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DS-8201a Versus Ado Trastuzumab Emtansine for HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane [DESTINY-Breast03]

Phase 3
Completed
Conditions
nresectable/metastatic breast cancer with HER2 -positive expression
Registration Number
JPRN-jRCT2080223919
Lead Sponsor
DAIICHI SANKYO Co.,Ltd.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
completed
Sex
All
Target Recruitment
500
Inclusion Criteria

1. Men or women >= 20 years old (Japan), >= 18 years old and the age of majority (other countries)
2. Pathologically documented breast cancer that:
a. is unresectable or metastatic
b. has confirmed HER2 positive expression as determined according to American Society of Clinical Oncology - College of American Pathologists guidelines evaluated at a central laboratory
c. was previously treated with trastuzumab and taxane in the advanced/metastatic setting or progressed within 6 mo after neoadjuvant or adjuvant treatment involving a regimen including trastuzumab and taxane
3. Documented radiologic progression (during or after most recent treatment or within 6 mo after completing adjuvant therapy)
4. Subjects must have an adequate tumor sample available for confirmation of HER2 status by Central Laboratory (based on most recent tumor tissue sample). If archived tissue is not available, a fresh biopsy is required.
5. Male and female subjects of reproductive/childbearing potential must agree to use a highly effective form of contraception or avoid intercourse during and upon completion of the study and for at least 7 mo after the last dose of DS-8201a for female subjects (4.5 mo for male subjects) or 7 mo after the last dose of T-DM1 for female subjects (4 mo for male subjects).
6. Adequate hematopoietic, renal and hepatic functions.

Exclusion Criteria

1. Prior treatment with an anti-HER2 ADC (such as T-DM1) in the metastatic setting. Prior treatment in the adjuvant/neoadjuvant setting would be allowed if progression of disease did not occur within 12 mo of end of adjuvant therapy.
2. Uncontrolled or significant cardiovascular disease
3. Has a history of (noninfectious) interstitial lung disease (ILD)/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
4. Active central nervous system (CNS) metastases.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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