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Brief Title: DS8201a and Pembrolizumab in Participants With Locally Advanced/Metastatic Breast or Non-Small Cell Lung Cancer
Official Title: A Phase 1b, Multicenter, Two-Part, Open-Label Study of Trastuzumab Deruxtecan (DS-8201a), An Anti-Human Epidermal Growth Factor Receptor-2 (HER2)-Antibody Drug Conjugate (ADC), In Combination With Pembrolizumab, An Anti-PD-1 Antibody, For Subjects With Locally Advanced/Metastatic Breast Or Non-Small Cell Lung Cancer (NSCLC)
Study ID: NCT04042701
Brief Summary: This two-part study will include a dose escalation part to determine the recommended dose for expansion of DS8201a and pembrolizumab and a dose expansion part to evaluate efficacy, safety, and tolerability of the combination.
Detailed Description: This phase 1b, open-label, 2-part, multicenter, non-randomized, multiple-dose study will evaluate DS-8201a in combination with pembrolizumab in participants with advanced/metastatic breast cancer or non-small cell lung cancer (NSCLC). In the dose escalation part of the study, escalating doses of DS-8201a in combination with pembrolizumab will be assessed. DS-8201a and pembrolizumab 200 mg will be administered on Day 1 of every 21-day cycle. The initial dose administered for DS8201a will be 3.2 mg/kg Q3W. Escalation to the next dose (5.4 mg/kg Q3W) will be based on acceptable safety signals based on the earlier dose cohort. Upon completion of dose escalation with the recommended dose of escalation (RDE) established, the dose expansion part of the study will begin. The dose expansion part will include 4 cohorts: Human epidermal growth factor receptor 2 (HER2+) breast cancer participants with prior ado-trastuzumab emtansine (T-DM1), HER2 low breast cancer participants with prior failed standard treatments, HER2-expressing NSCLC participants who have not received any prior treatment with anti-PD-1, anti-PD-L1, or HER2 agents, and HER2-mutant NSCLC participants who have not received any prior treatment with anti-PD-1, anti-PD-L1, or HER2 agents.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Univ. of Cali. San Francisco Medical Center, San Francisco, California, United States
Yale Cancer Center, New Haven, Connecticut, United States
Cancer Specialists of North Florida (Cbo), Jacksonville, Florida, United States
Moffit Cancer Center, Tampa, Florida, United States
Center for Cancer & Blood Disorders, Bethesda, Maryland, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Siteman Cancer Center-Washington University, Saint Louis, Missouri, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Hope Cancer Center of East Texas, Tyler, Texas, United States
Institut Bergonie, Bordeaux, , France
Centre Hospitalier Intercommunal de Créteil, Créteil, , France
CHUTimone, Marseille, , France
Institut PAOLI-CALMETTES, Marsielle, , France
CHU de Poitiers, Poitiers, , France
Univ. du Cancer de Toulouse, Toulouse, , France
Institut Gustave Roussy, Villejuif, , France
Hospital Teresa Herrera (C.H.U.A.C), A Coruña, , Spain
Inst. Oncologico Baselga Hospital Quiron, Barcelona, , Spain
Hospital de la Santa Creu i de Sant Pau, Barcelona, , Spain
Hopital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, , Spain
Hospital General Univ. Gregorio Marañon, Madrid, , Spain
MD Anderson Cancer Center, Madrid, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Hospital Universitario Virgen Macarena, Sevilla, , Spain
Hospital Universitario Miguel Servet, Zaragoza, , Spain
The Royal Marsden NHS Foundation Trust, London, , United Kingdom
Sarah Cannon Research Institute (SCRI), London, , United Kingdom
The Christie NHS Fond. Trust, Manchester, , United Kingdom
Royal Marsden Hosptial, Sutton, , United Kingdom
Clatterbridge Cancer Centre, Wirral, , United Kingdom
Name: Global Clinical Leader
Affiliation: Daiichi Sankyo
Role: STUDY_DIRECTOR