A Phase 2 Study of T-DXd in Patients With Selected HER2 Expressing Tumors
NCT ID: NCT04482309
Last Updated: 2025-12-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
PHASE2
468 participants
INTERVENTIONAL
2020-08-18
2027-07-30
Brief Summary
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This study will consist of Part 1 which includes 7 cohorts of: urothelial bladder cancer, biliary tract cancer, cervical cancer, endometrial cancer, ovarian cancer, pancreatic cancer, and rare tumors; and Part 2 which includes 5 cohorts A to E of: A) any tumor type that is HER2 IHC 3+ (excluding breast, gastric cancer, and colorectal cancer), B) any tumor type that is HER2 IHC 2+/ISH+ (excluding breast, gastric cancer, and colorectal cancer), C) HER2 IHC 2+ or 1+ endometrial cancer, D) HER2 IHC 2+ or 1+ ovarian cancer, and E) HER2 IHC 2+ or 1+ cervical cancer.
Study hypothesis: Trastuzumab deruxtecan will show meaningful clinical activity and a favorable risk benefit profile in selected HER2-expressing solid tumors.
Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Part 1 Cohort 7
Rare tumors
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 2 Cohort A
Any tumor type that is HER2 IHC 3+ (excluding breast, gastric cancer, and colorectal cancer)
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 2 Cohort B
Any tumor type that is HER2 IHC 2+/ISH+ (excluding breast, gastric cancer, and colorectal cancer)
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 2 Cohort C
HER2 IHC 2+ or 1+ endometrial cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 2 Cohort D
HER2 IHC 2+ or 1+ ovarian cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 2 Cohort E
HER2 IHC 2+ or 1+ cervical cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 1
Biliary tract cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 2
Bladder cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 3
Cervical cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 4
Endometrial cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 5
Ovarian cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Part 1 Cohort 6
Pancreatic cancer
Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Interventions
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Trastuzumab deruxtecan
Trastuzumab deruxtecan by intravenous infusion
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Part 1:The respective cohorts for patient inclusion are:
* Cohort 1: Biliary tract cancer
* Cohort 2: Bladder cancer
* Cohort 3: Cervical cancer
* Cohort 4: Endometrial cancer
* Cohort 5: Epithelial ovarian cancer
* Cohort 6: Pancreatic cancer
* Cohort 7: Rare tumors: This cohort will consist of patients with tumors that express HER2, excluding the tumors mentioned above, and breast, non-small cell lung cancer, gastric cancer, and colorectal cancer.
* Part 2:The respective cohorts for patient inclusion are:
* Cohort A: Metastatic or advanced solid tumors that are HER2 IHC 3+ (excluding breast, gastric cancer, and colorectal cancer). Patients with non-small cell lung cancer can be included.
* Cohort B: Metastatic or advanced solid tumors that are HER2 IHC 2+/ISH+ any tumor type (excluding breast, gastric cancer, and colorectal cancer). Patients with non-small cell lung cancer can be included.
* Cohort C: Metastatic or advanced solid endometrial cancer that is HER2 IHC 2+ or 1+.
* Cohort D: Metastatic or advanced ovarian cancer that is HER2 IHC 2+ or 1+.
* Cohort E: Metastatic or advanced solid cervical cancer that is HER2 IHC 2+ or 1+.
* Progressed following prior treatment or who have no satisfactory alternative treatment option.
* Prior HER2 targeting therapy is permitted.
* HER2 expression scored using current ASCO/CAP guidelines for scoring HER2 for gastric cancer.
* Part 1: IHC 3+ or IHC 2+ by local or central assessment
* Part 2: IHC and ISH results by central assessment as pre-defined for each cohort
* Has measurable target disease assessed by the Investigator based on RECIST version 1.1.
* Has protocol- defined adequate organ function including cardiac, renal and hepatic function.
Exclusion Criteria
* Lung-specific intercurrent clinically significant severe illnesses
* 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
* Known Somatic DNA mutation of HER2 (ERBB2) without tumoral HER2 protein expression.
* Primary diagnosis of adenocarcinoma of the breast, adenocarcinoma of the colon or rectum, adenocarcinoma of the gastric body or gastro-esophageal junction, or non-small cell lung cancer for Part 1. For Part 2, patients with primary diagnosis of adenocarcinoma of the breast, adenocarcinoma of the colon or rectum, adenocarcinoma of the gastric body or gastro-esophageal junction will be excluded.
* Medical conditions that may interfere with the subject's participation in the study.
