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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-004986-18 | EudraCT Number | ||
| JapicCTI-173693(en) | Registry Identifier | JapicCTI | |
| DESTINY-Breast01 | Other Identifier | Daiichi Sankyo and AstraZeneca |
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The last participant was transitioned to alternative study.
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| Name | Class |
|---|---|
| AstraZeneca | INDUSTRY |
| Daiichi Sankyo Co., Ltd. | INDUSTRY |
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Some human epidermal growth factor receptor 2 (HER-2) breast cancer patients do not respond or become resistant to current treatment. DS-8201a is a new experimental product that is a combination of an antibody and a drug. It has not yet been approved for use. DS-8201a may slow down tumor growth. This might improve outcomes for these patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DS-8201a Low Dose | Experimental | T-DM1 resistant/refractory (R/R) patients in the low dose treatment group |
|
| DS-8201a Medium Dose | Experimental | T-DM1 resistant/refractory (R/R) patients in the medium dose treatment group |
|
| DS-8201a High Dose | Experimental | T-DM1 resistant/refractory (R/R) patients in the high dose treatment group |
|
| Exploratory Arm | Other | In Part 2b- Continuation Stage, about 10 T-DM1 Intolerant patients will receive the DS-8201a recommended dose (RD) as an exploratory arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DS-8201a | Drug | DS-8201a is sterile lyophilized powder reconstituted into a sterile aqueous solution (100 mg/5 mL) to be administered as low, medium and high intravenous (IV) doses for Part 1 of the trial. The dose for Part 2 will be determined based on results from Part 1. |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate as Confirmed by Independent Central Review Following Intravenous Administration of 5.4 mg/kg DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The number of participants with objective response was assessed every six weeks from Cycle 1 Day 1 through discontinuation of treatment, by independent central imaging facility review based on RECIST version 1.1. | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate as Confirmed By the Investigator Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The number of participants with objective response is assessed every six weeks from Cycle 1 Day 1 through discontinuation of treatment. Investigator-assessed objective response rate (ORR) was defined as the proportion of participants who achieved a best overall response of complete response or partial response based on local radiologists/investigators' tumor assessments. |
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Inclusion Criteria:
Men or women the age of majority in their country
Has pathologically documented breast cancer that:
Has an adequate tumor sample
Has at least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Has protocol-defined adequate cardiac, renal and hepatic function
Agrees to follow protocol-defined method(s) of contraception
Exclusion Criteria:
Has a medical history of myocardial infarction, symptomatic congestive heart failure (CHF) (NYHA classes II-IV), unstable angina or serious cardiac arrhythmia
Has a corrected QT interval (QTc) prolongation to > 450 millisecond (ms) in males and > 470 ms in females
Has a medical history of clinically significant lung disease
Is suspected to have certain other protocol-defined diseases based on imaging at screening period
Has history of any disease, metastatic condition, drug/medication use or other condition that might, per protocol or in the opinion of the investigator, compromise:
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Leader | Daiichi Sankyo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alaska Urological Institute dba Alaska Clinical Research Center | Anchorage | Alaska | 99508 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36342619 | Derived | Dunton K, Vondeling G, Hancock E, Petrou M, Burn O, Paine A. Methods for Estimating Long-Term Outcomes for Trastuzumab Deruxtecan in HER2-Positive Unresectable or Metastatic Breast Cancer After Two or More Anti-HER2 Therapies. Target Oncol. 2022 Nov;17(6):655-663. doi: 10.1007/s11523-022-00923-9. Epub 2022 Nov 7. | |
| 35964548 | Derived |
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De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
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 (5.4 or 6.4 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.
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).
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: DS-8201a Low Dose | 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. |
| FG001 | Part 1: DS-8201a Medium Dose |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 26, 2019 |
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HER2-positive patients will be classified into two groups: T-DM1 resistant/refractory (experimental) and T-DM1 intolerant (exploratory only).
