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RecruitingNCT07788196Updated Aug 26, 2026

A Clinical Study Comparing Anti-HER2 Therapy Combined With Chemotherapy to Chemotherapy Alone as Adjuvant Therapy Following Surgery for Stage IB-II Gastric Cancer With High HER2 Expression.

A Phase 2 interventional study of Trastuzumab and Monotherapy with tegafur for stage IB gastric cancer in IB-II Gastric Cancer, sponsored by Xijing Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Xijing Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 39 studies testing trastuzumab in Stomach Neoplasms — 7 open to participants now, 9 under way, none of them phase 3. Trastuzumab · Stomach Neoplasms.

Planned enrollment
7th of 38
120 · median 41
Started
2026
the only one that year
Phase 2
24 of 39
4 open now
Registered
39th of 39
by date

Among the 39 studies testing trastuzumab in Stomach Neoplasms, this one is the 7th largest by planned enrollment of the 38 interventional ones that give a count, is the only one that started in 2026, is one of 24 in phase 2, and was the 39th registered.

Stomach Neoplasms

3,401 studies on the registry are indexed under Stomach Neoplasms; 993 are open to participants now.

Browse Stomach Neoplasms studies →

Open to participants now

7 of the 39 studies testing trastuzumab in Stomach Neoplasms are open now, in 2 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

About trastuzumab

Trastuzumab: first FDA approval 1998 (HERCEPTIN), first EMA approval 2000. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 704 Stomach Neoplasms studies recruiting now, 376 (53%) set no upper age limit and 194 (28%) stop at 75 or younger; 28 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 39 studies testing trastuzumab in Stomach Neoplasms, or all of them as a file.
02

Study summary

This study employs a multicenter randomized controlled trial design, led by the First Affiliated Hospital of Air Force Medical University (Xijing Hospital) in collaboration with 10 other domestic medical institutions, for a total of 11 research centers. The study plans to enroll a total of 120 HER-2-positive gastric cancer patients, including those who drop out, and randomize them into two groups in a 1:1 ratio; The control group received treatment based on gastric cancer stage: Stage IB patients were treated with tegafur monotherapy (40-60 mg orally twice daily based on body surface area, on days 1-14, with a 21-day cycle, for a total of 6 cycles); Stage II patients will receive chemotherapy using either the SOX or XELOX regimen, both of which involve an intravenous infusion of oxaliplatin 130 mg/m² on Day 1, combined with the corresponding oral medications for 14 consecutive days, with a 21-day cycle, for a total of 6 treatment cycles; In addition to the control group's original chemotherapy regimen, the experimental group concurrently received Fuhong Hanlin trastuzumab (National Drug Approval No. S20200019, 150 mg/vial) in addition to the control group's original chemotherapy regimen. The first dose was an 8 mg/kg intravenous loading dose, followed by a maintenance dose of 6 mg/kg, administered concurrently starting on the first day of the first chemotherapy cycle, with each cycle lasting 21 days, and the treatment course consisting of 6 cycles.

03

Conditions studied

  • IB-II Gastric Cancer

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04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years; Open to all genders;
  • Patients with a definitive histopathological diagnosis of gastric adenocarcinoma or gastroesophageal junction adenocarcinoma, and an score ≤ 2;
  • Gastric cancer or gastroesophageal junction cancer with TNM stage IB-II;
  • -positive (IHC 3+ or IHC 2+ with amplification confirmed by FISH/SISH/CISH);
  • Tumor resection has been completed, and therapy is planned postoperatively;
  • Adequate organ function; participants must meet the following laboratory criteria:
  • (ANC) ≥ 1.5 × 10⁹/L, without the use of granulocyte colony-stimulating factor (G-CSF) within the past 14 days;
  • count ≥ 100 × 10⁹/L, without a blood transfusion within the past 14 days;
  • > 9 g/dL, without a blood transfusion or the use of erythropoietin within the past 14 days;
  • Total ≤ 1.5 × (ULN);
  • (AST) and alanine aminotransferase (ALT) ≤ 2.5 × ULN;
  • Serum creatinine ≤ 1.5 × ULN and (calculated using the Cockcroft-Gault formula) ≥ 60 mL/min;
  • Normal coagulation function, defined as an (INR) or prothrombin time (PT) ≤ 1.5 times the ULN;
  • Normal thyroid function, defined as thyroid-stimulating hormone (TSH) within the normal range. If baseline TSH is outside the normal range, subjects may still be enrolled provided that total T3 (or FT3) and FT4 are within the normal range;
  • Cardiac enzyme levels are within the normal range (participants with isolated laboratory abnormalities deemed clinically insignificant by the investigator's comprehensive assessment may also be enrolled);
  • Voluntary participation in the study and signing of an form prior to study initiation.

