AstraZeneca reports positive Phase III stomach cancer drug results

AstraZeneca reported on 2026-10-25 that Sone-Ve met the overall-survival endpoint in the Phase III CLARITY-Gastric01 trial for advanced, CLDN18.2-positive gastrointestinal cancers. In the 2L+ population, median overall survival was 10.6 months versus 6.4 months for investigator's choice, while the 3L+ analysis showed 10.0 months versus 5.0 months. Progression-free survival assessed by blinded independent central review improved numerically but did not reach statistical significance.

The overall-survival data give AstraZeneca clinical evidence for potential regulatory filings, but regulatory submissions remain pending. The result could expand Sone-Ve's addressable treatment population if later filings and reviews succeed.

  • 1In the 2L+ population, Sone-Ve produced median overall survival of 10.6 months versus 6.4 months for investigator's choice, with an HR of 0.58.
  • 2In the 3L+ population, median overall survival was 10.0 months versus 5.0 months, with an HR of 0.47 and p<0.000001.
  • 3BICR-assessed median PFS was 4.2 months versus 3.8 months, with an HR of 0.77 and p=0.053193, which did not reach statistical significance.
  • 4The trial included 545 patients across 19 countries.
  • The estimate of potential annual sales of $5 billion appears only in material 4 and is not independently corroborated by the other materials.
  • Material 3 describes the data as potentially registrational, but the materials do not confirm that AstraZeneca has filed for regulatory approval.

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