advanced solid malignant tumors
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >= 20 years in Japan, >= 18 years in the United States. 2. Eastern Cooperative Oncology Group performance status(PS) of 0 or 1. 3. Left ventricular ejection fraction (LVEF) >= 50% Part 1: 1. Advanced/unresectable or metastatic breast cancer or gastric or gastroesophageal junction adenocarcinoma that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. Part 2a: 1. Advanced breast cancer with HER2 overexpression that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. 2.Treated with T-DM1 Part 2b: 1. Advanced gastric or gastroesophageal junction adenocarcinoma with HER2 overexpression that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. 2. Treated with trastuzumab Part 2c: 1. Advanced breast cancer with HER2 low expression that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. Part 2d: Satisfy at least one of the following criteria 1. Advanced/unresectable or metastatic solid malignant tumor with HER2 expression other than breast cancer and gastric or gastroesophageal junction adenocarcinoma that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. 2. Advanced/unresectable or metastatic tumor with HER2 mutation that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. Part 2e 1. Advanced breast cancer with HER2 overexpression that is refractory to or intolerable with standard treatment, or for which no standard treatment is available. 2. Treated with ado-trastuzumab emtansine (T-DM1) (patients with HER2 overexpression only)
Exclusion criteria
Exclusion criteria: 1.Has a medical history of symptomatic CHF (New York Heart Association; NYHA classes II-IV) or serious cardiac arrhythmia. 2.Has a medical history of myocardial infarction or unstable angina. 3.Has a QTc prolongation to > 450 millisecond (ms) in males and > 470 ms in females. 4.Has a medical history of clinically significant lung diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety efficacy Part 1: Safety Part 2: Safety, Efficacy Assessment of tumor response to DS-8201a using RECIST ver. 1.1 | — |
Secondary
| Measure | Time frame |
|---|---|
| pharmacokinetics exploratory Part 1: Pharmacokinetics, Incidence of human anti-human antibodies (HAHA) against DS-8201a, Efficacy Part 2: Pharmacokinetics, Incidence of human anti-human antibodies (HAHA) against DS-8201a | — |
Countries
Japan, North America
Contacts
DAIICHI SANKYO Co.,Ltd.