A Study of DS-8201a in Metastatic Breast Cancer Previously Treated With Trastuzumab Emtansine (T-DM1)
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ClinicalTrials.gov Identifier: NCT03248492 |
Recruitment Status :
Active, not recruiting
First Posted : August 14, 2017
Results First Posted : February 17, 2020
Last Update Posted : November 15, 2023
|
Sponsor:
Daiichi Sankyo
Collaborators:
AstraZeneca
Daiichi Sankyo Co., Ltd.
Information provided by (Responsible Party):
Daiichi Sankyo
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Study Type | Interventional |
---|---|
Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Breast Cancer |
Intervention |
Drug: DS-8201a |
Enrollment | 253 |
Participant Flow
Recruitment Details | Participants who met all of the inclusion and none of the exclusion criteria were enrolled and randomized to treatment (Part 1) or received DS-8201a at the recommended dose (Part 2). |
Pre-assignment Details | In Part 1, participants were randomized 1:1:1 to either 5.4 mg/kg, 6.4 mg/kg, or 7.4 mg/kg dose of DS-8201a. Two doses randomized 1:1 (6.4 mg/kg and 7.4 mg/kg) were further evaluated. In Part 2, all T-DM1 resistant refractory participants (cohort 2a) or T-DM1 intolerant (cohort 2b) received DS-8201a at the recommended dose. |
Arm/Group Title | Part 1: DS-8201a Low Dose | Part 1: DS-8201a Medium Dose | Part 1: DS-8201a High Dose | Part 2a: DS-8201a Low Dose | Part 2b (Exploratory): DS-8201a Low Dose |
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Arm/Group Description | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a low dose (5.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phases. | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a medium dose (6.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phases. | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a high dose (7.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phase. | All T-DM1 resistant/refractory (R/R) participants who were treated at the recommended (5.4 mg/kg) dose in Part 2a in the continuation phase. | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 2b in the continuation phase. |
Period Title: Overall Study | |||||
Started | 50 | 48 | 21 | 130 | 4 |
Completed [1] | 0 | 0 | 0 | 0 | 0 |
Not Completed | 50 | 48 | 21 | 130 | 4 |
Reason Not Completed | |||||
Ongoing | 23 | 26 | 3 | 85 | 2 |
Progressive disease per RECIST v1.1 | 16 | 12 | 9 | 22 | 0 |
Adverse Event | 6 | 6 | 8 | 8 | 1 |
Withdrawal by Subject | 3 | 3 | 0 | 3 | 1 |
Physician Decision | 1 | 0 | 1 | 2 | 0 |
Death | 1 | 0 | 0 | 6 | 0 |
Other | 0 | 1 | 0 | 4 | 0 |
[1]
Data from the Ongoing and Discontinued participants are presented as of data cutoff on 21 March 2019
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Baseline Characteristics
Arm/Group Title | Part 1: DS-8201a Low Dose | Part 1: DS-8201a Medium Dose | Part 1: DS-8201a High Dose | Part 2a: DS-8201a Low Dose | Part 2b (Exploratory): DS-8201a Low Dose | Total | |
---|---|---|---|---|---|---|---|
Arm/Group Description | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a low dose (5.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phases. | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a medium dose (6.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phases. | T-DM1 resistant/refractory (R/R) participants randomized to receive DS-8201a high dose (7.4 mg/kg) in the pharmacokinetic (PK) and dose-finding phases. | All T-DM1 resistant/refractory (R/R) participants who were treated at the recommended (5.4 mg/kg) dose in Part 2a in the continuation phase. | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 2b in the continuation phase. | Total of all reporting groups | |
Overall Number of Baseline Participants | 50 | 48 | 21 | 130 | 4 | 253 | |
Baseline Analysis Population Description |
[Not Specified]
|
||||||
Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 50 participants | 48 participants | 21 participants | 130 participants | 4 participants | 253 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
35 70.0%
|
33 68.8%
|
16 76.2%
|
101 77.7%
|
4 100.0%
|
189 74.7%
|
|
>=65 years |
15 30.0%
|
15 31.3%
|
5 23.8%
|
29 22.3%
|
0 0.0%
|
64 25.3%
|
|
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
|||||||
Number Analyzed | 50 participants | 48 participants | 21 participants | 130 participants | 4 participants | 253 participants | |
57.9 (11.3) | 55.8 (13.0) | 54.4 (10.5) | 55.4 (11.9) | 49.8 (9.2) | 55.8 (11.8) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 50 participants | 48 participants | 21 participants | 130 participants | 4 participants | 253 participants | |
Female |
50 100.0%
|
48 100.0%
|
21 100.0%
|
130 100.0%
|
4 100.0%
|
253 100.0%
|
|
Male |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 50 participants | 48 participants | 21 participants | 130 participants | 4 participants | 253 participants | |
American Indian or Alaska Native |
0 0.0%
|
1 2.1%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
2 0.8%
|
|
Asian |
22 44.0%
|
22 45.8%
|
12 57.1%
|
47 36.2%
|
1 25.0%
|
104 41.1%
|
|
Native Hawaiian or Other Pacific Islander |
1 2.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
|
Black or African American |
2 4.0%
|
0 0.0%
|
1 4.8%
|
1 0.8%
|
1 25.0%
|
5 2.0%
|
|
White |
24 48.0%
|
23 47.9%
|
8 38.1%
|
76 58.5%
|
1 25.0%
|
132 52.2%
|
|
More than one race |
1 2.0%
|
1 2.1%
|
0 0.0%
|
2 1.5%
|
0 0.0%
|
4 1.6%
|
|
Unknown or Not Reported |
0 0.0%
|
1 2.1%
|
0 0.0%
|
4 3.1%
|
0 0.0%
|
5 2.0%
|
|
Region of Enrollment
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 50 participants | 48 participants | 21 participants | 130 participants | 4 participants | 253 participants |
South Korea | 7 | 7 | 0 | 25 | 1 | 40 | |
Belgium | 0 | 2 | 0 | 7 | 0 | 9 | |
United States | 15 | 14 | 10 | 36 | 2 | 77 | |
Japan | 16 | 15 | 11 | 14 | 0 | 56 | |
Italy | 0 | 1 | 0 | 8 | 1 | 10 | |
United Kingdom | 0 | 0 | 0 | 12 | 0 | 12 | |
France | 2 | 1 | 0 | 17 | 0 | 20 | |
Spain | 10 | 8 | 0 | 11 | 0 | 29 |
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Contact for Clinical Trial Information |
Organization: | Daiichi Sankyo |
Phone: | 1-908-992-6400 |
EMail: | CTRinfo@dsi.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Daiichi Sankyo |
ClinicalTrials.gov Identifier: | NCT03248492 |
Other Study ID Numbers: |
DS8201-A-U201 2016-004986-18 ( EudraCT Number ) JapicCTI-173693(en) ( Registry Identifier: JapicCTI ) DESTINY-Breast01 ( Other Identifier: Daiichi Sankyo and AstraZeneca ) |
First Submitted: | August 10, 2017 |
First Posted: | August 14, 2017 |
Results First Submitted: | January 17, 2020 |
Results First Posted: | February 17, 2020 |
Last Update Posted: | November 15, 2023 |