ClinicalTrials.gg
RecruitingNCT07800754GRACEUpdated Nov 9, 2026

A Study in Greece Observing How Patients With Stomach and Esophageal Cancer Are Diagnosed and Treated in Everyday Medical Practice

An observational study in Gastric Cancer and Gastroesophageal Junction Cancer, sponsored by AstraZeneca. Recruiting at 9 sites in Greece. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 9, 2026Now RecruitingFirst site in Greece+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
300
Ages
18 Years to 130 Years
Sex
All
01

Study summary

This is a retrospective-prospective observational, multicenter, single-country study aiming to describe the epidemiological characteristics and management strategies in patients with stage II-IVB gastric/GEJ adenocarcinoma in routine clinical practice in Greece.

Read the detailed description

Patients may withdraw from the study at any time at their own request, or they may be withdrawn at any time at the discretion of the Investigator or AstraZeneca. In all cases, every reasonable effort should be made to document patient outcome, if applicable.

02

Conditions studied

  • Gastric Cancer
  • Gastroesophageal Junction Cancer

Keywords

  • Gastric Cancer
  • Gastroesophageal Junction Cancer
  • Adenocarcinoma
  • Observational Study
  • Real-World Evidence
  • Epidemiology
  • Treatment Patterns
  • Greece
03

In context

Stomach Neoplasms

3,399 studies on the registry are indexed under Stomach Neoplasms; 992 are open to participants now.

This study's planned enrollment of 300 is close to the median of 278 across 790 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Approximately 300 adult patients with histologically confirmed, stage II to IVB gastric/GEJ adenocarcinoma will be enrolled from 10-15 oncology clinics of large public and private hospitals, covering diverse geographic areas, in Greece.

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

  • Patients aged ≥18 years upon gastric/GEJ adenocarcinoma diagnosis.
  • Written signed and dated by the patient (or their legally acceptable representative, as applicable). For deceased patients on the date of study entry a waiver of consent must be approved by the Hospital EC/IRB.
  • Patients diagnosed with confirmed, stage II to IVB adenocarcinoma of gastric/GEJ, between June 1st, 2025 and the end of the recruitment period (Q3 2027).

Exclusion criteria

Exclusion Criteria:

  • Patients who participate or participated during the data collection period (prospective and retrospective) in any clinical investigation/clinical trial that includes interventions that fall outside the everyday clinical practice.
  • Patients who have participated in the design and/or the conduct of the study.
  • Patients with another primary within the last 5 years, for which systemic anticancer treatment is required after the diagnosis of gastric/GEJ cancer.
Terms in these criteria, in plain language(3)

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.

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with Stage II-IVB Gastric/GEJ Adenocarcinoma

    Adult patients with histologically confirmed, stage II to IVB gastric/GEJ adenocarcinoma will be enrolled from 10-15 oncology clinics of large public and private hospitals, covering diverse geographic areas, in Greece. Eligible patients will have been diagnosed between June 1st, 2025 and the end of the recruitment period (Q3 2027). The study includes both retrospective and prospective components.

06

What researchers measure

Primary outcomes

  1. Distribution of GC/GEJ cancer types

    Percentage of GC/GEJ cancer types (adenocarcinoma, squamous cell carcinoma, other).

    Time frame: Measured at baseline, during patients 1st visit.

  2. Clinicopathological characteristics of patients with histologically confirmed stage II to IVB gastric/GEJ cancer.

    Patient and disease characteristics at diagnosis for patients with histologically confirmed stage II to IVB GC/GEJ adenocarcinoma.

    Time frame: Measured at baseline, during patients 1st visit.

  3. To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma.

    To describe current treatment modalities (surgery, systemic therapy, radiotherapy, chemoradiation (CRT) and palliative care) applied in the resectable (Stages II-IVA) and advanced/metastatic (Stage IVB) settings, presented as types

    Time frame: Up to 18 months ± 30 days (through study completion)

  4. To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma, measured as frequencies per stage

    To describe current treatment modalities (surgery, systemic therapy, radiotherapy, chemoradiation (CRT) and palliative care) applied in the resectable (Stages II-IVA) and advanced/metastatic (Stage IVB) settings, presented as frequencies per stage.

    Time frame: Up to 18 months ± 30 days (through study completion)

  5. Estimation of key time intervals, measured by time (months) from diagnosis to neoadjuvant or perioperative treatment and/or surgery (if applicable)

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by estimating key time intervals, including time (months) from diagnosis to neoadjuvant or perioperative treatment and/or surgery (if applicable).

    Time frame: Up to 18 months ± 30 days (through study completion)

  6. Estimation of key time intervals, measured by time (months) from surgery to adjuvant systemic treatment (for Stage II-IVA)

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by estimation of key time intervals, including time (months) from surgery to adjuvant systemic treatment (for Stage II-IVA)

    Time frame: Up to 18 months ± 30 days (through study completion)

  7. Estimation of key time intervals, measured by time (months) from first to second-line.

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by estimating key time intervals, including time (months) from first to second-line.

