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AZD0901

Phase 3

Gastric Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jul 10, 2026

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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment851
FDA Designations
No designations recorded
Clinical trial landscape

AZD0901 · 4 trials · 5 indications

Phase 3 1Phase 2 3
NCT06346392AZD0901 Compared With Investigator's Choice of Therapy in Participants With Second- or Later-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing Claudin18.2Gastric Cancer
ACTIVE NOT_RECRUITING594 Analytics
PHASE3ACTIVE NOT_RECRUITING
AZD0901 Compared With Investigator's Choice of Therapy in Participants With Second- or Later-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing Claudin18.2
Gastric CancerUnlock trial analytics
Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) in all randomized participants
From date of first dose/randomisation until disease progression or death in the absence of progression (approximately 3 years).

The analysis will include all randomized participants. All events will be included, regardless of whether the participant withdraws from therapy or receives another anticancer therapy.

Overall Survival (OS) for 3L+ participants
From date of first dose/randomisation until the date of death due to any cause (approximately 3 years).

The analysis will include all randomized participants who had at least 2 prior lines of systemic therapy. All deaths will be included, regardless of whether the participant withdraws from therapy or receives another anticancer therapy.

Objective Response Rate (ORR)
At month 6 after date of first dose

ORR is defined as the proportion of participants who have a confirmed CR or confirmed PR, as determined by the investigator per RECIST 1.1 to all dosed participants

Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Until sub-study completion, up to 38 months

To assess the safety and tolerability of perioperative treatment.

Percentage of participants with pathological complete response (pCR)
Until sub-study completion, up to 38 months

pCR is defined as no viable cancer cells, including lymph nodes after complete evaluation in the resected gastric, GEJ, or esophageal cancer specimen and all sampled regional lymph nodes following neoadjuvant treatment.

Incidence of adverse events (AEs), serious AEs (SAEs). Changes from baseline in clinical laboratory parameters, vital signs, ECGs and physical examination. Rate of AEs leading to discontinuation of AZD0901, Occurrence of DLTs.
30 days post treatment completion. AE Follow Up for 90 days post AZD0901 discontinuation.

To investigate the safety and tolerability, of AZD0901 monotherapy or in combination with anti-cancer agents in particpants with advanced or metastatic solid tumours expressing CLDN18.2.

Objective Response Rate (ORR).
From date of first dose of AZD0901 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years).

Proportion of participants with a confirmed Complete Response (CR) or Partial Response (PR) as determined by the Investigator at local site as per RECIST v1.1.

