HER2-positive Gastric CancerRECOVERNCT06846996
Real-world Effectiveness and Safety of Trastuzumab Deruxtecan in Patients With Locally Advanced or Metastatic HER2-positive Gastric or Gastroesophageal Junction Adenocarcinoma in China
An observational study of HER2-positive Gastric Cancer and HER2-positive Gastroesophageal Junction, run by Daiichi Sankyo at 40 sites in China.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HER2-positive Gastric Cancer, HER2-positive Gastroesophageal Junction
- What is being tested?
- Trastuzumab deruxtecan (T-DXd)
- Type of treatment
- Injection or infusion
- How many people
- 260 participants
- Where
- 40 sitesChina
- Study dates
- 27 Feb 2025to 31 Jul 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Eligible participants for this study include participants with HER2-positive local advanced or metastatic GC/GEJA.
Who may be able to join
None listed.
Who cannot join
- Participants who meet any of the following criteria will be excluded from the study:
- Pregnancy or breastfeeding.
- Participants who at the time of data collection of the study are participating in or have participated in an interventional study that remains blinded.
- Known hypersensitivity to either the drug substances or inactive ingredients in the drug product.
- Judged by the investigator to be unfit to participate in the study.
Trial locations and contacts
40 sites in 1 country. Contact the study team or a site near you to ask about taking part.
40 sites in 1 country
China40 sites, 36 recruiting
- Recruiting
Beijing Chaoyang Hospital, Capital Medical University
Beijing, 100020
Principal Investigator
- Recruiting
Chinese Academy of Medical Sciences Cancer Hospital
Beijing, 100021
Principal Investigator
- Recruiting
China-Japan Friendship Hospital
Beijing, 100029
Principal Investigator
- Recruiting
Beijing Friendship Hospital,Capital Medical University
Beijing, 100032
Principal Investigator
- Withdrawn
Peking Union Medical College Hospital
Beijing, 100032
- Recruiting
Peking University First Hospital
Beijing, 100034
Principal Investigator
- Recruiting
Beijing Cancer Hospital
Beijing, 100142
Principal Investigator
- Recruiting
Beijing GoBroad Hospital
Beijing, 102206
Principal Investigator
- Not yet recruiting
The First Hospital of Jilin University
Changchun, 130031
Principal Investigator
- Recruiting
Changzhi People's Hospital
Changzhi, 046000
Principal Investigator
- Recruiting
Fujian Cancer Hospital
Fuzhou, 350000
Principal Investigator
- Recruiting
Guangdong Provincial People's Hospital
Guangzhou, 510080
Principal Investigator
- Recruiting
The First Affiliated Hospital, Sun Yat-sen University
Guangzhou, 510080
Principal Investigator
- Recruiting
Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guangzhou, 510095
Principal Investigator
- Recruiting
Guangdong Hospital of Traditional Chinese Medicine
Guangzhou, 510120
Principal Investigator
- Recruiting
Hainan General Hospital
Haikou, 570100
Principal Investigator
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, 310005
Principal Investigator
- Withdrawn
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, 310009
- Recruiting
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, 310009
Principal Investigator
- Recruiting
Anhui Province Cancer Hoospital
Hefei, 236000
Principal Investigator
- Recruiting
Jiangmen Central Hospital
Jiangmen, 529000
Principal Investigator
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, 210000
Principal Investigator
- Recruiting
Jiangsu Cancer Hospital
Nanjing, 210009
Principal Investigator
- Recruiting
Shanghai GoBroad Cancer Hospital
Shanghai, 200003
Principal Investigator
- Not yet recruiting
Shanghai ninth People's Hospital,Shanghai Jiaotong University School of Medicine
Shanghai, 200011
Principal Investigator
- Recruiting
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, 200025
Principal Investigator
- Recruiting
Fudan University Affiliated Cancer Hospital
Shanghai, 200032
Principal Investigator
- Recruiting
Zhongshan Hospital
Shanghai, 200032
Principal Investigator
- Recruiting
Huadong Hospital Affiliated to Fudan University
Shanghai, 201104
Principal Investigator
- Recruiting
Cancer Hospital of Shantou University Medical College
Shantou, 515000
Principal Investigator
- Withdrawn
Liaoning Cancer Hospital
Shenyang, 110000
- Recruiting
Shanxi Cancer Hospital
Taiyuan, 030000
Principal Investigator
- Recruiting
Taizhou Hospital of Zhejiang Province
Taizhou, 317700
Principal Investigator
- Recruiting
Tianjin Medical University Cancer Institute and Hospital
Tianjin, 300000
Principal Investigator
- Recruiting
The Second Hospital of Tianjin Medical University
Tianjin, 300211
Principal Investigator
- Recruiting
The Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710061
Principal Investigator
- Recruiting
The Affiliated Hospital of Xiamen University
Xiamen, 361003
Principal Investigator
- Recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, 221006
Principal Investigator
- Recruiting
Henan Cancer Hospital
Zhengzhou, 450008
Principal Investigator
- Withdrawn
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, 450066
About this study
Official title: Real-world Effectiveness and Safety of Trastuzumab Deruxtecan in Patients With Locally Advanced or Metastatic HER2-positive Gastric or Gastroesophageal Junction Adenocarcinoma in China: A Nation-wide, Multi-center, Prospective, Non-interventional Study
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.