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In Part 1, about 60 trastuzumab emtansine (T-DM1) resistant/refractory patients initially will be randomized into three treatment groups (low, medium and high doses) for Pharmacokinetics (PK), then about another 60 will be randomized into low and high doses to determine recommended dose (RD). After that, about 100 will receive the recommended dose in an open-label continuation stage (Part 2). About 10 TDM-1 intolerant patients will join the continuation stage as an exploratory only arm.
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|
| at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Best Overall Tumor Response as Confirmed By the Investigator Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Best overall tumor response was defined as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) by the investigator based on RECIST v1.1. Participants who were non-evaluable (NE) are also reported. | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Disease Control Rate and Clinical Benefit Rate as Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Number of participants with controlled disease and who received clinical benefit from treatment as assessed by independent central review. DCR was defined as the proportion of participants who achieved a best overall response of complete response, partial response, or stable disease. CBR was defined as the proportion of participants who achieved a best overall response of complete response or partial response or more than 6 months of stable disease. | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Duration of Response (Complete Response or Partial Response) as Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The estimated duration of confirmed response (complete response [CR] or partial response [PR]) was assessed by independent central review. Duration of response was defined as the time interval between the date of first documentation of objective response (CR or PR) and the date of the first objective documentation of disease progression or death due to any cause. | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Progression-Free Survival Estimate As Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The point estimate of progression-free survival (PFS) is reported. PFS was defined as the time interval between the date of randomization/registration and the first documentation of disease progression or death due to any cause. | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| Percent Change From Baseline in Sum of Diameters Over Time as Determined by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Best percent change in sum of diameters of measurable tumors was based on RECIST 1.1. The best percent change was defined as the percent change in the smallest sum of diameters from all post-baseline tumor assessments, taking as reference the baseline sum of diameters. | Baseline up to Week 6, 12, 18, 24, 30, 36 post dose |
| Overall Summary of Treatment-emergent Adverse Events (TEAEs) Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Safety Analysis Set) | TEAEs were assessed by severity and seriousness according to unique criteria. Severity described the intensity of an event and was graded using National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03, where Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL); Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL; Grade 4: Life-threatening consequences; urgent intervention indicated; and Grade 5: Death related to AE. Serious TEAEs were defined as any untoward medical occurrence that at any dose results in death, is life threatening, requires inpatient hospitalization, or causes prolongation of existing hospitalization. | Day 0 to Day 47 post last dose |
| Arizona Oncology Associates |
| Tucson |
| Arizona |
| 85704 |
| United States |
| The Regents of the University of California | Los Angeles | California | 90095 | United States |
| Sharp Clinical Oncology Research | San Diego | California | 92123 | United States |