Secondary Endpoints
OS in all randomized participants
From date of first dose/randomisation until the date of death due to any cause (approximately 3 years).
PFS for 3L+ participants
From date of first dose/randomisation until disease progression or death in the absence of progression (approximately 3 years).
Objective Response Rate (ORR) in all randomized participants
From date of first dose of AZD0901 up until progression, or the last evaluable assessment in the absence of progression (approximately 3 years).
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AZD0901 arm 1EXPERIMENTALParticipants in the AZD0901 arm 1 will receive AZD0901 dose level 1 intravenous infusion treatment.
AZD0901 Arm 2EXPERIMENTALParticipants in the AZD0901 arm 2 will receive AZD0901 dose level 2 intravenous infusion treatment. (Enrolment was closed)
Investigator's choice armACTIVE_COMPARATORParticipants in the Investigator's choice arm will receive a regimen of Investigator's choice, including regionally accepted chemotherapies or targeted therapies.
AZD0901EXPERIMENTALParticipants will receive AZD0901 IV, Q3W
Sub-study 1: AZD0901 plus Rilvegostomig and 5-FU or CapecitabineEXPERIMENTALParticipants will receive AZD0901 plus Rilvegostomig and 5-FU or Capecitabine as neoadjuvant combination therapy (pre-surgery period) and adjuvant combination therapy (post-surgery period) and later will receive Rilvegostomig as adjuvant monotherapy.
Sub-study 2: T-DXd plus Rilvegostomig and 5-FU or CapecitabineEXPERIMENTALParticipants will receive T-DXd plus Rilvegostomig and 5-FU or Capecitabine as neoadjuvant combination therapy (pre-surgery period) and adjuvant combination therapy (post-surgery period) and later will receive Rilvegostomig as adjuvant monotherapy.
Sub-study 3: Rilvegostomig plus FLOT chemotherapyEXPERIMENTALParticipants will receive Rilvegostomig plus FLOT chemotherapy as neoadjuvant combination therapy (pre-surgery period) and adjuvant combination therapy (post-surgery period) and later will receive Rilvegostomig as adjuvant monotherapy.
Sub Study 1 - AZD0901 MONOTHERAPYEXPERIMENTALSub Study 1 will investigate AZD0901 monotherapy in order to evaluate the safety, tolerability, and efficacy of AZD0901.
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMAEXPERIMENTALSubstudy 2 will investigate the safety and efficacy of AZD0901 as first line systemic treatment used in combination with different chemotherapy agents
Sub Study 3: AZD0901 MONOTHERAPY IN BILIARY TRACT CANCEREXPERIMENTALSubstudy 3 Further evaluate the preliminary anti-tumour activity of AZD0901 monotherapy by assessment of DRR.
Interventions
NameTypeDescription
AZD0901DRUGParticipants in the AZD0901 arm 1 will receive dose level 1 AZD0901 IV
Ramucirumab+ paclitaxelDRUGRamucirumab 8 mg/kg IV on Days 1 and 15 and paclitaxel 80 mg/m2 IV on Days 1, 8, and 15, Q4W
PaclitaxelDRUGPaclitaxel 80 mg/m2 IV on Days 1, 8, and 15, Q4W (for participants with contraindication to ramucirumab only)
DocetaxelDRUGDocetaxel 75-100 mg/m2 IV on Day 1, Q3W (for participants with contraindication to ramucirumab only)
IrinotecanDRUGIrinotecan 150-180 mg/m2 IV on Days 1 and 15, Q4W
TAS-102DRUGTAS-102 35 mg/m2 up to a maximum of 80 mg orally twice a day on Days 1 to 5 and Days 8 to 12, Q4W (except China)
ApatinibDRUGApatinib 500-850 mg at Investigator's discretion based on participant's condition and tolerability, orally once daily, Q4W (China only)
RilvegostomigDRUGRilvegostomig will be administered as an IV infusion.
Trastuzumab Deruxtecan (T-DXd)DRUGT-DXd will be administered as an IV infusion.
CapecitabineDRUGCapecitabine (Fluoropyrimidine) will be administered orally as chemotherapy standard of care.
5-Fluorouracil (5-FU)DRUG5-FU (Fluoropyrimidine) will be administered as an IV infusion as chemotherapy standard of care.
FLOT ChemotherapyDRUGFLOT (5-FU, leucovorin, oxaliplatin, and docetaxel) Chemotherapy will be administered as an IV infusion.
5-FluorouracilDRUGChemotherapy agents
LeucovorinDRUGChemotherapy agents
l-leucovorinDRUGChemotherapy agents
Nanoliposomal IrinotecanDRUGChemotherapy agents
GemcitabineDRUGChemotherapy agents
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Eligibility Criteria
Age Range18 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites158

Inclusion Criteria: 1. Capable of giving signed informed consent prior to any study procedure. 2. Participant must be at least 18 years or the legal age of consent in the jurisdiction in which the study is taking place at the time of signing the ICF. 3. Histologically confirmed unresectable, locall...

