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CompletedNCT05606094Updated Dec 15, 2023

Real-World Observational Study to Describe Treatment Patterns in Patients With HER2-Positive Locally Advanced or Metastatic Gastric or Gastroesophageal Junction Cancer in East Asia

An observational study in Gastric Cancer, sponsored by Daiichi Sankyo Co., Ltd.. Completed at 31 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-15.

Sponsored by Daiichi Sankyo Co., Ltd. · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
450
Ages
18 Years and older
Sex
All
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Study summary

This study will be conducted to understand real-world treatment patterns, participant characteristics (demographic and clinico-pathological characteristics), clinical outcomes and safety of different treatment regimens, and healthcare resource utilization in East Asia for HER2-positive locally advanced or metastatic gastric or gastroesophageal adenocarcinoma (de novo advanced disease, relapsed/progressed) in a real-world setting.

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Conditions studied

  • Gastric Cancer

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Keywords

  • Gastric Cancer
  • Adenocarcinoma
  • Gastroesophageal Junction Adenocarcinoma
03

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 450 is above the median of 274 across 670 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Daiichi Sankyo Co., Ltd. is the lead sponsor of 72 studies on the registry; none are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The target population for data collection of this study is the participants who were diagnosed with HER2-positive locally advanced or mGC/GEJC (adenocarcinoma, de novo advanced disease, relapsed/progressed), since 1 January, 2016, having completed at least 1 LOT with availability of 6 months follow-up data from the date of 2nd LOT initiation unless participant died within the first 6 months since the 2nd LOT initiation in an advanced setting in East Asia.

Inclusion criteria

  • Adult participants at the time of 1st LOT (Index Date 1e) initiation - Adult patients ≥18 years old. (Please follow local regulatory requirements if the legal age of consent for study participation is >18 years old.)
  • Participants or next of kin/legal representatives who are willing to provide written informed consent as per the local regulations (if IRB/IEC/EC grants a permission to waive informed consent, it is not necessary).
  • Participants who were pathologically and/or clinically diagnosed with locally advanced or metastatic gastric or gastroesophageal adenocarcinoma (de novo advanced disease, relapsed/progressed) since January 1, 2016, and its record is available at the study participating site.
  • Participants whose HER2 status were pathologically confirmed HER2-positive (IHC3+ or IHC2+/ISH-positive) before/at the Index Date 2f based on the most recent archived tumor tissue sample to the Date of Diagnosisg, and its record is available at the study participating site.
  • Participants who received at least 1 LOT for HER2-positive locally advanced or mGC/GEJC in an advanced setting, and its record is available at study participating site. Trastuzumab or its biosimilar use is not required.

    °Progression on or within 6 months post neoadjuvant or adjuvant therapy is counted as "rapid progressor" in a neo-adjuvant/adjuvant setting, and thus equivalent to advanced/metastatic disease failing 1 LOT.

  • Participants who have at least 6 months of follow-up data from the date of 2nd LOT initiation (Index Date 2f) unless participant died within the first 6 months from the Index Date 2, and its record is available at the study participating site.

    • For rapid progressor participants in a neo-adjuvant/adjuvant setting, "Index Date 1" will be the date of neo-adjuvant treatment initiation or adjuvant treatment initiation.

Exclusion criteria

Exclusion Criteria:

  • Participants with a change in HER2 status from positive to negative at progression from early-stage to advanced-stage disease (change from HER2-positive to HER2-negative on repeat biopsy during treatment for advanced stage can be participated). However, if HER2-positive was confirmed before the Date of Diagnosis (or if HER2-positive was confirmed using an archived tumor tissue sample collected during early stage) and the result was followed to make the decision for the 1st LOT, this is not the case.
  • Participants who had multiple cancer within 3 years of 1st LOT initiation (Index Date 1), except adequately resected melanoma skin cancer, curatively treated in-situ disease, other solid tumors curatively treated.
  • Participants who are participating or have participated in an interventional study that remains blinded at time of informed consent (IC) or at the time of data collection for participants whose IC is waived by the local IRB/EC/IEC.
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
450 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Percentage of Participants Receiving Each Regimen in Each Line of Treatment (LOT)

    Percentage of participants receiving each regimen in each line of treatment (LOT) since 1st LOT initiation will be assessed. LOT is defined as one regimen, possibly a combination of several drugs, given from the date of initiation of each LOT until the treatment failed to control the disease, is not tolerated by the participant, at the time of disease relapse/progression or death.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  2. Duration of Therapy for Each Regimen

    Duration of Therapy (DoT) is defined as the length of time from initiation of each LOT to permanent discontinuation of the treatment.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  3. Reasons for Stopping Treatments in Each Line of Treatment (LOT)