| University of California San Francisco | San Francisco | California | 94115 | United States |
| Sansum Clinic | Santa Barbara | California | 93105 | United States |
| Innovative Clinical Research Institute, LLC | Whittier | California | 90603 | United States |
| Sylvester Comprehensive Cancer Center - Deerfield Beach | Boca Raton | Florida | 33426 | United States |
| Specialist Global Research | Hialeah | Florida | 33012 | United States |
| Miami Cancer Institute at Baptist Health, Inc. | Miami | Florida | 33176 | United States |
| Piedmont Cancer Institute | Atlanta | Georgia | 30318 | United States |
| Straub Medical Center | Honolulu | Hawaii | 96813 | United States |
| University of Hawaii | Honolulu | Hawaii | 96813 | United States |
| Norton Healthcare | Louisville | Kentucky | 40202 | United States |
| University of Louisville Research Foundation | Louisville | Kentucky | 40202 | United States |
| Ochsner Clinic Foundation | New Orleans | Louisiana | 70120 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Henry Ford Hospital | Detroit | Michigan | 48202 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| North Shore Hematology Oncology Associates PC DBA NY Cancer and Blood Specialists | East Setauket | New York | 11733 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Aultman Hospital Cancer Center | Canton | Ohio | 44710 | United States |
| University of Cincinnati Medical Center | Cincinnati | Ohio | 45267 | United States |
| Allegheny General Hospital | Pittsburgh | Pennsylvania | 15212 | United States |
| UPMC Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
| St Francis Hospital | Greenville | South Carolina | 29601 | United States |
| Accurate Clinical Research | Baytown | Texas | 77521 | United States |
| Texas Oncology, P.A. | Dallas | Texas | 75246 | United States |
| Texas Oncology - Memorial City | Houston | Texas | 77024 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| The Methodist Hospital Research Institute | Houston | Texas | 77030 | United States |
| Texas Oncology, P.A. - Longview | Tyler | Texas | 75702 | United States |
| The University of Texas Health Science Center at Tyler | Tyler | Texas | 75708 | United States |
| Virginia Cancer Specialists, PC | Fairfax | Virginia | 22031 | United States |
| Providence Regional Medical Center - Everett | Everett | Washington | 98201 | United States |
| Imeldaziekenhuis | Bonheiden | 2820 | Belgium |
| Grand Hôpital de Charleroi | Charleroi | 6000 | Belgium |
| UZ Leuven | Leuven | 3000 | Belgium |
| CHU Sart Tilman | Liège | 4000 | Belgium |
| AZ Sint-Maarten | Mechelen | 2800 | Belgium |
| University of Calgary | Calgary | Alberta | T2N 4N2 | Canada |
| Institut Sainte Catherine | Avignon | 84918 | France |
| CHU Besançon - Hôpital Jean Minjoz | Besançon | 25030 | France |
| Centre Georges François Leclerc | Dijon | 21079 | France |
| CHU Bordeaux - Hôpital Saint André | Gironde | 33075 | France |
| CH de la Rochelle - Hopital St Louis | La Rochelle | 17019 | France |
| Clinique Victor Hugo - Centre Jean Bernard | Le Mans | 72015 | France |
| Hôpital Nord - CHU Marseille | Marseille | 13915 | France |
| Institut Régional du Cancer de Montpellier | Montpellier | 34298 | France |
| Centre Catherine de Sienne | Nantes | 44202 | France |
| Hôpital Saint-Louis - Paris | Paris | 75475 | France |
| Centre Hospitalier Lyon Sud | Pierre-Bénite | 69495 | France |
| CRLCC Eugene Marquis | Rennes | 35042 | France |
| Hôpital d'Instruction des Armees Begin | Saint-Mandé | 94160 | France |
| Centre Paul Strauss | Strasbourg | 67000 | France |
| Institut Gustave Roussy | Villejuif | 94805 | France |
| Ospedale San Raffaele | Milan | 20132 | Italy |
| Fondazione IRCCS Istituto Nazionale dei Tumori | Milan | 20133 | Italy |
| IEO Istituto Europeo di Oncologia | Milan | 20141 | Italy |
| Azienda Socio Sanitaria Territoriale di Monza (Presidio San Gerardo) | Monza | 20900 | Italy |
| Ospedale degli Infermi | Rimini | 47923 | Italy |
| Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona | Torrette | 60020 | Italy |
| NHO Shikoku Cancer Center | Matsuyama | Ehime | 791-0280 | Japan |
