UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052522
Receipt number R000059908
Scientific Title A multicenter observational study of trastuzumab deruxtecan in elderly patients with previously treated HER2-positive advanced gastric cancer
Date of disclosure of the study information 2023/10/31
Last modified on 2025/06/13 23:25:06

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Basic information

Public title

A multicenter observational study of trastuzumab deruxtecan in elderly patients with previously treated HER2-positive advanced gastric cancer

Acronym

EN-COURAGE study

Scientific Title

A multicenter observational study of trastuzumab deruxtecan in elderly patients with previously treated HER2-positive advanced gastric cancer

Scientific Title:Acronym

EN-COURAGE study

Region

Japan


Condition

Condition

HER2-positive gastric cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

・To evaluate the effectiveness and safety of trastuzumab deruxtecan (T-DXd) in elderly patients with previously treated HER2-positive advanced gastric cancer.

・To evaluate the effectiveness and safety of T-DXd in elderly patients by geriatric 8 (G8) and other functional evaluations.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

overall survival(OS)

Key secondary outcomes

・ Progression free survival (PFS)
・ Time to treatment failure (TTF)
・ Objective response rate (ORR)
・ Disease control rate (DCR)
・ Duration of response (DoR)
・ Time to treatment discontinuation (TTD)
・ Adverse events
・ Relationship between geriatric assessment (G8 score and other functional evaluations) and effectiveness / safety
・ T-DXd time to dose reduction


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Aged 70 years or older at the time of informed consent
2. Unresectable advanced or recurrent gastric cancer (gastric or gastro-esophageal junction adenocarcinoma) that progressed after cancer chemotherapy
3. Histopathologically diagnosed HER2-positive (IHC 3+ or IHC2+ with ISH-positive) gastric cancer
*If the patient was diagnosed as HER2positive, the result of the HER2 test if the patient had undergone another HER2 test.
4. Had progressed after the patient had received at least 2 previous regimens, which included trastuzumab
5. Scheduled to receive T-DXd
6. ECOG PS 0-2
7. Written informed consent

Key exclusion criteria

1. Has a history of severe hypersensitivity reactions to either T-DXd substances or inactive ingredients in T-DXd
2. Patients with a prior treatment of T-DXd
3. Patients with a history of or concomitant interstitial lung disease, who are considered ineligible for treatment with T-DXd by the investigators
4. Patients who have active multiple primary malignancies which investigator determines to affect the evaluation of T-DXd
5. Patients judged by the investigator to be ineligible for this study

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Kei
Middle name
Last name Muro

Organization

Aichi Cancer Center

Division name

Department of Clinical Oncology

Zip code

464-8681

Address

1-1 Kanokoden, Chikusa-ku Nagoya 464-8681, Japan

TEL

052-762-6111

Email

kmuro@aichi-cc.jp


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Ota

Organization

EPS Corporation

Division name

Clinical Research Center Real World Evidence Business Headquarters

Zip code

162-0814

Address

Acropolis TOKYO Bldg., 6-29 Shinogawamachi, Shinjuku-ku, Tokyo, Japan

TEL

03-5804-5045

Homepage URL


Email

prj-en-courage@eps.co.jp


Sponsor or person

Institute

Aichi Cancer Center

Institute

Department

Personal name



Funding Source

Organization

DAIICHI SANKYO COMPANY, LIMITED

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Aichi Cancer Center Ethical Review Board

Address

1-1 Kanokoden, Chikusa-ku Nagoya 464-8681, Japan

Tel

052-762-6111

Email

irb-jimu@aichi-cc.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

愛知県がんセンター(愛知県)、岐阜大学医学部附属病院(岐阜県)、近畿大学病院(大阪府)、堺市立総合医療センター(大阪府)、富山大学附属病院(富山県)、鹿児島大学病院(鹿児島県)他 54施設


Other administrative information

Date of disclosure of the study information

2023 Year 10 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2023 Year 08 Month 03 Day

Date of IRB

2023 Year 10 Month 12 Day

Anticipated trial start date

2024 Year 01 Month 09 Day

Last follow-up date

2026 Year 06 Month 12 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

-


Management information

Registered date

2023 Year 10 Month 17 Day

Last modified on

2025 Year 06 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059908