Study of DS-8201a for Participants With Advanced Solid Malignant Tumors

NCT ID: NCT03383692

Last Updated: 2023-12-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-12

Study Completion Date

2023-09-11

Brief Summary

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HER2-positive cancer is a cancer that tests positive for a protein called human epidermal growth factor receptor 2 (HER2). HER2 promotes the growth of certain cancer cells. This study will test an experimental drug called DS-8201a that has not been approved by the health authorities yet.

DS-8201a will be tested for safety in patients with advanced solid malignant tumors that test positive for HER2. It also will test how DS-8201a moves within the body (pharmacokinetics).

Detailed Description

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The expected time from the first subject's enrollment until the last subject's enrollment is approximately 8.5 months. The screening period is 28 days and each cycle of treatment is 21 days.

The data for the primary analysis will cutoff after all subjects have either discontinued the study or completed at least 3 cycles, whichever comes first. After the primary analysis, the main study will be closed and transition to the extension period.

Depending on the preliminary results of Cohort 1, Sponsor may decide whether Cohort 2 will be opened or not.

The number of treatment cycles is not fixed in this study. Subjects who continue to derive clinical benefit from the study drug in the absence of withdrawal of consent, progressive disease (PD), or unacceptable toxicity may continue the study drug.

Conditions

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Neoplasm Metastasis

Keywords

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Unresectable or metastatic solid malignant tumors Solid malignant tumors Oncology HER2 Antibody drug conjugate ADC

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: DS-8201a + Ritonavir

DS-8201a will be administered as an intravenous (IV) solution once every 3 weeks (Q3W) + Ritonavir twice daily (BID) on Day 17 of Cycle 2 until Day 21 of Cycle 3

Group Type EXPERIMENTAL

DS-8201a

Intervention Type DRUG

DS-8201a is provided as a sterile lyophilized powder of DS-8201a in a glass vial, which will be dissolved and administered as an intravenous (IV) solution

Ritonavir

Intervention Type DRUG

Ritonavir is a OATP1B inhibitor; an antiretroviral tablet for oral administration

Cohort 2: DS-8201a + Itraconazole

DS-8201a will be administered as an intravenous (IV) solution once every 3 weeks (Q3W) + Itraconazole BID on Day 17 of Cycle 2 followed by 200 mg daily (QD) until Day 21 of Cycle 3

Group Type EXPERIMENTAL

DS-8201a

Intervention Type DRUG

DS-8201a is provided as a sterile lyophilized powder of DS-8201a in a glass vial, which will be dissolved and administered as an intravenous (IV) solution

Itraconazole

Intervention Type DRUG

Itraconazole is a CYP3A inhibitor; an antifungal tablet for oral administration

Interventions

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DS-8201a

DS-8201a is provided as a sterile lyophilized powder of DS-8201a in a glass vial, which will be dissolved and administered as an intravenous (IV) solution

Intervention Type DRUG

Ritonavir

Ritonavir is a OATP1B inhibitor; an antiretroviral tablet for oral administration

Intervention Type DRUG

Itraconazole

Itraconazole is a CYP3A inhibitor; an antifungal tablet for oral administration

Intervention Type DRUG

Other Intervention Names

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Norvir Sporanox Orungal

Eligibility Criteria

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Inclusion Criteria

* Has a pathologically documented unresectable or metastatic solid malignant tumor, with HER2 expression \[immunohistochemistry (IHC) 3+, 2+, or 1+ and/or in situ hybridization (ISH) +\], Next Generation Sequencing, or other analysis techniques as appropriate\] that is refractory to or intolerable with at least one prior systemic chemotherapy regimen, or for which no standard treatment is available
* Has a left ventricular ejection fraction (LVEF) ≥ 50%
* Has an Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1

Exclusion Criteria

* Has a contraindication for receiving ritonavir or itraconazole according to the prescribing information
* Has a medical history of myocardial infarction within 6 months before enrollment or symptomatic congestive heart failure
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Daiichi Sankyo Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Leader

Role: STUDY_DIRECTOR

Daiichi Sankyo

Locations

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Hokkaido Cancer Center

Sapporo, Hokkaido, Japan

Site Status

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Site Status

Kobe University Hospital

Kobe, Hyōgo, Japan

Site Status

Hamamatsu University Hospital

Hamamatsu, Shizuoka, Japan

Site Status

Shizuoka Cancer Center

Nagaizumicho, Shizuoka, Japan

Site Status

National Cancer Center Hospital

Chuo Ku, Tokyo, Japan

Site Status

The Cancer Institute Hospital of JFCR

Koto-Ku, Tokyo, Japan

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Countries

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Japan South Korea Taiwan

References

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Takahashi S, Bando H, Kinoshita I, Modi S, Tsurutani J, Bang YJ, Sato Y, Nakatani S, Lee C, Sugihara M, Okuda Y, Iwata H. Trastuzumab deruxtecan in patients with human epidermal growth factor receptor 2-expressing salivary gland carcinoma: a pooled analysis of two phase I studies. Jpn J Clin Oncol. 2024 Apr 6;54(4):434-443. doi: 10.1093/jjco/hyad181.

Reference Type DERIVED
PMID: 38231777 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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173790

Identifier Type: REGISTRY

Identifier Source: secondary_id

DS8201-A-A104

Identifier Type: -

Identifier Source: org_study_id