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Real-world Effectiveness and Safety of Trastuzumab Deruxtecan in Patients With Locally Advanced or Metastatic HER2-positive Gastric or Gastroesophageal Junction Adenocarcinoma in China

Recruiting
Conditions
HER2-positive Gastric Cancer
HER2-positive Gastroesophageal Junction
Interventions
Registration Number
NCT06846996
Lead Sponsor
Daiichi Sankyo
Brief Summary

Trastuzumab deruxtecan's (T-DXd's) efficacy and safety has been confirmed in traditional clinical trials, there is a lack of real-world evidence, especially among Chinese patients. The objective of this study is to evaluate real-world effectiveness and safety profile of T-DXd by collecting real-world data treating in patients with locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma.

Detailed Description

The primary objective of this study is to evaluate the effectiveness of T-DXd in real-world setting (real-word time to treatment failure).

The secondary objectives of this study are to assess the safety profile of T-DXd (treatment related adverse events \[TRAE\] regardless of grade, and physician reported adverse events of special interest \[AESI\] regardless of grade, etc.) and to evaluate effectiveness of T-DXd (real-world time to next treatment).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
260
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
HER2-positive gastric/gastroesophageal junction adenocarcinomaTrastuzumab deruxtecan (T-DXd)Patients who are diagnosed with locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma who made a decision (prior to enrolling in this study) to receive T-DXd treatment in a clinical practice setting.
Primary Outcome Measures
NameTimeMethod
Real-world Time to Treatment Failure (rwTTF)T-DXd treatment initiation date (index date) to date of treatment discontinuation due to disease progression, physician decision, adverse events or death, whichever occurs first, up to approximately 2 years

rwTTF is defined as time from T-DXd treatment initiation date to the earliest date of treatment discontinuation due to disease progression, physician decision, adverse events or death.

Secondary Outcome Measures
NameTimeMethod
Number of Participants Reporting Treatment Related Adverse Events (TRAE) and Physician-reported Adverse Event of Special Interest (AESI), Regardless of GradeT-DXd treatment initiation date (index date) until end of study, or death, or withdrawal of consent, or loss to follow-up (LTFU), or study closure, whichever occurs first, up to approximately 2 years

A TRAE is defined as a harmful reaction, resulting from the normal usage and dosage to a medicinal product, which is unrelated to the purpose of medication. Physician-reported AESIs are defined as interstitial lung disease/pneumonitis and left ventricular ejection fraction decrease.

Real-world Time to Next Treatment (rwTTNT)T-DXd treatment initiation date (index date) to the date of receiving next line anti-cancer treatment or death, whichever occurs first, up to approximately 2 years

rwTTNT is defined as time from T-DXd treatment initiation date to the earliest date of receiving next line anti-cancer treatment, or death.

Trial Locations

Locations (30)

Peking Union Medical College Hospital

🇨🇳

Beijing, China

Peking University First Hospital

🇨🇳

Beijing, China

Beijing Cancer Hospital

🇨🇳

Beijing, China

The First Hospital of Jilin University

🇨🇳

Changchun, China

Changzhi People's Hospital

🇨🇳

Changzhi, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, China

Guangdong Provincial People's Hospital

🇨🇳

Guangzhou, China

Guangdong Hospital of Traditional Chinese Medicine

🇨🇳

Guangzhou, China

Hainan General Hospital

🇨🇳

Haikou, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, China

Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, China

Anhui Province Cancer Hoospital

🇨🇳

Hefei, China

Nanjing Drum Tower Hospital

🇨🇳

Nanjing, China

Shanghai GoBroad Cancer Hospital

🇨🇳

Shanghai, China

Shanghai ninth People's Hospital,Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, China

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, China

Zhongshan Hospital

🇨🇳

Shanghai, China

Renji Hospital, Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, China

Huadong Hospital Affiliated to Fudan University

🇨🇳

Shanghai, China

Cancer Hospital of Shantou University Medical College

🇨🇳

Shantou, China

Liaoning Cancer Hospital

🇨🇳

Shenyang, China

The Fourth Hospital of Hebei Medical University (Hebei Tumor Hospital)

🇨🇳

Shijiazhuang, China

Shanxi Cancer Hospital

🇨🇳

Taiyuan, China

Taizhou Hospital of Zhejiang Province

🇨🇳

Taizhou, China

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, China

The Second Hospital of Tianjin Medical University

🇨🇳

Tianjin, China

The Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, China

The Affiliated Hospital of Xiamen University

🇨🇳

Xiamen, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, China

The First Affiliated Hospital of Zhengzhou University

🇨🇳

Zhengzhou, China

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