18 Years
120 Years
ALL
No
Sponsors
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Daiichi Sankyo Co., Ltd.
INDUSTRY
AstraZeneca
INDUSTRY
Responsible Party
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Locations
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Research Site
Burbank, California, United States
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Duarte, California, United States
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Fullerton, California, United States
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La Jolla, California, United States
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Los Angeles, California, United States
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Santa Rosa, California, United States
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Chicago, Illinois, United States
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Muncie, Indiana, United States
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Boston, Massachusetts, United States
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Detroit, Michigan, United States
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St Louis, Missouri, United States
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Middletown, New Jersey, United States
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Harrison, New York, United States
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New York, New York, United States
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New York, New York, United States
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Rochester, New York, United States
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Durham, North Carolina, United States
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Columbus, Ohio, United States
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Nashville, Tennessee, United States
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Houston, Texas, United States
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Fairfax, Virginia, United States
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Seattle, Washington, United States
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Auchenflower, , Australia
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Blacktown, , Australia
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Camperdown, , Australia
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Heidelberg, , Australia
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Melbourne, , Australia
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Nedlands, , Australia
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Brussels, , Belgium
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Brussels, , Belgium
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Leuven, , Belgium
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Liège, , Belgium
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Barretos, , Brazil
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Curitiba, , Brazil
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Natal, , Brazil
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Porto Alegre, , Brazil
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Porto Alegre, , Brazil
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Porto Alegre, , Brazil
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Ribeirão Preto, , Brazil
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São Paulo, , Brazil
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Vitória, , Brazil
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Kelowna, British Columbia, Canada
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Hamilton, Ontario, Canada
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London, Ontario, Canada
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Ottawa, Ontario, Canada
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Montreal, Quebec, Canada
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Québec, Quebec, Canada
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Montreal, , Canada
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Brno, , Czechia
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Hradec Králové, , Czechia
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Olomouc, , Czechia
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Ostrava, , Czechia
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Prague, , Czechia
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Prague, , Czechia
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Delhi, , India
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Gūrgaon, , India
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Kolkata, , India
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Madurai, , India
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Mumbai, , India
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Mumbai, , India
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Nashik, , India
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Milan, , Italy
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Milan, , Italy
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Napoli, , Italy
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Roma, , Italy
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Rome, , Italy
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Chūōku, , Japan
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Kashiwa, , Japan
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Suita-shi, , Japan
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Amsterdam, , Netherlands
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Delft, , Netherlands
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Groningen, , Netherlands
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Bydgoszcz, , Poland
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Gdansk, , Poland
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Gliwice, , Poland
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Krakow, , Poland
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Poznan, , Poland
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Warsaw, , Poland
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Kaluga, , Russia
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Moscow, , Russia
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Moscow, , Russia
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Moscow, , Russia
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Moscow, , Russia
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Moscow, , Russia
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Moscow, , Russia
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Saint Petersburg, , Russia
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Saint Petersburg, , Russia
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Barcelona, , Spain
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Córdoba, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Valencia, , Spain
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Taichung, , Taiwan
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Tainan, , Taiwan
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Taipei, , Taiwan
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Taipei, , Taiwan
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Taipei, , Taiwan
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Taoyuan District, , Taiwan
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Bangkok, , Thailand
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Chiang Mai, , Thailand
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Hat Yai, , Thailand
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Khon Kaen, , Thailand
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Muang, , Thailand
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Muang, , Thailand
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Ongkharak, , Thailand
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Si Sa Ket, , Thailand
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Glasgow, , United Kingdom
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London, , United Kingdom
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Manchester, , United Kingdom
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Northwood Middlesex, , United Kingdom
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Sutton, , United Kingdom
Countries
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Central Contacts
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References
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Meric-Bernstam F, Makker V, Oaknin A, Oh DY, Banerjee S, Gonzalez-Martin A, Jung KH, Lugowska I, Manso L, Manzano A, Melichar B, Siena S, Stroyakovskiy D, Fielding A, Ma Y, Puvvada S, Shire N, Lee JY. Efficacy and Safety of Trastuzumab Deruxtecan in Patients With HER2-Expressing Solid Tumors: Primary Results From the DESTINY-PanTumor02 Phase II Trial. J Clin Oncol. 2024 Jan 1;42(1):47-58. doi: 10.1200/JCO.23.02005. Epub 2023 Oct 23.
Other Identifiers
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2023-504721-39-02
Identifier Type: REGISTRY
Identifier Source: secondary_id
2020-001574-29
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
D967VC00001
Identifier Type: -
Identifier Source: org_study_id