- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06271837
A Study of T-DXd in Patients With Selected HER2-overexpressing Tumors
A Phase II, Multicenter, Open-label Study to Evaluate the Efficacy and Safety of Trastuzumab Deruxtecan (T-DXd, DS-8201a) for the Treatment of Patients With Selected HER2-overexpressing Tumors (DESTINY PanTumor03)
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
-
-
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Beijing, China, 100142
- Not yet recruiting
- Research Site
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Changchun, China, 130021
- Not yet recruiting
- Research Site
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Changsha, China, 410013
- Not yet recruiting
- Research Site
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Changzhou, China, 213004
- Not yet recruiting
- Research Site
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Chengdu, China, 610041
- Not yet recruiting
- Research Site
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Chongqing, China, 400030
- Not yet recruiting
- Research Site
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Dongyang, China, 322100
- Not yet recruiting
- Research Site
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Guangzhou, China, 510630
- Not yet recruiting
- Research Site
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Guangzhou, China, 510145
- Not yet recruiting
- Research Site
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Haikou, China, 570311
- Withdrawn
- Research Site
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Hangzhou, China, 310022
- Not yet recruiting
- Research Site
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Harbin, China, 150081
- Recruiting
- Research Site
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Hefei, China, 230031
- Not yet recruiting
- Research Site
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Kunming, China, 650118
- Not yet recruiting
- Research Site
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Lishui, China, 323000
- Not yet recruiting
- Research Site
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Nanchang, China, 330029
- Not yet recruiting
- Research Site
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Shanghai, China, 200032
- Not yet recruiting
- Research Site
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Shanghai, China, 200011
- Not yet recruiting
- Research Site
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Shenyang, China, 110016
- Not yet recruiting
- Research Site
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Xuzhou, China, 221009
- Not yet recruiting
- Research Site
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Yinchuan, China, 750004
- Not yet recruiting
- Research Site
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Zhengzhou, China, 450008
- Not yet recruiting
- Research Site
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At least 18 years of age.
- Locally advanced, unresectable, or metastatic solid tumors based on most recent imaging.
- HER2 overexpression.
- ECOG performance status of 0-1.
- Must provide an existing FFPE tumor sample to centrally determine HER2 expression and other correlatives.
- Has measurable target disease assessed by the investigator based on RECIST 1.1.
- Adequate organ function and bone marrow within 14 days before enrollment.
- Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Capable of giving signed informed consent.
- Provision of signed and dated written ICF prior to mandatory study-specific procedures, sampling, or analyses.
Exclusion Criteria:
- Primary diagnosis of adenocarcinoma of the breast, adenocarcinoma of the gastric body or gastroesophageal junction.
- Has substance abuse or any other medical conditions that may interfere with the patient's participation in the clinical study or evaluation of the clinical study results.
- A pleural effusion, ascites or pericardial effusion that requires drainage, peritoneal shunt, or Cell-free and concentrated ascites reinfusion therapy.
- History of another primary malignancy except for malignancy treated with curative intent with no known active disease within 3 years before the first dose of study intervention and of low potential risk for recurrence. Exceptions include adequately resected non melanoma skin cancer, curatively treated in situ disease, or other solid tumors curatively treated.
- Has unresolved toxicities from previous anti cancer therapy.
- Has any spinal cord compression, leptomeningeal disease, or clinically active CNS metastases.
- Uncontrolled infection requiring IV injection of antibiotics, antivirals, or antifungals, or active infection including tuberculosis.
- Active primary immunodeficiency, known uncontrolled active HIV infection, or active Hepatitis B or C infection.
- Protocol-defined inadequate cardiac function.
- History of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
- Has a concomitant medical condition that would increase the risk of toxicity in the opinion of the investigator.
- Anti cancer chemotherapy without an adequate treatment washout period prior to randomization.
- Major surgical procedure (excluding placement of vascular access) or significant traumatic injury within 4 weeks of the first dose of study intervention or an anticipated need for major surgery during the study.
- Known hypersensitivity to T-DXd or any excipients of the product or other mAbs.
- Involvement in the planning and/or conduct of the study.
- Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions, and requirements.
- Previous enrollment in the present study.