    Reasons for stopping treatments will be ascertained by patient charts and assessed by frequency and percentage.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  4. Treatment Sequencing Pathways

    Treatment sequencing from 1st LOT to 2nd LOT and to the subsequent LOT will be assessed.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  5. Percentage of Participants Receiving Locoregional Treatment for Localized Disease and Metastasis (Radiotherapy and/or Surgery)

    Percentage of participants receiving locoregional treatment for localized disease and locoregional treatment for metastasis (radiotherapy and/or surgery) since 1st LOT initiation will be assessed.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

Secondary outcomes

  1. Real World Progression Free Survival

    Length of time from the date of initiation of LOT to the date of real-world disease progression or death due to any cause, whichever comes first.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  2. Real Word Overall Survival

    Length of time from the date of initiation of LOT to death due to any cause.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  3. Real World Time to Treatment Failure

    Length of time from the initiation of LOT to the date of real-world disease progression, treatment discontinuation, or death due to any cause, whichever occurs first.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  4. Real World Time to Discontinuation

    Length of time from the date the participant initiates the LOT to the date the participant discontinues that LOT or death due to any cause, whichever occurs first.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  5. Real-world Time to Next Treatment

    Length of time from the date the participant initiates the LOT to the date the participant initiates next LOT or death from any cause, whichever occurs first.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  6. Real Word Objective Response Rate

    Proportion of participants who achieved real-world complete response or real-world partial response to treatment for each LOT.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  7. Real World Disease Control Rate

    Proportion of participants with real-world complete response, real-world partial response and real-world stable disease during treatment for each LOT.

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  8. Number of Deaths in Each Line of Treatment

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  9. Cause of Death in Each Line of Treatment

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

  10. Number of Participants with Adverse Events of Special Interest (AESI) In Each Line of Treatment

    Time frame: From the date of 1st line of treatment initiation to the end of follow-up, approximately 12 months

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Study locations

31 sites
  • Sichuan Cancer Hospital
    Chengdu, 610041, China
  • Sun Yat-sen University Cancer Center
    Guangdong, 510060, China
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, 230022, China
  • Hubei Cancer Hospital
    Hubei, 430079, China
  • Shanghai Changhai Hospital
    Shanghai, 200433, China
  • Tianjin Medical University Hospital
    Tianjin, 300060, China
  • Second Affiliated Hospital ZheJiang University School of Medicine
    Zhejiang, 310017, China
  • Henan Cancer Hospital
    Zhengzhou, 450003, China
  • Queen Mary Hospital
    Pok Fu Lam, Hong Kong
  • Prince of Wales Hospital
    Sha Tin, Hong Kong
  • Tuen Mun Hospital
    Tuen Mun, Hong Kong
  • Dong-A University Hospital
    Busan, Korea, Republic of
  • Chungbuk National University Hospital
    Cheongju-si, 28644, Korea, Republic of
  • Kyungpook National University Chillgok Hospital
    Deagu, Korea, Republic of
  • Pusan National University Yangsan Hospital
    Gyeongsangnam-do, Korea, Republic of
  • Kangbuk Samsung Hospital
    Seoul, 04514, Korea, Republic of
  • Samsung Medical Center
    Seoul, 06351, Korea, Republic of
  • Chung-Ang University Hospital
    Seoul, 06973, Korea, Republic of
  • Korea University Anam Hospital
    Seoul, Korea, Republic of
  • Seoul National University Hospital
    Seoul, Korea, Republic of
  • Severance Hospital
    Seoul, Korea, Republic of
  • Chiayi Chang Gung Memorial Hospital
    Chiayi City, 61363, Taiwan
  • Kaohsiung Chang Gung Memorial Hospital
    Kaohsiung, Taiwan
  • Kaohsiung Medical University Hospital
    Kaohsiung, Taiwan
  • China Medical University Hospital
    Taichung, Taiwan
  • National Cheng Kung University Hospital
    Tainan, 704, Taiwan
  • Chi Mei Medical Center
    Tainan, Taiwan
  • Taipei Veterans General Hospital
    Taipei, 112, Taiwan
  • Koo Foundation Sun Yat-Sen Cancer Center
    Taipei, Taiwan
  • MacKay Memorial Hospital
    Taipei, Taiwan
  • Linkou Chang Gung Memorial Hospital
    Taoyuan, 33305, Taiwan
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References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Supporting information: Study protocol, Sap, Icf

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 15, 2023, 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
NCT05606094
Lead sponsor
Daiichi Sankyo Co., Ltd.
Responsible party
Sponsor
First posted
Nov 4, 2022
Start date
Mar 9, 2023
Primary completion
Nov 30, 2023
Completion
Nov 30, 2023
Last update
Dec 15, 2023

Study contacts

Clinical Study Leader
study director · Daiichi Sankyo

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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