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Clinical trial · no report yet · Phase 3

NCT04704934

Trastuzumab Deruxtecan for Subjects With HER2-Positive Gastric Cancer or Gastro-Esophageal Junction Adenocarcinoma After Progression on or After a Trastuzumab-Containing Regimen (DESTINY-Gastric04)

  • NCT04704934 ↗
  • Active not recruiting
  • Daiichi Sankyo
  • 137 commentary sources found
  • Deep

We haven't built a report for this trial yet. This page shows the registry record and the public commentary we found that names the trial. A report reads that commentary and sets out what clinicians said about the trial, each point linked to its source. How reports are made.

Commentary we found

Podcasts, YouTube videos and X posts in our index that name this trial. A report screens them, searches for more and cites what clinicians said when it is built.

ChannelFound
YouTube59
X threads43
Podcasts34
X videos1

The trial

ClinicalTrials.gov
Official title
A Phase 3, Multicenter, 2-Arm Randomized, Open-Label Study of Trastuzumab Deruxtecan in Subjects With HER2-Positive Metastatic and/or Unresectable Gastric or Gastro-Esophageal Junction (GEJ) Adenocarcinoma Subjects Who Have Progressed on or After a Trastuzumab-Containing Regimen (DESTINY-Gastric04)
Phase
Phase 3
Status
Active not recruiting
Conditions
Gastric Cancer, Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma
Interventions
Trastuzumab deruxtecan; Ramucirumab; Paclitaxel
Arms
  • Trastuzumab deruxtecan · Experimental
  • Ramucirumab + paclitaxel · Active comparator
Enrollment
490 (estimated)
Primary outcomes
  • Overall Survival in Participants Who Were Administered Trastuzumab Deruxtecan Compared With Ramucirumab in Combination With Paclitaxel
Sponsor
Daiichi Sankyo with AstraZeneca
Start
May 21, 2021
Primary completion
Aug 31, 2026 (estimated)
Results posted
No
Registry record
NCT04704934 · updated May 27, 2026

Publications

linked from the registry
  • Shitara K, Van Cutsem E, Gumus M, Lonardi S, de la Fouchardiere C, Coutzac C, Dekervel J, Hochhauser D, Shen L, Mansoor W, Liu B, Fornaro L, Ryu MH, Lee J, Faustino C, Metges JP, Tabernero J, Franke F, Janjigian YY, Souza F, Jukofsky L, Zhao Y, Kamio T, Zaanan A, Pietrantonio F; DESTINY-Gastric04 Trial Investigators. Trastuzumab Deruxtecan or Ramucirumab plus Paclitaxel in Gastric Cancer. N Engl J Med. 2025 Jul 24;393(4):336-348. doi: 10.1056/NEJMoa2503119. Epub 2025 May 31. PubMed 40454632
  • Yu J, Mehta R. Biomarker-Driven Approach to the Treatment of Metastatic Gastric or Gastroesophageal Adenocarcinoma. J Natl Compr Canc Netw. 2025 May;23(5):e257036. doi: 10.6004/jnccn.2025.7036. PubMed 40341124