Ph1b/2 Study of the Safety and Efficacy of T-DXd Combinations in Advanced HER2-expressing Gastric Cancer (DESTINY-Gastric03)
← catalyst calendarNCT04379596 · readout in 286 d
Sponsored by AstraZeneca (industry) · AZN — their whole pipeline →. With Daiichi Sankyo.
Phase
Phase 2
Status
Recruiting
Study type
Interventional
Design
Randomized · None · Treatment
Enrollment
450estimated
Sites
100
Countries
Brazil, Canada, China +11
Every value on this page is a field the sponsor filed with ClinicalTrials.gov, reproduced. Dates are their own estimates, revised as a study runs, unless the registry marks them actual. sources →
Source: ClinicalTrials.gov, retrieved 2026-08-19
Dates
each axis at the precision it was filed, with the registry's own basis| Date | Filed | Basis | What it is |
|---|---|---|---|
| Start | 2020-06-03 | actual | When the study began enrolling |
| Primary completion | 2027-06-01 | estimated | The date the last participant is measured for the primary outcome — the readout window |
| Study completion | 2027-06-01 | estimated | The whole study's end, after follow-up |
| First posted | 2020-05-07 | actual | When this record first appeared on the registry |
| Results posted | — | When the sponsor posted results to the registry | |
| Record updated | 2026-07-10 | actual | The sponsor's own last edit to this record — every projection above is as current as this date |
What it studies
Condition
- Gastric Cancer
Interventions
- Drug: Fluorouracil (5-FU)
- Drug: Capecitabine
- Biological: Durvalumab — also filed as MEDI4736
- Drug: Oxaliplatin
- Biological: Trastuzumab
- Drug: Trastuzumab deruxtecan — also filed as DS-8201a, Enhertu
- Drug: Cisplatin
- Biological: Pembrolizumab
- Biological: Volrustomig — also filed as MEDI5752
- Biological: Rilvegostomig — also filed as AZD2936
Primary outcomes
what the primary-completion date above is the date OFPart 1: Occurrence of adverse events (AEs) and serious adverse events (SAEs), graded according to NCI CTCAE v5.0
measured Safety will be assessed up to the follow-up period, approximately 24 months.
Part 1: Ocurrence of dose-limiting toxicities (DLTs)
measured Safety will be assessed up to the follow-up period, approximately 24 months.
Part 1: Changes from baseline in laboratory parameters
measured Safety will be assessed up to the follow-up period, approximately 24 months.
Part 1: Changes from baseline in vital signs
measured Safety will be assessed up to the follow-up period, approximately 24 months.
Part 1: Changes from baseline in electrocardiogram (ECG) results
measured Safety will be assessed up to the follow-up period, approximately 24 months.
Part 2, Part 3, Part 4 and Part 5: Endpoint assessed by Investigator per RECIST v1.1: Confirmed Objective Response Rate (ORR)
measured (Endpoint: ORR) Efficacy will be assessed at an average of approximately 12 months
Publications
- PMID 40341124 — linked by the registry
Linked on the registry record. A “linked by the registry” entry is NLM's own automated PubMed match, not a claim by the sponsor that the paper reports this study.
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