Exclusion criteria

Exclusion Criteria:

  • Other malignant tumors of the stomach;
  • Received, prior to screening, or is scheduled to receive during the trial any anticancer therapy other than the chemotherapy regimen specified in the protocol (e.g., radiation therapy, targeted therapy, immunotherapy);
  • Has or has had a malignant tumor in any other part of the body (except for adequately treated cervical carcinoma in situ, basal cell carcinoma of the skin, or other tumors that have been surgically cured and have not recurred for at least 5 years);
  • Presence of any severe or uncontrolled systemic disease, such as:
  • Unstable angina, congestive heart failure, or chronic heart failure classified as (NYHA) Class ≥ 2;
  • Significant and symptomatic, difficult-to-control abnormalities in rhythm, conduction, or morphology on a resting , such as complete left bundle branch block, second-degree or higher heart block, ventricular arrhythmias, or atrial fibrillation;
  • Any arterial thrombosis, embolism, or ischemia occurring within 6 months prior to enrollment, such as myocardial infarction, unstable angina, cerebrovascular accident, or ;
  • Poorly controlled blood pressure (systolic blood pressure > 150 mmHg, diastolic blood pressure > 100 mmHg);
  • A history of non-infectious pneumonia requiring therapy within 1 year prior to the first dose, or current clinically active interstitial lung disease;
  • Active pulmonary tuberculosis;
  • Active or uncontrolled infection requiring systemic treatment;
  • Clinically active diverticulitis, intra-abdominal abscess, or gastrointestinal obstruction;
  • Liver disease, such as cirrhosis, decompensated liver disease, or acute or chronic active hepatitis;
  • Poorly controlled diabetes (fasting blood glucose (FBG) > 10 mmol/L);
  • Patients with urine protein ≥++ on urinalysis and confirmed 24-hour urine protein quantification > 1.0 g;
  • Patients with psychiatric disorders who are unable to comply with treatment;
  • Patients currently participating in other clinical trials or who have participated in other clinical trials within the past 3 months;
  • Patients with known allergies to the medications used in this study;
  • Patients deemed unsuitable for participation in this clinical trial by the investigator.
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Active comparator
    Control Group

    Drug: Monotherapy with tegafur for stage IB gastric cancer · Drug: Stage II gastric cancer treated with the SOX or XELOX regimens

  • Experimental
    Experimental Group

    Biological: Trastuzumab · Drug: Monotherapy with tegafur for stage IB gastric cancer · Drug: Stage II gastric cancer treated with the SOX or XELOX regimens

Interventions

  • BiologicalTrastuzumab

    Administer an initial loading dose of 8 mg/kg, followed by 6 mg/kg intravenously. Administer concurrently with chemotherapy, beginning on Day 1 of the first chemotherapy cycle. One cycle consists of 21 days. A total of 6 cycles are administered.

  • DrugMonotherapy with tegafur for stage IB gastric cancer

    Monotherapy with tegafur for stage IB gastric cancer: Tegafur 40-60 mg (based on body surface area), taken orally twice daily on days 1-14. One cycle consists of 21 days, for a total of 6 cycles.

  • DrugStage II gastric cancer treated with the SOX or XELOX regimens

    SOX or XELOX regimens for Stage II gastric cancer: SOX regimen: Oxaliplatin 130 mg/m², administered by intravenous infusion on Day 1; tegafur 40-60 mg (based on body surface area), taken orally twice daily on Days 1-14. One cycle consists of 21 days, for a total of 6 cycles. XELOX regimen: Oxaliplatin 130 mg/m², administered by intravenous infusion on Day 1; capecitabine 1000 mg/m², administered orally twice daily on Days 1-14. One cycle consists of 21 days, for a total of 6 cycles.

06

What researchers measure

Primary outcomes

  1. 5-year Disease-Free Survival (DFS).

    Time frame: 5 years after study randomization

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: Up to 5 years after patient randomization

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — After study completion, researchers may apply for shared data to the study principal investigator by submitting a data analysis plan; access will be granted following official review and assessment.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Dec 2030, 53 months after the start.

Of 295 non-industry phase 2 interventional studies under Stomach Neoplasms, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 76. This study's planned 53 months is close to that.

Counting every sponsor, half of 360 studies reached it within 50 months; a quarter within 31 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2026
First posted
Aug 26, 2026
StartActual
Jul 1, 2026
Primary completionEst.
Dec 2030
CompletionEst.
Dec 2030
Last update
Aug 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07788196
Lead sponsor
Xijing Hospital
Responsible party
Sponsor
First posted
Aug 26, 2026
Start date
Jul 1, 2026
Primary completion
Dec 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Aug 26, 2026

Study contacts

Yongzhan Nie
Contact
zhengrong4956@163.com
+86 198 2975 8242

Oversight

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

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