| Toranomon Hospital | Minatoku | Tokyo-To | 105-8470 | Japan |
| Aichi Cancer Center Hospital | Aichi | 464-8681 | Japan |
| National Cancer Center Hospital East | Chiba | 277-8577 | Japan |
| NHO Kyushu Cancer Center | Fukuoka | 811-1395 | Japan |
| Hakuaikai Sagara Hospital | Kagoshima | 892-0833 | Japan |
| Kanagawa Cancer Center | Kanagawa | 241-0815 | Japan |
| Kindai University Hospital | Osaka | 589-8511 | Japan |
| National Cancer Center Hospital | Tokyo | 104-0045 | Japan |
| St. Luke's International Hospital | Tokyo | 104-8560 | Japan |
| Cancer Institute Hospital of JFCR | Tokyo | 135-8550 | Japan |
| Kyungpook National University Chilgok Hospital | Daegu | 41404 | South Korea |
| National Cancer Center | Goyang-si | 10408 | South Korea |
| Seoul National University Bundang Hospital | Seongnam-si | 13620 | South Korea |
| Korea University Anam Hospital | Seoul | 02841 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Severance Hospital, Yonsei University | Seoul | 03722 | South Korea |
| Asan Medical Center | Seoul | 05505 | South Korea |
| Samsung Medical Center | Seoul | 06351 | South Korea |
| Hospital Infanta Cristina | Badajoz | 6080 | Spain |
| Hospital Universitari Quiron Dexeus | Barcelona | 08028 | Spain |
| Hospital Universitari Vall d'Hebron | Barcelona | 08035 | Spain |
| ICO l´Hospitalet - Hospital Duran i Reynals | Barcelona | 08908 | Spain |
| Hospital Quiron Barcelona | Barcelona | 8023 | Spain |
| MD Anderson Cancer Centre | Madrid | 28033 | Spain |
| Hospital Universitario Ramon y Cajal | Madrid | 28034 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Hospital Clinico Universitario Virgen de la Victoria | Málaga | 29010 | Spain |
| Hospital Universitario Virgen Macarena | Seville | 41009 | Spain |
| Instituto Valenciano de Oncologia IVO | Valencia | 46009 | Spain |
| Derriford Hospital | Plymouth | Devon | PL6 8BQ | United Kingdom |
| Queen Mary University of London | London | Greater London | EC1M 6BQ | United Kingdom |
| University College London Hospitals | London | Greater London | NW1 2PG | United Kingdom |
| Western General Hospital | Edinburgh | Lothian Region | EH4 2XU | United Kingdom |
| Nottingham University Hospitals City Campus | Nottingham | Nottinghamshire | NG5 1PB | United Kingdom |
| Royal Surrey County Hospital | Guildford | Surrey | GU2 7XX | United Kingdom |
| Rugo HS, Bianchini G, Cortes J, Henning JW, Untch M. Optimizing treatment management of trastuzumab deruxtecan in clinical practice of breast cancer. ESMO Open. 2022 Aug;7(4):100553. doi: 10.1016/j.esmoop.2022.100553. Epub 2022 Aug 11. |
| 35642907 | Derived | Bardia A, Harnden K, Mauro L, Pennisi A, Armitage M, Soliman H. Clinical Practices and Institutional Protocols on Prophylaxis, Monitoring, and Management of Selected Adverse Events Associated with Trastuzumab Deruxtecan. Oncologist. 2022 Aug 5;27(8):637-645. doi: 10.1093/oncolo/oyac107. |
| 34263665 | Derived | Modi S. Trastuzumab deruxtecan in previously treated HER2-positive metastatic breast cancer: Plain language summary of the DESTINY-Breast01 study. Future Oncol. 2021 Sep 1;17(26):3415-3423. doi: 10.2217/fon-2021-0427. Epub 2021 Jul 15. |
| 33999422 | Derived | Yin O, Iwata H, Lin CC, Tamura K, Watanabe J, Wada R, Kastrissios H, AbuTarif M, Garimella T, Lee C, Zhang L, Shahidi J, LaCreta F. Exposure-Response Relationships in Patients With HER2-Positive Metastatic Breast Cancer and Other Solid Tumors Treated With Trastuzumab Deruxtecan. Clin Pharmacol Ther. 2021 Oct;110(4):986-996. doi: 10.1002/cpt.2291. Epub 2021 Jun 10. |
| 31825192 | Derived | Modi S, Saura C, Yamashita T, Park YH, Kim SB, Tamura K, Andre F, Iwata H, Ito Y, Tsurutani J, Sohn J, Denduluri N, Perrin C, Aogi K, Tokunaga E, Im SA, Lee KS, Hurvitz SA, Cortes J, Lee C, Chen S, Zhang L, Shahidi J, Yver A, Krop I; DESTINY-Breast01 Investigators. Trastuzumab Deruxtecan in Previously Treated HER2-Positive Breast Cancer. N Engl J Med. 2020 Feb 13;382(7):610-621. doi: 10.1056/NEJMoa1914510. Epub 2019 Dec 11. |
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.
