A Phase 2 Study of T-DXd in Patients With Selected HER2 Expressing Tumors

NCT ID: NCT04482309

Last Updated: 2025-12-17

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

468 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-18

Study Completion Date

2027-07-30

Brief Summary

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This is an open-label, multi-center, multi-cohort, Phase 2 study to evaluate the efficacy and safety of trastuzumab deruxtecan (T-DXd) for the treatment of selected HER2-expressing tumors.

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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Part 1: Bladder, Biliary Tract, Cervical, Endometrial, Ovarian, Pancreatic Cancer, Rare Tumors, Any Tumor Type Excluding Breast, Gastric, Colorectal Cancer Part 2: HER2 Expressing/Amplified Solid Tumors Excluding Breast, Gastric, Colorectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

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.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

This study is Open-Label Study.

Study Groups

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Part 1 Cohort 7

Rare tumors

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 2 Cohort A

Any tumor type that is HER2 IHC 3+ (excluding breast, gastric cancer, and colorectal cancer)

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

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)

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 2 Cohort C

HER2 IHC 2+ or 1+ endometrial cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 2 Cohort D

HER2 IHC 2+ or 1+ ovarian cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 2 Cohort E

HER2 IHC 2+ or 1+ cervical cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 1

Biliary tract cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 2

Bladder cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 3

Cervical cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 4

Endometrial cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 5

Ovarian cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Part 1 Cohort 6

Pancreatic cancer

Group Type EXPERIMENTAL

Trastuzumab deruxtecan

Intervention Type DRUG

Trastuzumab deruxtecan by intravenous infusion

Interventions

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Trastuzumab deruxtecan

Trastuzumab deruxtecan by intravenous infusion

Intervention Type DRUG

Other Intervention Names

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DS-8201a T-DXd

Eligibility Criteria

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Inclusion Criteria

* Locally advanced, unresectable, or metastatic disease based on most recent imaging.
* 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

* History of non-infectious pneumonitis/ILD that required steroids, current ILD, or where suspected ILD that cannot be ruled out by imaging at screening
* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo Co., Ltd.

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Burbank, California, United States

