Status:

RECRUITING

A Study to Investigate the Effects of AZD0901 Monotherapy in Adult Participants With 2L+ Advanced or Metastatic Gastric or GEJ Adenocarcinoma Expressing CLDN18.2

Lead Sponsor:

AstraZeneca

Conditions:

Gastric Cancer

Gastroesophageal Junction Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to measure the efficacy and safety of AZD0901 monotherapy as 2L+ treatment for participants with advanced or metastatic gastric or GEJ adenocarcinoma expressing CLDN18.2.

Detailed Description

This is a Phase II, single arm, open label, multicentre study, assessing the efficacy and safety of AZD0901 in participants with advanced/metastatic gastric or gastroesophageal junction adenocarcinoma...

Eligibility Criteria

Inclusion

  • Histologically confirmed unresectable, locally advanced or metastatic adenocarcinoma of gastric, GEJ, or distal esophagus, with positive CLDN18.2 expression.
  • Disease progression on or after at least one prior regimen for advanced or metastatic disease, which included a fluoropyrimidine and a platinum, for advanced or metastatic disease.
  • Must have at least one measurable lesion assessed by the Investigator based on RECIST 1.1.
  • ECOG performance status of 0 or 1.
  • Minimum life expectancy of ≥12 weeks.
  • Adequate organ and bone marrow function.
  • Minimum body weight of 40 kg.
  • Sex and Contraceptive Requirements.

Exclusion

  • Participants with known HER2 positive status as defined as IHC 3+ or IHC 2+/ISH +.
  • Participant has significant or unstable gastric bleeding and/or untreated gastric ulcers.
  • CNS metastases or CNS pathology.
  • Participant has known clinically significant corneal disease (eg, active keratitis or corneal ulcerations).
  • Persistent toxicities (CTCAE Grade ≥2) caused by previous anticancer therapy.
  • History of thromboembolic events.

Key Trial Info

Start Date :

August 29 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 28 2027

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT07143604

Start Date

August 29 2025

End Date

September 28 2027

Last Update

December 15 2025

Active Locations (14)

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Page 1 of 4 (14 locations)

1

Research Site

Chelyabinsk, Russia, 454092

2

Research Site

Krasnoyarsk, Russia, 660133

3

Research Site

Kuzmolovskiy, Russia, 188663

4

Research Site

Moscow, Russia, 111123

A Study to Investigate the Effects of AZD0901 Monotherapy in Adult Participants With 2L+ Advanced or Metastatic Gastric or GEJ Adenocarcinoma Expressing CLDN18.2 | DecenTrialz