| FG002 | Part 1: DS-8201a High Dose | 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. |
| FG003 | Part 2a: DS-8201a Low Dose | 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. |
| FG004 | Part 2b (Exploratory): DS-8201a Low Dose | 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. |
| COMPLETED |
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| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: DS-8201a Low Dose | 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. |
| BG001 | Part 1: DS-8201a Medium Dose | 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. |
| BG002 | Part 1: DS-8201a High Dose | 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. |
| BG003 | Part 2a: DS-8201a Low Dose | 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. |
| BG004 | Part 2b (Exploratory): DS-8201a Low Dose | 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. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Objective Response Rate as Confirmed by Independent Central Review Following Intravenous Administration of 5.4 mg/kg DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The number of participants with objective response was assessed every six weeks from Cycle 1 Day 1 through discontinuation of treatment, by independent central imaging facility review based on RECIST version 1.1. | Objective response rate (ORR) was assessed in the Enrolled Analysis Set.at data cut-off date of 21 March 2019 | Posted | Count of Participants | Participants | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
|
|
| |||||||||||||||||||||||||||||
| Secondary | Objective Response Rate as Confirmed By the Investigator Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The number of participants with objective response is assessed every six weeks from Cycle 1 Day 1 through discontinuation of treatment. Investigator-assessed objective response rate (ORR) was defined as the proportion of participants who achieved a best overall response of complete response or partial response based on local radiologists/investigators' tumor assessments. | Objective response rate (ORR) was assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Count of Participants | Participants | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| |||||||||||||||||||||||||||||||
| Secondary | Best Overall Tumor Response as Confirmed By the Investigator Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Best overall tumor response was defined as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) by the investigator based on RECIST v1.1. Participants who were non-evaluable (NE) are also reported. | Best overall tumor response was assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Count of Participants | Participants | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| |||||||||||||||||||||||||||||||
| Secondary | Disease Control Rate and Clinical Benefit Rate as Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Number of participants with controlled disease and who received clinical benefit from treatment as assessed by independent central review. DCR was defined as the proportion of participants who achieved a best overall response of complete response, partial response, or stable disease. CBR was defined as the proportion of participants who achieved a best overall response of complete response or partial response or more than 6 months of stable disease. | Disease control rate (DCR) and clinical benefit rate (CBR) were assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Count of Participants | Participants | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| |||||||||||||||||||||||||||||||
| Secondary | Duration of Response (Complete Response or Partial Response) as Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The estimated duration of confirmed response (complete response [CR] or partial response [PR]) was assessed by independent central review. Duration of response was defined as the time interval between the date of first documentation of objective response (CR or PR) and the date of the first objective documentation of disease progression or death due to any cause. | Participants with CR or PR were analyzed. Estimated duration of response was assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Median | 95% Confidence Interval | months | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| ||||||||||||||||||||||||||||||
| Secondary | Progression-Free Survival Estimate As Confirmed by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | The point estimate of progression-free survival (PFS) is reported. PFS was defined as the time interval between the date of randomization/registration and the first documentation of disease progression or death due to any cause. | Progression-free survival was assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Median | 95% Confidence Interval | months | at least 6 months after last participant enrolled received first dose up to 19 months (data cut off) |
| ||||||||||||||||||||||||||||||
| Secondary | Percent Change From Baseline in Sum of Diameters Over Time as Determined by Independent Central Review Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Enrolled Analysis Set) | Best percent change in sum of diameters of measurable tumors was based on RECIST 1.1. The best percent change was defined as the percent change in the smallest sum of diameters from all post-baseline tumor assessments, taking as reference the baseline sum of diameters. | Best percent change from baseline in sum of diameters was assessed in the Enrolled Analysis Set at data cut-off date of 21 March 2019. | Posted | Mean | Standard Deviation | Percent change from baseline | Baseline up to Week 6, 12, 18, 24, 30, 36 post dose |
| ||||||||||||||||||||||||||||||
| Secondary | Overall Summary of Treatment-emergent Adverse Events (TEAEs) Following Intravenous Administration of DS-8201a in Participants With Metastatic Breast Cancer (Safety Analysis Set) | TEAEs were assessed by severity and seriousness according to unique criteria. Severity described the intensity of an event and was graded using National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03, where Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL); Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care ADL; Grade 4: Life-threatening consequences; urgent intervention indicated; and Grade 5: Death related to AE. Serious TEAEs were defined as any untoward medical occurrence that at any dose results in death, is life threatening, requires inpatient hospitalization, or causes prolongation of existing hospitalization. | Adverse event data were assessed in the Safety Analysis Set t data cut-off date of 21 March 2019. | Posted | Count of Participants | Participants | Day 0 to Day 47 post last dose |
|
Adverse event (AE) data were collected from Day 0 through Day 47 post last dose of study drug.
