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Study details
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DESTINY-Gastric03 Trial

AstraZeneca
NCT IDNCT04379596ClinicalTrials.gov data as of Apr 2026
Phase

Phase 2

Target enrollment

413

Study length

about 7 years

Ages

18–130

Locations

10 sites in CA, KS, MA +6

What this study is about

This trial is testing whether T-DXd, alone or in combination with other treatments like chemotherapy and/or immunotherapy, can safely treat advanced gastric cancer. The goal is to see if these combinations are safe, well-tolerated, and effective at fighting the cancer.

Simplified from trial records by PatientMatch.

What you may be asked to do

  • 1.Receive Durvalumab
  • 2.Receive Pembrolizumab
  • 3.Receive Rilvegostomig
  • +3 more

Participation Burden

What's physically and logistically required of participants.

Logistics & Travel
In-person visits

Requires travel to a study site

Physical Intervention
OralInjection / IV

How treatment is administered

Treatment Assignment
Randomized (Open Label)

You are randomly assigned, but you will know your treatment.

Extracted study details

Pulled from the trial record to show what is being tested and what the study is measuring.

Drug classes

capecitabine, cisplatin (Platinum chemotherapy; crosslinks DNA to stop replication), durvalumab, fluorouracil (Antimetabolite; mimics uracil to disrupt DNA/RNA in cancer cells), oxaliplatin, pembrolizumab (Immune checkpoint inhibitor; blocks PD-1 to boost T-cell attack on cancer), trastuzumab (Monoclonal antibody; targets HER2 protein on cancer cells), trastuzumab deruxtecan

Drug routes

oral (Oral Tablet), injection, intravenous, infusion, oral (Oral Capsule), injection (Injection)

Endpoints

Primary: Part 1: Occurrence of adverse events (AEs) and serious adverse events (SAEs), graded according to NCI CTCAE v5.0, Part 2, Part 3, Part 4 and Part 5: Endpoint assessed by Investigator per RECIST v1.1: Confirmed Objective Response Rate (ORR)

Secondary: Comparison of DCR, Comparison of DoR, Comparison of ORR, Comparison of OS, Comparison of PFS, Disease Control Rate (DCR), Duration of Response (DoR), Overall survival (OS)