- For females only: Currently pregnant or breast feeding, or who are planning to become pregnant.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Trastuzumab deruxtecan
|
Trastuzumab deruxtecan by intravenous infusion
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Confirmed Objective Response Rate (ORR) by Independent Central Review (ICR)
Time Frame: An average of approximately 12 months
|
Confirmed ORR by ICR is the proportion of patients who have a confirmed complete response or confirmed partial response, as determined by ICR per RECIST 1.1.
|
An average of approximately 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Confirmed Objective Response Rate (ORR) by investigator assessment
Time Frame: An average of approximately 12 months
|
Confirmed ORR by investigator assessment is the proportion of patients who have a confirmed complete response or partial response, as determined by the investigator at local site per RECIST 1.1.
|
An average of approximately 12 months
|
Duration of Response (DoR) by Independent Central Review (ICR)
Time Frame: An average of approximately 12 months
|
DoR by ICR is defined as the time from the date of first documented response until the date of documented progression (using RECIST 1.1 by ICR) or death in the absence of disease progression.
|
An average of approximately 12 months
|
Duration of Response (DoR) by investigator assessment
Time Frame: An average of approximately 12 months
|
DoR by investigator assessment is defined as the time from the date of first documented response until the date of documented progression (using RECIST 1.1 by investigator assessment) or death in the absence of disease progression.
|
An average of approximately 12 months
|
Disease control rate (DCR) by Independent Central Review (ICR)
Time Frame: An average of approximately 12 months
|
The DCR by ICR is defined as the percentage of patients who have a confirmed complete response (CR) or partial response (PR) or stable disease (SD) per RECIST 1.1 by ICR.
|
An average of approximately 12 months
|
Disease control rate (DCR) by investigator assessment
Time Frame: An average of approximately 12 months
|
The DCR by investigator assessment is defined as the percentage of patients who have a confirmed complete response (CR) or partial response (PR) or stable disease (SD) per RECIST 1.1 by investigator assessment.
|
An average of approximately 12 months
|
Confirmed best objective response (BOR) by Independent Central Review (ICR)
Time Frame: An average of approximately 12 months
|
BOR by ICR is a patient's best response during their participation in the study up until RECIST 1.1-defined progression by ICR or the last evaluable assessment in the absence of RECIST 1.1-defined progression by ICR.
|
An average of approximately 12 months
|
Confirmed best objective response (BOR) by investigator assessment
Time Frame: An average of approximately 12 months
|
BOR by investigator assessment is a patient's best response during their participation in the study up until RECIST 1.1 defined progression or the last evaluable assessment in the absence of RECIST 1.1 defined progression.
|
An average of approximately 12 months
|
Progression-free survival (PFS) by Independent Central Review (ICR)
Time Frame: An average of approximately 12 months
|
PFS by ICR will be defined as the time from the date of enrollment until the date of objective progressive disease (PD) per RECIST 1.1 as assessed by ICR or death.
|
An average of approximately 12 months
|
Progression-free survival (PFS) by investigator assessment
Time Frame: An average of approximately 12 months
|
PFS by investigator assessment is defined as the time from the date of enrollment until the date of progressive disease (PD) per RECIST 1.1 as assessed by the investigator or death.
|
An average of approximately 12 months
|
Overall survival (OS)
Time Frame: An average of approximately 12 months
|
OS is defined as the time from the date of enrollment until death due to any cause.
|
An average of approximately 12 months
|
Occurrence of adverse events (AEs) and serious adverse events (SAEs)
Time Frame: An average of approximately 12 months
|
The grading scales found in the revised NCI CTCAE v5.0 will be utilized for all events.
|
An average of approximately 12 months
|
Pharmacokinetics (PK) of T-DXd
Time Frame: An average of approximately 12 months
|
Individual patient data and descriptive statistics will be provided for serum concentration data at each time point for T-DXd, total anti-HER2 antibody and MAAA-1181a.
|
An average of approximately 12 months
|
Immunogenicity of T-DXd
Time Frame: An average of approximately 12 months
|
Incidence of anti-drug antibodies against T-DXd in serum at each time point.
|
An average of approximately 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Stomach Diseases
- Stomach Neoplasms
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Immunoconjugates
- Trastuzumab
- Trastuzumab deruxtecan
Other Study ID Numbers
- D781AC00001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
"Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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