Description:
The primary objective of this trial is to evaluate the efficacy of trastuzumab deruxtecan in
HER2-overexpressing and/or HER2-mutated advanced NSCLC participants.
Title
- Brief Title: DS-8201a in Human Epidermal Growth Factor Receptor 2 (HER2)-Expressing or -Mutated Non-Small Cell Lung Cancer
- Official Title: A Phase 2, Multicenter, Open-Label, 2-Cohort Study of Trastuzumab Deruxtecan (DS-8201a), an Anti-HER2 Antibody Drug Conjugate (ADC), for HER2-Over-Expressing or -Mutated, Unresectable and/or Metastatic Non Small Cell Lung Cancer (NSCLC) (DESTINY-Lung01)
Clinical Trial IDs
- ORG STUDY ID:
DS8201-A-U204
- SECONDARY ID:
2017-004781-94
- SECONDARY ID:
JapicCTI-183916
- NCT ID:
NCT03505710
Conditions
- Non-Small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
Trastuzumab deruxtecan (DS-8201a) | DS-8201a, Experimental product | Cohort 1: HER2 Overexpressing |
Purpose
The primary objective of this trial is to evaluate the efficacy of trastuzumab deruxtecan in
HER2-overexpressing and/or HER2-mutated advanced NSCLC participants.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1: HER2 Overexpressing | Experimental | Cohort 1 will enroll participants with HER2-overexpressing(immunohistochemistry [IHC] 3+ or IHC 2+), unresectable and/or metastatic NSCLC adenocarcinoma to receive 6.4 mg/kg trastuzumab deruxtecan (DS-8201a). | - Trastuzumab deruxtecan (DS-8201a)
|
Cohort 1a: HER2 Overexpressing | Experimental | Cohort 1a will enroll participants with HER2-overexpressing (immunohistochemistry [IHC] 3+ or IHC 2+), unresectable and/or metastatic NSCLC adenocarcinoma to receive 5.4 mg/kg trastuzumab deruxtecan (DS-8201a). | - Trastuzumab deruxtecan (DS-8201a)
|
Cohort 2: HER2 Mutated | Experimental | Cohort 2 will enroll participants with HER2-mutated, unresectable and/or metastatic NSCLC to receive 6.4 mg/kg trastuzumab deruxtecan (DS-8201a). | - Trastuzumab deruxtecan (DS-8201a)
|
Eligibility Criteria
Inclusion Criteria:
- Age ≥20 years old in Japan, ≥18 years old in other countries
- Pathologically documented unresectable and/or metastatic non-squamous NSCLC
- Has relapsed from or is refractory to standard treatment or for which no standard
treatment is available
- For Cohort 1 and Cohort 1a: HER2-overexpression (IHC 2+ or 3+) status must be assessed
and confirmed by Clinical Laboratory Improvement Amendments (CLIA)-certified
laboratory or equivalent, from an archival tumor tissue sample
- For Cohort 2 only: Participant has any known documented activating HER2 mutation from
an archival tumor tissue sample analyzed by CLIA laboratory or equivalent. Note: HER2
mutation documented only from a liquid biopsy sample cannot be used for enrollment.
- Presence of at least 1 measurable lesion assessed by the investigator and based on
Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
- Is willing and able to provide an adequate archival tumor tissue sample
- Is willing to undergo a tissue biopsy, after the completion of the most recent
treatment regimen
- Has Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1
Exclusion Criteria:
- Had been previously treated with HER2-targeted therapies, except for pan-HER class
tyrosine kinase inhibitors
- For Cohort 1 and Cohort 1a: Has known HER2 mutation
- Has a medical history of myocardial infarction, symptomatic congestive heart failure
(CHF) (NYHA classes II-IV), unstable angina or serious cardiac arrhythmia
- Has a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that
required steroids, or current ILD/pneumonitis, or suspected ILD/pneumonitis that
cannot be ruled out due to imaging at screening
- Has a QT interval corrected by Fridericia's formula (QTcF) prolongation to > 450
millisecond (ms) in males and > 470 ms in females
- Has a medical history of clinically significant lung disease
- Is suspected to have certain other protocol-defined diseases based on imaging at
screening period
- Has history of any disease, metastatic condition, drug/medication use or other
condition that might, per protocol or in the opinion of the investigator, compromise:
1. safety or well-being of the participant or offspring
2. safety of study staff
3. analysis of results
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall response rate (ORR) of trastuzumab deruxtecan (DS-8201a) assessed by independent central review (ICR) |
Time Frame: | within 30 months |
Safety Issue: | |
Description: | ORR is assessed for each cohort by ICR, based on Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 |
Secondary Outcome Measures
Measure: | Overall response rate (ORR) of trastuzumab deruxtecan (DS-8201a) assessed by investigator |
Time Frame: | within 30 months |
Safety Issue: | |
Description: | ORR is assessed for each cohort by the investigator |
Measure: | Duration of Response (DoR) |
Time Frame: | within 30 months |
Safety Issue: | |
Description: | Assessment categories: Investigator, ICR |
Measure: | Progression-free Survival (PFS) |
Time Frame: | within 30 months |
Safety Issue: | |
Description: | Assessment categories: Investigator, ICR |
Measure: | Overall Survival (OS) |
Time Frame: | until the end of the trial, including 40-day follow-up visit, followed by long-term follow-up visits until death, withdrawal of consent, loss to follow-up, or study closure, whichever occurs first (within approximately 30 months) |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Daiichi Sankyo, Inc. |
Trial Keywords
- HER2 over-expression
- HER2 mutation
- Unresectable or metastatic
- Non-squamous
- NSCLC
Last Updated
July 1, 2021