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TerminatedPhase 2

DS-8201a in Human Epidermal Growth Factor Receptor 2 (HER2)-Expressing or -Mutated Non-Small Cell Lung Cancer

Reason given: Last participant transitioned to alternative study.

Key facts

Where
Ann Arbor, Aurora, Boston, Detroit, La Jolla, New York, Seattle, St Louis, and Tampa, United StatesSee the 9 sites
Phase
Phase 2

Where in United States

  • University of MichiganAnn Arbor, United StatesNo longer taking part
  • University of Colorado HospitalAurora, United StatesNo longer taking part
  • Dana-Farber Cancer InstituteBoston, United StatesNo longer taking part
  • Karmanos Cancer InstituteDetroit, United StatesNo longer taking part
  • University of California San Diego (UCSD)La Jolla, United StatesNo longer taking part
  • Memorial Sloan-Kettering Cancer CenterNew York, United StatesNo longer taking part
  • University of WashingtonSeattle, United StatesNo longer taking part
  • Washington University School of Medicine at St LouisSt Louis, United StatesNo longer taking part
  • Moffitt Cancer CenterTampa, United StatesNo longer taking part

Trial details

Who runs it
Daiichi Sankyo
Trial code
NCT03505710
Record updated
30 May 2025
Original 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.Read full original descriptionShow less

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)

The primary objective of this trial is to evaluate the efficacy of trastuzumab deruxtecan in HER2-overexpressing and/or HER2-mutated advanced NSCLC participants.

Inclusion: 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: Had been previously treated with HER2-targeted therapies, except for pan-HER class tyrosine kinase inhibitors; 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 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:; safety or well-being of the participant or offspring; safety of study staff; analysis of results; Has a QT interval corrected by Fridericia's formula (QTcF) prolongation to > 450 millisecond (ms) in males and > 470 ms in females; For Cohort 1 and Cohort 1a: Has known HER2 mutation.

ClinicalTrials.gov NCT03505710