A treatment-emergent adverse event (TEAE) was defined as an adverse event (AE) that occurred, having been absent before the first dose of study drug, or had worsened in severity or seriousness after the initiating the study drug until 47 days after last dose of the study drug.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: DS-8201a Low Dose | 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. | 33 | 50 | 14 | 50 | 50 | 50 |
| EG001 | Part 1: DS-8201a Medium Dose | 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. | 30 | 48 | 11 | 48 | 48 | 48 |
| EG002 | Part 1: DS-8201a High Dose | 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. | 18 | 21 | 8 | 21 | 21 | 21 |
| EG003 | Part 2a: DS-8201a Low Dose | 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. | 86 | 130 | 42 | 130 | 129 | 130 |
| EG004 | Part 2b (Exploratory): DS-8201a Low Dose | All participants who were T-DM1 intolerant and treated at the recommend dose (5.4 mg/kg) in Part 2b in the continuation phase. | 3 | 4 | 1 | 4 | 4 | 4 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hematuria | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Shock haemorrhagic | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal abscess | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Disease progression | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Acute hepatic failure | Hepatobiliary disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Venoocclusive liver disease | Hepatobiliary disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypersensitivity | Immune system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Lung infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Parotitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Soft tissue infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Lymphangitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Osteomyelitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Pneumonitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Ilium fracture | Injury, poisoning and procedural complications | MedDRA v20.1 | Systematic Assessment |
| |
| Femoral neck fracture | Injury, poisoning and procedural complications | MedDRA v20.1 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hyperkalemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Presyncope | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Genital hemorrhage | Reproductive system and breast disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dyspnea | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 27 | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA 27 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Gastric varices | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Varices oesophageal | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 27 | Systematic Assessment |
| |
| Pancreatitis | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Pulmonary hypertension | Respiratory, thoracic and mediastinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Cardiac disorder | Cardiac disorders | MedDRA 27 | Systematic Assessment |
| |
| Pulmonary valve disease | Cardiac disorders | MedDRA 27 | Systematic Assessment |
| |
| Sinus arrest | Cardiac disorders | MedDRA 27 | Systematic Assessment |
| |
| Eyelid ptosis | Eye disorders | MedDRA 27 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Dehiscence | General disorders | MedDRA 27 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 27 | Systematic Assessment |
| |
| Alcoholic liver disease | Hepatobiliary disorders | MedDRA 27 | Systematic Assessment |
| |
| Acute hepatitis B | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Catheter site infection | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Escherichia pyelonephritis | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Escherichia sepsis | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Alcohol poisoning | Injury, poisoning and procedural complications | MedDRA 27 | Systematic Assessment |
| |
| Post procedural complication | Injury, poisoning and procedural complications | MedDRA 27 | Systematic Assessment |
| |
| Wrist fracture | Injury, poisoning and procedural complications | MedDRA 27 | Systematic Assessment |
| |
| Femur fracture | Injury, poisoning and procedural complications | MedDRA 27 | Systematic Assessment |
| |
| Femur fracture | Investigations | MedDRA 27 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA 27 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 27 | Systematic Assessment |
| |
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 27 | Systematic Assessment |
| |
| Cognitive disorder | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 27 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 27 | Systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA 27 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Neutropenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Lymphopenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Mitral valve incompetence | Cardiac disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dry eye | Eye disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Keratitis | Eye disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Lacrimation increased | Eye disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Visual impairment | Eye disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Gastroesophageal reflux disease | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hemorrhoids | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Mucosal inflammation | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Odema peripheral | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Malaise | General disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Conjunctivitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA v20.1 | Systematic Assessment |
