DS-8201a in Human Epidermal Growth Factor Receptor2 (HER2)-Expressing Colorectal Cancer (DESTINY-CRC01)

NCT ID: NCT03384940

Last Updated: 2021-10-18

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

PHASE2

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-23

Study Completion Date

2020-11-10

Brief Summary

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The main objective of this study is to test the safety and effectiveness of DS-8201a for participants with HER2-expressing advanced colorectal cancer.

Detailed Description

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At study start, only Cohort A is active.

If, and when, Cohort B and C become active depends on the assessment of benefit and risk observed in the program.

The sponsor will inform the investigators if, and when, Cohort B and C are active.

Conditions

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Colorectal Neoplasm

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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DS-8201a Cohort A

Cohort A is comprised of participants with HER2-positive (IHC 3+ or IHC 2+/ISH +) who will receive DS-8201a once every 3 weeks

Group Type EXPERIMENTAL

DS-8201a

Intervention Type DRUG

DS-8201a is comprised of an antibody component conjoined to a drug component in a lyophilized powder, which is made into solution for intravenous administration

DS-8201a Cohort B

Cohort B is comprised of participants with HER2 IHC 2+/ISH - who will receive DS-8201a once every 3 weeks

Group Type EXPERIMENTAL

DS-8201a

Intervention Type DRUG

DS-8201a is comprised of an antibody component conjoined to a drug component in a lyophilized powder, which is made into solution for intravenous administration

DS-8201a Cohort C

Cohort C is comprised of participants with HER2 IHC 1+ who will receive DS-8201a once every 3 weeks

Group Type EXPERIMENTAL

DS-8201a

Intervention Type DRUG

DS-8201a is comprised of an antibody component conjoined to a drug component in a lyophilized powder, which is made into solution for intravenous administration

Interventions

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DS-8201a

DS-8201a is comprised of an antibody component conjoined to a drug component in a lyophilized powder, which is made into solution for intravenous administration

Intervention Type DRUG

Other Intervention Names

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Trastuzumab deruxtecan

Eligibility Criteria

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Inclusion Criteria

* Has pathologically documented unresectable, recurrent, or metastatic colorectal adenocarcinoma (until sponsor's notification to the study sites, subject must be a RAS/BRAF wild-type cancer)
* Has received at least 2 prior regimens of standard treatment
* Has measurable disease assessed by the investigator based on RECIST version 1.1.
* Has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 1

Exclusion Criteria

* Has a medical history of myocardial infarction within 6 months, symptomatic congestive heart failure
* Has a medical history of clinically significant lung disease
* Has spinal cord compression or clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role collaborator

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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City of Hope Medical Center

Duarte, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

UCLA Health

Santa Monica, California, United States

Site Status

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Greenville Health System Cancer Institute

Greenville, South Carolina, United States

Site Status

West Cancer Center

Germantown, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

MD Anderson Cancer Center, University of Texas

Houston, Texas, United States

Site Status

Università degli studi della Campania L.Vanvitelli

Napoli, Campania, Italy

Site Status

Oncology Institute Veneto IOV-IRCCS

Padua, Ferrara, Italy

Site Status

ASST Grande Ospedale Metropolitano Niguarda

Milan, Lombardo, Italy

Site Status

Fondazione IRCCS - Istituto Nazionale dei Tumori

Milan, , Italy

Site Status

Aichi Cancer Center Hospital

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

Site Status

National Hospital Organization Shikoku Cancer Center

Matsuyama, Ehime, Japan

Site Status

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Site Status

Kindai University Hospital

Ōsaka-sayama, Osaka, Japan

Site Status

The Cancer Institute Hospital of Japanese Foundation for Cancer Research

Koto-Ku, Tokyo, Japan

Site Status

National Hospital Organization Kyushu Cancer Center

Fukuoka, , Japan

Site Status

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitari Clinic de Barcelona

Barcelona, , Spain

Site Status

Royal Marsden Institute (Chelsea)

Chelsea, London, England, United Kingdom

Site Status

Royal Marsden Institute (Sutton)

Sutton, Surrey, England, United Kingdom

Site Status

Countries

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United States Italy Japan Spain United Kingdom

References

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Siena S, Raghav K, Masuishi T, Yamaguchi K, Nishina T, Elez E, Rodriguez J, Chau I, Di Bartolomeo M, Kawakami H, Suto F, Koga M, Inaki K, Kuwahara Y, Takehara I, Barrios D, Kobayashi K, Grothey A, Yoshino T. HER2-related biomarkers predict clinical outcomes with trastuzumab deruxtecan treatment in patients with HER2-expressing metastatic colorectal cancer: biomarker analyses of DESTINY-CRC01. Nat Commun. 2024 Nov 25;15(1):10213. doi: 10.1038/s41467-024-53223-3.

Reference Type DERIVED
PMID: 39587050 (View on PubMed)

Yoshino T, Di Bartolomeo M, Raghav K, Masuishi T, Loupakis F, Kawakami H, Yamaguchi K, Nishina T, Wainberg Z, Elez E, Rodriguez J, Fakih M, Ciardiello F, Saxena K, Kobayashi K, Bako E, Okuda Y, Meinhardt G, Grothey A, Siena S; DESTINY-CRC01 investigators. Final results of DESTINY-CRC01 investigating trastuzumab deruxtecan in patients with HER2-expressing metastatic colorectal cancer. Nat Commun. 2023 Jun 7;14(1):3332. doi: 10.1038/s41467-023-38032-4.

Reference Type DERIVED
PMID: 37286557 (View on PubMed)

Siena S, Di Bartolomeo M, Raghav K, Masuishi T, Loupakis F, Kawakami H, Yamaguchi K, Nishina T, Fakih M, Elez E, Rodriguez J, Ciardiello F, Komatsu Y, Esaki T, Chung K, Wainberg Z, Sartore-Bianchi A, Saxena K, Yamamoto E, Bako E, Okuda Y, Shahidi J, Grothey A, Yoshino T; DESTINY-CRC01 investigators. Trastuzumab deruxtecan (DS-8201) in patients with HER2-expressing metastatic colorectal cancer (DESTINY-CRC01): a multicentre, open-label, phase 2 trial. Lancet Oncol. 2021 Jun;22(6):779-789. doi: 10.1016/S1470-2045(21)00086-3. Epub 2021 May 4.

Reference Type DERIVED
PMID: 33961795 (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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2017-003466-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

173808

Identifier Type: REGISTRY

Identifier Source: secondary_id

DESTINY-C01

Identifier Type: OTHER

Identifier Source: secondary_id

DS8201-A-J203

Identifier Type: -

Identifier Source: org_study_id