Read the 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). This is an non-interventional, observational study. No drug will be provided or administered as part of this protocol; however, participants on T-DXd will be enrolled in this study.
- Being tested
- Trastuzumab deruxtecan (T-DXd)
- Keywords
- HER2-positive gastric cancer, HER2-positive gastroesophageal junction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Trastuzumab deruxtecan (T-DXd)Drug
This is an non-interventional, observational study. No drug will be provided or administered as part of this protocol; however, participants on T-DXd (starting dose 6.4 mg/kg IV Q3W) will be enrolled in this study as part of clinical routine or the clinical judgement of physician.
| Study group | Role | What they receive |
|---|---|---|
| HER2-positive gastric/gastroesophageal junction adenocarcinoma | 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. Receives: Drug: Trastuzumab deruxtecan (T-DXd) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Real-world Time to Treatment Failure (rwTTF)
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.
Measured: 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
Secondary outcomes (2)
Number of Participants Reporting Treatment Related Adverse Events (TRAE) and Physician-reported Adverse Event of Special Interest (AESI), Regardless of Grade
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.
Measured: T-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
Real-world Time to Next Treatment (rwTTNT)
rwTTNT is defined as time from T-DXd treatment initiation date to the earliest date of receiving next line anti-cancer treatment, or death.
Measured: 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
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Feb 2025
- Study start27 Feb 2025
- Primary completion31 Jul 2027 (estimated)
- Study completion31 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER2-positive Gastric CancerStudies of the same condition, open and under way.
- More trials run by Daiichi SankyoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 260 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Daiichi Sankyo
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Project Manager, Study director, Daiichi Sankyo Co., Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06846996
- Sponsor's protocol ID
- DS8201-0076-NIS-MA
- Acronym
- RECOVER
- Status last verified
- Aug 2026
- First submitted
- 21 Feb 2025
- Last updated
- 18 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Real-world Effectiveness and Safety of Trastuzumab Deruxtecan in Patients With Locally Advanced or Metastatic HER2-positive Gastric or Gastroesophageal Junction Adenocarcinoma in China: A Nation-wide, Multi-center, Prospective, Non-interventional Study
- ClinicalTrials.gov ID
- NCT06846996
- Acronym / sponsor ID
- RECOVER / DS8201-0076-NIS-MA
- Keywords
- HER2-positive gastric cancer, HER2-positive gastroesophageal junction
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 260 participants (estimated)
- Lead sponsor
- Daiichi SankyoIndustry (pharma, biotech, devices)
- Study start
- 27 Feb 2025 (actual)
- Primary completion
- 31 Jul 2027 (estimated)
- Study completion
- 31 Jul 2027 (estimated)
- First posted
- 26 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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). This is an non-interventional, observational study. No drug will be provided or administered as part of this protocol; however, participants on T-DXd will be enrolled in this study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HER2-positive gastric/gastroesophageal junction adenocarcinoma | – | Drug: Trastuzumab 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Eligible participants for this study include participants with HER2-positive local advanced or metastatic GC/GEJA.
Key inclusion criteria (0 listed)
Key exclusion criteria (5 listed)
- Pregnancy or breastfeeding.
- Participants who at the time of data collection of the study are participating in or have participated in an interventional study that remains blinded.
- Known hypersensitivity to either the drug substances or inactive ingredients in the drug product.
- Judged by the investigator to be unfit to participate in the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Trastuzumab deruxtecan (T-DXd)This is an non-interventional, observational study. No drug will be provided or administered as part of this protocol; however, participants on T-DXd (starting dose 6.4 mg/kg IV Q3W) will be enrolled in this study as part of clinical routine or the clinical judgement of physician. | Drug | HER2-positive gastric/gastroesophageal junction adenocarcinoma |
Primary outcome
Real-world Time to Treatment Failure (rwTTF)
Time frame: 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.
2 secondary outcomes
Number of Participants Reporting Treatment Related Adverse Events (TRAE) and Physician-reported Adverse Event of Special Interest (AESI), Regardless of Grade
Time frame: T-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
Real-world Time to Next Treatment (rwTTNT)
Time frame: 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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Project Manager study director
Daiichi Sankyo Co., Ltd.
40 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of HER2-positive Gastric Cancer and HER2-positive Gastroesophageal Junction, run by Daiichi Sankyo at 40 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 0 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 18 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 40 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Contact for Clinical Trial Information (908-992-6400, CTRinfo_us@daiichisankyo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Real-world Time to Treatment Failure (rwTTF) (time frame: 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). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2026.