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Not yet recruitingNCT05649163Updated Dec 16, 2022

Real-world Study of HER2-overexpressed Advanced Solid Tumors After Progression of First-line Standard Therapy

An observational study in HER2, Advanced Gastric Cancer and Advanced Gastroesophageal Junction Adenocarcinoma, sponsored by Shen Lin. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-16.

Sponsored by Shen Lin · Observational

From the registry’s dates

  • Primary completion was expected by Jan 2025, 1 year 9 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
306
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to learn about in describe treatment pattern and clinical outcomes in patients with HER2-overexpressed advanced solid tumors after progression of first-line standard therapy. The main questions it aims to answer are:

  • To evaluate the real-world safety and efficacy of Disitamab Vedotin in second-line and beyond treatment of advanced solid tumors with HER2 overexpression
  • To describe the treatment pattern and clinical outcomes of patients with advanced gastric cancer with HER2 overexpression in real world Settings after the failure of first-line standard therapy.
Read the detailed description

This is a prospective, non-interventional, multi-cohort, multi-center real-world study to evaluate the treatment pattern and clinical outcomes of patients with advanced HER2-overexpressed solid tumors after the progression of first-line standard therapy. Enrolled subjects in this study were treated according to the treatment protocol established by physicians according to clinical routine. The tests, examinations and drug use in the study were consistent with the requirements of the clinical practice. No additional tests, examinations and drugs were generated from the data collection in this study. The study included 306 patients with HER2-overexpressed advanced gastric/gastroesophageal junction (GEJ) adenocarcinoma and other advanced solid tumors who had failed previous first-line standard therapy. HER2 overexpression was defined as IHC2+ or IHC3+ detected by immunohistochemistry (IHC) (either primary or metastatic tumor tissue).

02

Conditions studied

  • HER2
  • Advanced Gastric Cancer
  • Advanced Gastroesophageal Junction Adenocarcinoma
  • Advanced Solid Tumor

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03

In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's planned enrollment of 306 is above the median of 153 across 332 observational studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Shen Lin is the lead sponsor of 10 studies on the registry; 3 are open to participants now.

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

Patients with advanced solid tumors with HER2 overexpression after previous first-line standard therapy failure

Inclusion criteria

  • Signing informed consent and agreeing to comply with study requirements;
  • Age ≥18 years old, gender unlimited;
  • ECOG physical status 0-2 points;
  • Patients with locally advanced or metastatic solid tumors confirmed histologically or cytologically;Cohort1-2 cohort: patients who had received at least previous first-line standard therapy (HER2 IHC3+ or IHC2+/FISH+ patients with first-line trastuzumab (or its biosimilar) combined with chemotherapy (fluorouracil and/or platinum-based chemotherapy);IHC2+/FISH- patients with first-line Immunotherapy combined with chemotherapy (fluorouracil and/or platinum-based chemotherapy) or chemotherapy alone);In Cohort3 cohort, patients received at least the standard first-line treatment clearly recommended by the guidelines. Patients with clear disease progression confirmed by the investigator or documented history.
  • HER2 overexpression was defined as 2+ or 3+ immunohistochemistry (both primary and metastatic tumor tissue were acceptable), and previous patient test results (confirmed by the investigator) or center test results were acceptable.
  • Have measurable or evaluable lesions according to RECIST1.1 criteria;
  • The investigator evaluated that the patients would benefit from the study treatment;
  • Good compliance, willing and able to follow the trial and follow-up procedures;
  • Have traceable patient medical records.

Exclusion criteria

Exclusion Criteria:

  • Known hypersensitivity or delayed allergic reactions to certain components of the study drug or similar drugs;
  • Participating in any interventional clinical trials;
  • The investigator assessed inappropriate inclusion.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
306 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cohort1

    Cohort1: About 186 patients with histologically or cytologically confirmed gastric/gastroesophageal junction (GEJ) adenocarcinoma with HER2 overexpression who received a regimen containing Disitamab Vedotin;

    Drug: Disitamab Vedotin

  • Cohort2

    Cohort2: About 80 patients with histologically or cytologically confirmed HER2-overexpressed gastric cancer /GEJ adenocarcinoma who received an investigator-selected regimen in addition to Disitamab Vedotin;

    Drug: Disitamab Vedotin

  • Cohort3

    Cohort3: Approximately 40 patients with other advanced solid tumors histologically or cytologically confirmed with HER2-overexpression and receiving a regimen containing Disitamab Vedotin.

    Drug: Disitamab Vedotin

Interventions

  • DrugDisitamab Vedotin

    Cohort 1: received a regimen containing Disitamab Vedotin. Cohort 2: received an investigator-selected regimen in addition to Disitamab Vedotin; Treatment options selected by the investigator: no treatment containing Disitamab Vedotin was given, and other systemic antitumor agents (including chemotherapy, such as paclitaxel, docetaxel, irinotecan, and fluorouracil) were selected by the investigator in line with clinical practice. Targeted therapy: such as apatinib, ramucirumab; Combination therapy: ramucirumab + paclitaxel; Immune checkpoint inhibitors such as PD1/PD-L1); Cohort 3: receiving a regimen containing Disitamab Vedotin.

    Also known as: RC48

06

What researchers measure

Primary outcomes

  1. The incidence of grade 3 and above adverse events associated with Disitamab Vedotin treatment during the study period.

    The incidence of grade 3 and above adverse events associated with Disitamab Vedotin treatment during the study period.

    Time frame: From January 2023 to January 2025

Secondary outcomes

  1. Incidence, drug correlation, and severity of adverse events during the study period

    Incidence, drug correlation, and severity of adverse events during the study period

    Time frame: From January 2023 to January 2025

  2. Overall survival (OS)

    Time from the start of administration to death from any cause

    Time frame: From January 2023 to January 2025

  3. Progression-free survival (PFS)

    The first objective record of disease progression or death from any cause (whichever occurs first) occurred after patients were enrolled and given the drug

    Time frame: From January 2023 to January 2025

  4. Objective response rate (ORR)

    Refers to the proportion of patients with an optimal overall response rating of CR or PR

    Time frame: From January 2023 to January 2025

07

Study locations

1 site
  • Beijing Cancer Hospital
    Beijing, Beijing 100142, China
    • Lin Shen, MD · Contact · doctorshenlin@sina.cn · 86-010-88196561
    • Lin Shen, MD · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05649163
Lead sponsor
Shen Lin
Collaborators
RemeGen Co., Ltd.
Responsible party
Shen Lin (Principal Investigator, Peking University) — Sponsor-investigator
First posted
Dec 13, 2022
Start date
Jan 2023 (estimated)
Primary completion
Jan 2025 (estimated)
Completion
May 2025 (estimated)
Last update
Dec 16, 2022

Study contacts

Lin Shen, MD
Contact
doctorshenlin@sina.cn
86-010-88196561
Lin Shen, MD
principal investigator · Peking University Cancer Hospital & Institute

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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