    Time frame: Up to 18 months ± 30 days (through study completion)

  8. Estimation of key time intervals, measured by time (months) from second-line to third-line systemic treatment (for Stage IVB).

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by estimating key time intervals, including time (months) from second-line to third-line systemic treatment (for Stage IVB).

    Time frame: Up to 18 months ± 30 days (through study completion)

  9. Duration of each systemic treatment line (overall and by type: chemotherapy, targeted therapy/immunotherapy; up to 3rd line)

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by estimating the duration of each systemic treatment line (overall and by type: chemotherapy, targeted therapy/immunotherapy; up to 3rd line)

    Time frame: Up to 18 months ± 30 days (through study completion)

  10. Description of dosing schemes

    To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma by describing dosing schemes.

    Time frame: Up to 18 months ± 30 days (through study completion)

  11. To capture the current treatment strategies of patients with stage II to IVB gastric/GEJ adenocarcinoma.

    To describe treatment sequences.

    Time frame: Up to 18 months ± 30 days (through study completion)

Secondary outcomes

  1. Pathologic complete response (pCR) rate

    The proportion of patients with stage II-IVA gastric/GEJ adenocarcinoma with no viable tumor cells, including lymph nodes, in the resected gastric specimen after completion of neoadjuvant therapy and surgery.

    Time frame: Up to 18 months ± 30 days (through study completion)

  2. Description of types of biomarkers tested at diagnosis, by disease stage (II-IVA, IVB).

    To evaluate current biomarker testing strategies and patterns among patients with stage II to IVB gastric/GEJ adenocarcinoma, based on information about types of biomarkers tested at diagnosis, by disease stage (II-IVA, IVB).

    Time frame: Up to 18 months ± 30 days (through study completion)

  3. Percentage of patients tested for biomarkers.

    To evaluate current biomarker testing strategies and patterns among patients with stage II to IVB gastric/GEJ adenocarcinoma, based on percentage of patients tested for biomarkers.

    Time frame: Up to 18 months ± 30 days (through study completion)

  4. Percentage of positive results by biomarker type.

    To evaluate current biomarker testing strategies and patterns among patients with stage II to IVB gastric/GEJ adenocarcinoma, based on percentage of positive results by biomarker type.

    Time frame: Up to 18 months ± 30 days (through study completion)

  5. Time from diagnosis to biomarker results captured during biomarkers testing by disease stage (II-IVA, IVB).

    To evaluate current biomarker testing strategies and patterns among patients with stage II to IVB gastric/GEJ adenocarcinoma, based on information on biomarkers testing by disease stage (II-IVA, IVB), including time from diagnosis to biomarker results.

    Time frame: Up to 18 months ± 30 days (through study completion)

07

Study locations

3 of 9 sites recruiting
  • Research Site
    Alexandroupoli, Greece
    Not yet recruiting
  • Research Site
    Athens, Greece
    Recruiting
  • Research Site
    Athens, Greece
    Not yet recruiting
  • Research Site
    Athens, Greece
    Withdrawn

    Not enrolling at this site.

  • Research Site
    Crete, Greece
    Recruiting
  • Research Site
    Ioannina, Greece
    Not yet recruiting
  • Research Site
    Pátrai, Greece
    Not yet recruiting
  • Research Site
    Thessaloniki, Greece
    Recruiting
  • Research Site
    Thessaloniki, Greece
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIPhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 8, 2026
Sites
9 sites added — first site in Greece. 2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Research Site · Crete, GreeceNot yet recruiting→Recruiting
  • Research Site · Thessaloniki, GreeceNot yet recruiting→Recruiting
Show 9 added (9 Greece)
  • Research Site · Alexandroupoli, Greece
  • Research Site · Athens, Greece
  • Research Site · Athens, Greece
  • Research Site · Athens, Greece
  • Research Site · Crete, Greece
  • Research Site · Ioannina, Greece
  • Research Site · Pátrai, Greece
  • Research Site · Thessaloniki, Greece
  • Research Site · Thessaloniki, Greece
across 2 updates, Oct 8, 2026 – Nov 9, 2026
Show all 2 updates
  1. Nov 9, 2026
    1 site added. 2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Research Site · Crete, GreeceNot yet recruiting→Recruiting
    • Research Site · Thessaloniki, GreeceNot yet recruiting→Recruiting
    Show site
    • Research Site · Thessaloniki, Greece
    + 1 other change: verification date
  2. Oct 8, 2026
    Not yet recruiting→Recruiting
    8 sites added — first site in Greece
    Show 8 added (8 Greece)
    • Research Site · Alexandroupoli, Greece
    • Research Site · Athens, Greece
    • Research Site · Athens, Greece
    • Research Site · Athens, Greece
    • Research Site · Crete, Greece
    • Research Site · Ioannina, Greece
    • Research Site · Pátrai, Greece
    • Research Site · Thessaloniki, Greece
    + 1 other change: date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07800754
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 2, 2026
Start date
Sep 30, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
877-240-9479 ext. 1

Oversight

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

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