| |
| Infusion-related reaction | Injury, poisoning and procedural complications | MedDRA v20.1 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Blood bilirubin increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Electrocardiogram QT prolonged | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Blood lactate dehydrogenase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Troponin I increased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Ejection fraction decreased | Investigations | MedDRA v20.1 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypoalbuminemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypomagnesemia | Metabolism and nutrition disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dysgeusia | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Neuropathy peripheral | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Cognitive disorder | Nervous system disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dizziness | Psychiatric disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hematuria | Renal and urinary disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dyspnea | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Nail disorder | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Skin hyperpigmentation | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA v20.1 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 27 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 27 | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA 27 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Troponin increased | Investigations | MedDRA 27 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 27 | Systematic Assessment |
| |
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA 27 | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA 27 | Systematic Assessment |
| |
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 27 | Systematic Assessment |
| |
| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA 27 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 27 | Systematic Assessment |
| |
| Breast pain | Reproductive system and breast disorders | MedDRA 27 | Systematic Assessment |
| |
| Hot flush | Vascular disorders | MedDRA 27 | Systematic Assessment |
| |
| Lymphoedema | Vascular disorders | MedDRA 27 | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 27 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 27 | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Localised oedema | General disorders | MedDRA 27 | Systematic Assessment |
| |
| Vaginal infection | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Tooth infection | Infections and infestations | MedDRA 27 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 27 | Systematic Assessment |
| |
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA 27 | Systematic Assessment |
| |
| Brain fog | Nervous system disorders | MedDRA 27 | Systematic Assessment |
| |
| Pollakiuria | Renal and urinary disorders | MedDRA 27 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 27 | Systematic Assessment |
| |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA 27 | Systematic Assessment |
| |
| Skin discolouration | Skin and subcutaneous tissue disorders | MedDRA 27 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Contact for Clinical Trial Information | Daiichi Sankyo | 1-908-992-6400 | CTRinfo_us@daiichisankyo.com |
| Jan 13, 2020 |
| Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| C000614160 | trastuzumab deruxtecan |
Not provided
Not provided
Not provided
| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Belgium |
|
| United States |
|
| Japan |
|
| Italy |
|
| United Kingdom |
|
| France |
|
| Spain |
|
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.
| OG003 | Part 1: DS-8201a High Dose | 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. |
|
|
| OG003 | Part 1 + Part 2a + Part 2b: DS-8201a Low Dose | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 1 or Part 2a or Part 2b. |
|
|
| Part 1 + Part 2a: DS-8201a Low Dose |
All T-DM1 resistant/refractory (R/R) participants who were treated at the recommended (5.4 mg/kg) dose in Part 1 or Part 2a. |
| OG003 | Part 1 + Part 2a + Part 2b: DS-8201a Low Dose | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 1 or Part 2a or Part 2b. |
|
|
All T-DM1 resistant/refractory (R/R) participants who were treated at the recommended (5.4 mg/kg) dose in Part 1 or Part 2a. |
| OG003 | Part 1 + Part 2a + Part 2b: DS-8201a Low Dose | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 1 or Part 2a or Part 2b. |
|
|
| OG003 | Part 1 + Part 2a + Part 2b: DS-8201a Low Dose | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 1 or Part 2a or Part 2b. |
|
|
| OG003 | Part 1 + Part 2a + Part 2b: DS-8201a Low Dose | All participants who were previously treated with T-DM1 and were randomized to receive DS8201a low dose (5.4 mg/kg) in Part 1 or Part 2a or Part 2b. |
|
|
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. |
| OG002 | Part 1: DS-8201a High Dose | 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. |
| OG003 | Part 2a: DS-8201a Low Dose | All T-DM1 resistant/refractory (R/R) participants who were treated at the recommended (5.4 mg/kg) dose in the continuation phase. |
| OG004 | Part 2b (Exploratory): DS-8201a Low Dose | All participants who were T-DM1 intolerant and treated at the recommend dose (5.4 mg/kg) in the continuation phase. |
|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
|