Site Status WITHDRAWN

Research Site

Duarte, California, United States

Site Status RECRUITING

Research Site

Fullerton, California, United States

Site Status WITHDRAWN

Research Site

La Jolla, California, United States

Site Status WITHDRAWN

Research Site

Los Angeles, California, United States

Site Status WITHDRAWN

Research Site

Santa Rosa, California, United States

Site Status RECRUITING

Research Site

Chicago, Illinois, United States

Site Status RECRUITING

Research Site

Muncie, Indiana, United States

Site Status RECRUITING

Research Site

Boston, Massachusetts, United States

Site Status RECRUITING

Research Site

Detroit, Michigan, United States

Site Status WITHDRAWN

Research Site

St Louis, Missouri, United States

Site Status WITHDRAWN

Research Site

Middletown, New Jersey, United States

Site Status RECRUITING

Research Site

Harrison, New York, United States

Site Status RECRUITING

Research Site

New York, New York, United States

Site Status RECRUITING

Research Site

New York, New York, United States

Site Status RECRUITING

Research Site

Rochester, New York, United States

Site Status WITHDRAWN

Research Site

Durham, North Carolina, United States

Site Status COMPLETED

Research Site

Columbus, Ohio, United States

Site Status WITHDRAWN

Research Site

Nashville, Tennessee, United States

Site Status WITHDRAWN

Research Site

Houston, Texas, United States

Site Status RECRUITING

Research Site

Fairfax, Virginia, United States

Site Status WITHDRAWN

Research Site

Seattle, Washington, United States

Site Status RECRUITING

Research Site

Auchenflower, , Australia

Site Status COMPLETED

Research Site

Blacktown, , Australia

Site Status RECRUITING

Research Site

Camperdown, , Australia

Site Status COMPLETED

Research Site

Heidelberg, , Australia

Site Status COMPLETED

Research Site

Melbourne, , Australia

Site Status RECRUITING

Research Site

Nedlands, , Australia

Site Status RECRUITING

Research Site

Brussels, , Belgium

Site Status COMPLETED

Research Site

Brussels, , Belgium

Site Status WITHDRAWN

Research Site

Leuven, , Belgium

Site Status COMPLETED

Research Site

Liège, , Belgium

Site Status COMPLETED

Research Site

Barretos, , Brazil

Site Status WITHDRAWN

Research Site

Curitiba, , Brazil

Site Status WITHDRAWN

Research Site

Natal, , Brazil

Site Status WITHDRAWN

Research Site

Porto Alegre, , Brazil

Site Status SUSPENDED

Research Site

Porto Alegre, , Brazil

Site Status WITHDRAWN

Research Site

Porto Alegre, , Brazil

Site Status WITHDRAWN

Research Site

Ribeirão Preto, , Brazil

Site Status WITHDRAWN

Research Site

São Paulo, , Brazil

Site Status RECRUITING

Research Site

Vitória, , Brazil

Site Status RECRUITING

Research Site

Kelowna, British Columbia, Canada

Site Status RECRUITING

Research Site

Hamilton, Ontario, Canada

Site Status WITHDRAWN

Research Site

London, Ontario, Canada

Site Status WITHDRAWN

Research Site

Ottawa, Ontario, Canada

Site Status RECRUITING

Research Site

Montreal, Quebec, Canada

Site Status WITHDRAWN

Research Site

Québec, Quebec, Canada

Site Status RECRUITING

Research Site

Montreal, , Canada

Site Status RECRUITING

Research Site

Brno, , Czechia

Site Status COMPLETED

Research Site

Hradec Králové, , Czechia

Site Status COMPLETED

Research Site

Olomouc, , Czechia

Site Status COMPLETED

Research Site

Ostrava, , Czechia

Site Status WITHDRAWN

Research Site

Prague, , Czechia

Site Status COMPLETED

Research Site

Prague, , Czechia

Site Status COMPLETED

Research Site

Delhi, , India

Site Status COMPLETED

Research Site

Gūrgaon, , India

Site Status COMPLETED

Research Site

Kolkata, , India

Site Status COMPLETED

Research Site

Madurai, , India

Site Status WITHDRAWN

Research Site

Mumbai, , India

Site Status COMPLETED

Research Site

Mumbai, , India

Site Status WITHDRAWN

Research Site

Nashik, , India

Site Status WITHDRAWN

Research Site

Milan, , Italy

Site Status RECRUITING

Research Site

Milan, , Italy

Site Status RECRUITING

Research Site

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Roma, , Italy

Site Status WITHDRAWN

Research Site

Rome, , Italy

Site Status RECRUITING

Research Site

Chūōku, , Japan

Site Status RECRUITING

Research Site

Kashiwa, , Japan

Site Status RECRUITING

Research Site

Suita-shi, , Japan

Site Status RECRUITING

Research Site

Amsterdam, , Netherlands

Site Status COMPLETED

Research Site

Delft, , Netherlands

Site Status COMPLETED

Research Site

Groningen, , Netherlands

Site Status COMPLETED

Research Site

Bydgoszcz, , Poland

Site Status RECRUITING

Research Site

Gdansk, , Poland

Site Status RECRUITING

Research Site

Gliwice, , Poland

Site Status WITHDRAWN

Research Site

Krakow, , Poland

Site Status RECRUITING

Research Site

Poznan, , Poland

Site Status COMPLETED

Research Site

Warsaw, , Poland

Site Status RECRUITING

Research Site

Kaluga, , Russia

Site Status COMPLETED

Research Site

Moscow, , Russia

Site Status ACTIVE_NOT_RECRUITING

Research Site

Moscow, , Russia

Site Status COMPLETED

Research Site

Moscow, , Russia

Site Status COMPLETED

Research Site

Moscow, , Russia

Site Status COMPLETED

Research Site

Moscow, , Russia

Site Status ACTIVE_NOT_RECRUITING

Research Site

Moscow, , Russia

Site Status COMPLETED

Research Site

Saint Petersburg, , Russia

Site Status COMPLETED

Research Site

Saint Petersburg, , Russia

Site Status COMPLETED

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Seoul, , South Korea

Site Status COMPLETED

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Barcelona, , Spain

Site Status RECRUITING

Research Site

Córdoba, , Spain

Site Status COMPLETED

Research Site

Madrid, , Spain

Site Status RECRUITING

Research Site

Madrid, , Spain

Site Status COMPLETED

Research Site

Madrid, , Spain

Site Status RECRUITING

Research Site

Madrid, , Spain

Site Status RECRUITING

Research Site

Valencia, , Spain

Site Status COMPLETED

Research Site

Taichung, , Taiwan

Site Status RECRUITING

Research Site

Tainan, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Taoyuan District, , Taiwan

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status WITHDRAWN

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status WITHDRAWN

Research Site

Bangkok, , Thailand

Site Status TERMINATED

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status WITHDRAWN

Research Site

Chiang Mai, , Thailand

Site Status RECRUITING

Research Site

Hat Yai, , Thailand

Site Status RECRUITING

Research Site

Khon Kaen, , Thailand

Site Status RECRUITING

Research Site

Muang, , Thailand

Site Status WITHDRAWN

Research Site

Muang, , Thailand

Site Status RECRUITING

Research Site

Ongkharak, , Thailand

Site Status RECRUITING

Research Site

Si Sa Ket, , Thailand

Site Status WITHDRAWN

Research Site

Glasgow, , United Kingdom

Site Status WITHDRAWN

Research Site

London, , United Kingdom

Site Status RECRUITING

Research Site

Manchester, , United Kingdom

Site Status RECRUITING

Research Site

Northwood Middlesex, , United Kingdom

Site Status WITHDRAWN

Research Site

Sutton, , United Kingdom

Site Status RECRUITING

Countries

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United States Australia Belgium Brazil Canada Czechia India Italy Japan Netherlands Poland Russia South Korea Spain Taiwan Thailand United Kingdom

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

1-877-240-9479

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.

Reference Type DERIVED
PMID: 37870536 (View on PubMed)

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