Description:
This is an open-label, multi-center, single arm, Phase II study to evaluate the efficacy and
safety of T-DXd for the treatment of unresectable and/or metastatic solid tumors harboring
specific HER2 activating mutations regardless of tumor histology. The target population are
patients who have progressed following prior treatment or who have no satisfactory
alternative treatment options, including approved second line therapies in the specific tumor
type. Pre-specified HER2 mutations will be locally assessed using NGS tests or alternative
methods. Prior HER2 targeting therapy is permitted
Title
- Brief Title: A Study of T-DXd for the Treatment of Solid Tumors Harboring HER2 Activating Mutations
- Official Title: A Phase II, Multicenter, Open-label Study to Evaluate the Efficacy and Safety of Trastuzumab Deruxtecan (T-DXd) for the Treatment of Unresectable and/or Metastatic Solid Tumors Harboring HER2 Activating Mutations Regardless of Tumor Histology
Clinical Trial IDs
- ORG STUDY ID:
D967MC00001
- NCT ID:
NCT04639219
Conditions
- Advanced Solid Tumors With HER2 Mutation,eg:Colorectal,Urothelial,Gastric, Hepatobiliary,Endometrial,Melanoma,Ovarian,Cervical,Salivary Gland,Pancreatic,Breast
Interventions
Drug | Synonyms | Arms |
---|
Trastuzumab deruxtecan | DS-8201a (T-DXd) | T-DXd |
Purpose
This is an open-label, multi-center, single arm, Phase II study to evaluate the efficacy and
safety of T-DXd for the treatment of unresectable and/or metastatic solid tumors harboring
specific HER2 activating mutations regardless of tumor histology. The target population are
patients who have progressed following prior treatment or who have no satisfactory
alternative treatment options, including approved second line therapies in the specific tumor
type. Pre-specified HER2 mutations will be locally assessed using NGS tests or alternative
methods. Prior HER2 targeting therapy is permitted
Trial Arms
Name | Type | Description | Interventions |
---|
T-DXd | Experimental | T-DXd monotherapy | |
Eligibility Criteria
Inclusion Criteria:
- Adults ≥18 years old. Other age restrictions may apply as per local regulations.
- Unresectable and/or metastatic solid tumors with pre-specified HER2 mutations locally
determined by NGS, who have progressed following prior treatment or who have no
satisfactory alternative treatment options.
- Prior HER2 targeted therapy is permitted.
- All patients must provide an FFPE tumor sample for retrospective central HER2 testing.
- LVEF ≥50%
- ECOG 0-1
Exclusion Criteria:
- HER2 overexpressing (IHC3+ or IHC2+/ISH+) breast, gastric or gastroesophageal junction
adenocarcinoma.
- HER2 mutant NSCLC.
- History of non-infectious pneumonitis/ILD, current ILD, or where suspected ILD cannot
be ruled out by imaging at screening
- Lung-specific intercurrent clinically significant severe illnesses.
- History of active primary immunodeficiency, known HIV, active HBV or HCV infection
- Uncontrolled infection requiring intravenous (IV) antibiotics, antivirals, or
antifungals
- Pleural effusion, ascites or pericardial effusion that requires drainage, peritoneal
shunt, or Cell-free and Concentrated Ascites Reinfusion Therapy (CART).
- Has spinal cord compression or clinically active central nervous system metastases.
Maximum Eligible Age: | 120 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Confirmed objective response rate by RECIST 1.1 based on independent central review (ICR). |
Time Frame: | An average of approximately 12 months. |
Safety Issue: | |
Description: | Confirmed ORR per RECIST 1.1 is the percentage of patients with Complete Response or Partial Response that is subsequently confirmed, based on ICR. |
Secondary Outcome Measures
Measure: | Duration of response (DoR) based on ICR assessment. |
Time Frame: | An average of approximately 12 months. |
Safety Issue: | |
Description: | DOR is defined as the time from the date of first documented response until the date of documented progression or death, based on ICR assessment. |
Measure: | Disease control rate (DCR) based on ICR assessment. |
Time Frame: | An average of approximately 12 months. |
Safety Issue: | |
Description: | DCR is the percentage of patients who have a best overall response of complete response (CR) or partial response (PR) or stable disease (SD), based on ICR assessment. |
Measure: | Progression free survival (PFS) based on ICR assessment. |
Time Frame: | An average of approximately 12 months. |
Safety Issue: | |
Description: | PFS is the time from first dose of study treatment until the date of objective disease progression or death, based on ICR assessment. |
Measure: | Confirmed Objective Response Rate (ORR) based on investigator assessment. |
Time Frame: | An average of approximately 12 months. |
Safety Issue: | |
Description: | Confirmed ORR per RECIST 1.1 is the percentage of patients with Complete Response or Partial Response that is subsequently confirmed, based on investigator assessment |
Measure: | Overall survival (OS). |
Time Frame: | An average of approximately 20 months. |
Safety Issue: | |
Description: | OS is the time form the date of first dose of study treatment until death due to any cause. |
Measure: | Occurrence of adverse events (AEs) and serious adverse events (SAEs). |
Time Frame: | An average of approximately 14 months. |
Safety Issue: | |
Description: | Occurrence of AEs and SAEs graded according to NCI CTCAE v5.0. |
Measure: | Serum concentration of T-DXd. |
Time Frame: | An average of approximately 14 months. |
Safety Issue: | |
Description: | Individual patient data and descriptive statistics will be provided for serum concentration data at each time point for T-DXd. |
Measure: | Serum concentration of total anti-HER2 antibody. |
Time Frame: | An average of approximately 14 months. |
Safety Issue: | |
Description: | Individual patient data and descriptive statistics will be provided for serum concentration data at each time point for total anti-HER2 antibody. |
Measure: | Serum concentration of MAAA-1181a. |
Time Frame: | An average of approximately 14 months. |
Safety Issue: | |
Description: | Individual patient data and descriptive statistics will be provided for serum concentration data at each time point for MAAA-1181a. |
Measure: | The immunogenicity of T-DXd assessed by the presence of ADAs for T-DXd. |
Time Frame: | An avarage of approximately 14 months. |
Safety Issue: | |
Description: | Individual participant data and descriptive statistics will be provided for data at each time point. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | AstraZeneca |
Trial Keywords
- HER2
- T-DXd
- DS-8201a
- Trastuzumab Deruxtecan
- Metastatic
- Solid Tumors
- Histology Agnostic
Last Updated
August 25, 2021