Countries:United StatesBrazilCanadaChinaFranceGermanyHong KongIndiaItalyJapanPolandSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United KingdomVietnamRussiaGeorgiaAustraliaMalaysiaMoldovaSingapore
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Competitive Landscape -Gastric Cancer 115 trials

Top 20 of 49 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN16PHASE3AZD0901, Ramucirumab, paclitaxel, Paclitaxel, Docetaxel
BeOne Medicines Ltd. Sponsored ADRONC4PHASE3Tislelizumab, Cisplatin, Leucovorin, 5-fluorouracil, Oxaliplatin
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Tislelizumab, Trastuzumab, Capecitabine, Oxaliplatin
Merck & Co., Inc.MRK1PHASE3pembrolizumab, cisplatin, 5-FU, leucovorin, levoleucovorin
Arcus Biosciences, Inc.RCUS2PHASE3Domvanalimab, Zimberelimab, Capecitabine, Fluorouracil, Leucovorin
Bristol-Myers Squibb CompanyBMY6PHASE2Pumitamig, Folfox, Capox, Nivolumab
Pfizer Inc.PFE7PHASE2disitamab vedotin, tucatinib
Agenus Inc.AGEN2PHASE3Balstilimab, Botensilimab, Folfox Protocol, XELOX, Nivolumab
AbbVie, Inc.ABBV2PHASE2Telisotuzumab Adizutecan, Budigalimab, Fluorouracil, Leucovorin, Oxaliplatin
Eli Lilly and CompanyLLY2PHASE2Ramucirumab, Paclitaxel
Compass Therapeutics, Inc.CMPX1PHASE2CTX-009, Paclitaxel
ALX Oncology Holdings, Inc.ALXO1PHASE2Evorpacept, Trastuzumab, Ramucirumab, Paclitaxel
GE Healthcare Technologies Inc.GEHC1PHASE2GEH300079 Positron-Emission Tomography /Computed Tomography
ImmunityBio IncIBRX1PHASE2N-803, Pembrolizumab
Apollomics Inc. Class AAPLM1PHASE2APL-101
Exelixis, Inc.EXEL2PHASE1cabozantinib, atezolizumab
Inhibrx Biosciences, Inc.INBX1PHASE1INBRX-106 - Hexavalent OX40 agonist antibody, pembrolizumab, Carboplatin AUC-5, Pemetrexed /m2, Cisplatin /m2
Tango Therapeutics, Inc.TNGX2PHASE2Trifluridine/Tipiracil, Oxaliplatin, FOLFOX regimen, Nivolumab
Incyte CorporationINCY1PHASE2Capecitabine, Oxaliplatin, Retifanlimab
I-Mab Biopharma US LimitedIMAB2PHASE2Givastomig, Nivolumab, 5Fluorouracil, Leucovorin, Oxaliplatin
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Recent Changes (Last 90 Days)
LOWJul 10, 2026NCT07069712lastUpdatePostDate: changed
LOWJul 10, 2026NCT07069712lastUpdatePostDate: changed
LOWJul 9, 2026NCT06346392Enrollment: 592 → 594
LOWJul 9, 2026NCT06346392Enrollment: 592 → 594
LOWJun 18, 2026NCT07143604lastUpdatePostDate: changed
LOWJun 18, 2026NCT07143604lastUpdatePostDate: changed
LOWJun 18, 2026NCT07143604lastUpdatePostDate: changed
LOWJun 18, 2026NCT07143604lastUpdatePostDate: changed
LOWJun 16, 2026NCT07069712lastUpdatePostDate: changed
LOWJun 16, 2026NCT07069712lastUpdatePostDate: changed
LOWJun 16, 2026NCT07069712lastUpdatePostDate: changed
LOWJun 16, 2026NCT07069712lastUpdatePostDate: changed
MEDIUMMay 28, 2026NCT06346392Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMMay 28, 2026NCT06346392Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 26, 2026NCT07069712primaryCompletionDate: changed
LOWMay 26, 2026NCT06346392primaryCompletionDate: changed
LOWMay 26, 2026NCT06219941primaryCompletionDate: changed
LOWMay 26, 2026NCT07143604primaryCompletionDate: changed
LOWMay 24, 2026NCT07069712studyFirstPostDate: changed
LOWMay 24, 2026NCT06346392studyFirstPostDate: changed