T-DXd for patients with advanced HER2-positive gastric cancer.

How similar studies have gone: While traditional clinical trials have confirmed T-DXd's efficacy, this study aims to fill the gap in real-world evidence, particularly among Chinese patients, making it a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Participants must meet all the following inclusion criteria to be eligible for the study:

1. Participants with pathologically diagnosed locally advanced unresectable or metastatic gastric cancer/gastroesophageal junction adenocarcinoma (GC/GEJA).
2. ≥18 years of age at the time of starting the first dose of T-DXd and signing informed consent form (ICF), capable of providing informed consent.
3. HER2-positive status (IHC 3+ or IHC 2+/ISH +).
4. Received prior anti-cancer treatment regimens according to National Medical Products Administration indication or clinical judgement of physician.
5. Decision to newly initiate T-DXd before study ICF signing. If the participants have started the first dose of T-DXd no longer than 21 days before enrollment, they could be enrolled if the signed and dated ICF could be obtained.

Exclusion Criteria:

Participants who meet any of the following criteria will be excluded from the study:

1. Pregnancy or breastfeeding.
2. Participants who at the time of data collection of the study are participating in or have participated in an interventional study that remains blinded.
3. Known hypersensitivity to either the drug substances or inactive ingredients in the drug product.
4. Judged by the investigator to be unfit to participate in the study.

Where it's running

  • Beijing Chaoyang Hospital, Capital Medical University
    Beijing, China
    Recruiting
  • Chinese Academy of Medical Sciences Cancer Hospital
    Beijing, China
    Recruiting
  • China-Japan Friendship Hospital
    Beijing, China
    Recruiting
  • Beijing Friendship Hospital,Capital Medical University
    Beijing, China
    Recruiting
  • Peking University First Hospital
    Beijing, China
    Recruiting
  • Beijing Cancer Hospital
    Beijing, China
    Recruiting
Show 34 more locations
  • Beijing GoBroad Hospital
    Beijing, China
    Recruiting
  • Changzhi People's Hospital
    Changzhi, China
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, China
    Recruiting
  • Guangdong Provincial People's Hospital
    Guangzhou, China
    Recruiting
  • The First Affiliated Hospital, Sun Yat-sen University
    Guangzhou, China
    Recruiting
  • Affiliated Cancer Hospital and Institute of Guangzhou Medical University
    Guangzhou, China
    Recruiting
  • Guangdong Hospital of Traditional Chinese Medicine
    Guangzhou, China
    Recruiting
  • Hainan General Hospital
    Haikou, China
    Recruiting
  • Zhejiang Cancer Hospital
    Hangzhou, China
    Recruiting
  • The Second Affiliated Hospital Zhejiang University School of Medicine
    Hangzhou, China
    Recruiting
  • Anhui Province Cancer Hoospital
    Hefei, China
    Recruiting
  • Jiangmen Central Hospital
    Jiangmen, China
    Recruiting
  • Nanjing Drum Tower Hospital
    Nanjing, China
    Recruiting
  • Jiangsu Cancer Hospital
    Nanjing, China
    Recruiting
  • Shanghai GoBroad Cancer Hospital
    Shanghai, China
    Recruiting
  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine
    Shanghai, China
    Recruiting
  • Fudan University Affiliated Cancer Hospital
    Shanghai, China
    Recruiting
  • Zhongshan Hospital
    Shanghai, China
    Recruiting
  • Huadong Hospital Affiliated to Fudan University
    Shanghai, China
    Recruiting
  • Cancer Hospital of Shantou University Medical College
    Shantou, China
    Recruiting
  • Shanxi Cancer Hospital
    Taiyuan, China
    Recruiting
  • Taizhou Hospital of Zhejiang Province
    Taizhou, China
    Recruiting
  • Tianjin Medical University Cancer Institute and Hospital
    Tianjin, China
    Recruiting
  • The Second Hospital of Tianjin Medical University
    Tianjin, China
    Recruiting
  • The Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, China
    Recruiting
  • The Affiliated Hospital of Xiamen University
    Xiamen, China
    Recruiting
  • The Affiliated Hospital of Xuzhou Medical University
    Xuzhou, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, China
    Recruiting
  • Peking Union Medical College Hospital
    Beijing, China
    Withdrawn
  • The First Hospital of Jilin University
    Changchun, China
    Not yet recruiting
  • Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
    Hangzhou, China
    Withdrawn
  • Shanghai ninth People's Hospital,Shanghai Jiaotong University School of Medicine
    Shanghai, China
    Not yet recruiting
  • Liaoning Cancer Hospital
    Shenyang, China
    Withdrawn
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, China
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.