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CompletedNCT04181333Updated Apr 14, 2026Results posted

Safety and Efficacy of Trastuzumab BS

An observational study in Gastric Cancer, sponsored by Pfizer. Completed at 1 site in Japan. Open to participants aged 0 Years and older. Per ClinicalTrials.gov, last updated 2026-04-14.

Sponsored by Pfizer · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
8
Ages
0 Years and older
Sex
All
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Study summary

To confirm the safety and efficacy of this drug under the actual use

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Conditions studied

  • Gastric Cancer

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Keywords

  • Recurrent HER2-Overexpressing Gastric Cancer
  • TRASTUZUMAB BS
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In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's enrollment of 8 is below the median of 274 across 670 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
0 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

100 patients

Inclusion criteria

  • Patients with unresectable advanced/recurrent gastric cancer who are confirmed to have HER2 overexpression and started treatment with this drug*
  • Patients who receive this drug* for the first time after this drug* is launched * Not including the biological product, HERCEPTIN, and biosimilars of HERCEPTIN other than this drug

Exclusion criteria

Exclusion Criteria:

- not specified in this study

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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
8 participants (actual)
Patient registry
No

Groups and cohorts

  • TRASTUZUMAB BS

    Unresectable Advanced/Recurrent HER2-Overexpressing Gastric Cancer patients injected TRASTUZUMAB BS

    Drug: TRASTUZUMAB BS

Interventions

  • DrugTRASTUZUMAB BS

    Regimen A or regimen B is used for HER2-overexpressing breast cancer. RegimenB is used for HER2-overexpressing unresectable advanced or recurrent gastric cancer in combination with other anti tumor agent(s). Regimen A: The recommended dose for trastuzumab (genetical recombination) \[Trastuzumab Biosimilar 3\] in adult patients is 4 mg/kg (weight) at initial dose and 2 mg/kg after the second dose, in both of them, by IV drip infusion over 90 minutes once daily every week. Regimen B: The recommended dose for trastuzumab (genetical recombination) \[Trastuzumab Biosimilar 3\] in adult patients is 8 mg/kg (weight) at initial dose and 6 mg/kg after the second dose, in both of them, by IV drip infusion over 90 minutes once daily every 3 weeks. If the initial dose is well tolerated, the dosing time after the second dose can be shortened up to 30 minutes.

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What researchers measure

Primary outcomes

  1. The Incidence of Adverse Drug Reactions (ADRs)

    An ADR was a treatment-related adverse event, and any untoward medical occurrence attributed to TRASTUZUMAB BS for Intravenous Infusion 60mg \[Pfizer\] and/or 150mg \[Pfizer\] in a participant who received this drug. A serious ADR was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; and congenital anomaly/birth defect. Relatedness to this drug was assessed.

    Time frame: From Day 1 to 28 days after the last dose within 24 weeks; to the first dose after 24 weeks; or to the next treatment. If discontinued before 24 weeks, it was until 28 days after discontinuation or until the next treatment. Maximum duration was 28 weeks.

Secondary outcomes

  1. Response Rate According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

    The physician in charge evaluated the effectiveness of this drug based on the best overall response \[complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), inevaluable (NE) or Non-CR/Non-PD\] using the effectiveness assessment items in the RECIST Version 1.1 at the end of the observation period or at discontinuation. The physician identified target lesions and non-target lesions in the classification of tumor lesions at the start of administration of this drug, and confirmed the presence or absence of new lesions in addition to the results of assessment of tumor response in each tumor lesion during the observation period, and then evaluated overall response. The total proportion of participants with CR + PR was evaluated as an overall response (OR) rate along with a 95% confidence interval.

    Time frame: From Day 1 to 28 days after the last dose within 24 weeks from Day 1; to the first dose after 24 weeks; or to the next treatment. If discontinued, it ends at the time of discontinuation. Maximum duration was 28 weeks.

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Results

Posted Apr 14, 2026

Participant flow

Participant flow — Overall Study
MilestoneTRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
Started8
Completed7
Not completed1
Withdrew: No informed consent for publication of study results1

Outcome measures

PrimaryThe Incidence of Adverse Drug Reactions (ADRs)

An ADR was a treatment-related adverse event, and any untoward medical occurrence attributed to TRASTUZUMAB BS for Intravenous Infusion 60mg \[Pfizer\] and/or 150mg \[Pfizer\] in a participant who received this drug. A serious ADR was a treatment-related adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; and congenital anomaly/birth defect. Relatedness to this drug was assessed.

Time frame:
From Day 1 to 28 days after the last dose within 24 weeks; to the first dose after 24 weeks; or to the next treatment. If discontinued before 24 weeks, it was until 28 days after discontinuation or until the next treatment. Maximum duration was 28 weeks.
Reported as:
Count of participants · Participants
The Incidence of Adverse Drug Reactions (ADRs)
ParticipantsTRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
ADR4
Serious ADR0
SecondaryResponse Rate According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

The physician in charge evaluated the effectiveness of this drug based on the best overall response \[complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), inevaluable (NE) or Non-CR/Non-PD\] using the effectiveness assessment items in the RECIST Version 1.1 at the end of the observation period or at discontinuation. The physician identified target lesions and non-target lesions in the classification of tumor lesions at the start of administration of this drug, and confirmed the presence or absence of new lesions in addition to the results of assessment of tumor response in each tumor lesion during the observation period, and then evaluated overall response. The total proportion of participants with CR + PR was evaluated as an overall response (OR) rate along with a 95% confidence interval.

Time frame:
From Day 1 to 28 days after the last dose within 24 weeks from Day 1; to the first dose after 24 weeks; or to the next treatment. If discontinued, it ends at the time of discontinuation. Maximum duration was 28 weeks.
Reported as:
Number · Percentage of Participants
Response Rate According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Percentage of ParticipantsTRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
Response Rate According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.185.7 (42.1 to 99.6)

Adverse events

Collected over From Day 1 to 28 days after the last dose within 24 weeks from Day 1; to the first dose after 24 weeks; or to the next treatment. If discontinued before 24 weeks, it was until 28 days after discontinuation or until the next treatment. Maximum duration was 28 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)2/7 (28.6%)3/7 (42.9%)6/7 (85.7%)
Most frequent serious events
Most frequent serious events
EventTRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
Mechanical ileusGastrointestinal disorders1/7
Sudden deathGeneral disorders1/7
Neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/7
Most frequent other events
Most frequent other events
EventTRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
NeutropeniaBlood and lymphatic system disorders1/7
ThrombocytopeniaBlood and lymphatic system disorders1/7
ChillsGeneral disorders1/7
PyrexiaGeneral disorders1/7
Infusion related reactionInjury, poisoning and procedural complications1/7
Renal impairmentRenal and urinary disorders1/7
HypoxiaRespiratory, thoracic and mediastinal disorders1/7
Pulmonary artery thrombosisRespiratory, thoracic and mediastinal disorders1/7
HypertensionVascular disorders1/7

Baseline characteristics

A total of 8 participants were enrolled in this study. Of the 8 participants from whom case report forms were collected. The 7 participants were included in the safety analysis set (SAS).

Age, Customized
Age, Customized(Participants)TRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
<15 years0
≥15 and <65 years0
≥65 years7
Sex: Female, Male
Sex: Female, Male(Participants)TRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
Female1
Male6
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)TRASTUZUMAB BS for Intravenous Infusion 60mg [Pfizer] and 150mg [Pfizer] (Trastuzumab Biosimilar 3)
08

Study locations

1 site
  • Pfizer
    Tokyo, Japan
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References and documents

Study documents

  • Study protocol · Jul 18, 2025
  • Statistical analysis plan · Dec 12, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04181333
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Nov 29, 2019
Start date
Aug 9, 2023
Primary completion
Mar 27, 2025
Completion
Mar 27, 2025
Results posted
Apr 14, 2026
Last update
Apr 14, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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