Phase 2 study of T-DXd in Colorectal cancer (DESTINY-CRC02)

  • Research type

    Research Study

  • Full title

    A Phase 2, Multicenter, Randomized Study of Trastuzumab Deruxtecan in Subjects with HER2-Overexpressing Locally Advanced, Unresectable or Metastatic Colorectal Cancer (DESTINY-CRC02)

  • IRAS ID

    293914

  • Contact name

    Ian Chau

  • Contact email

    ian.chau@rmh.nhs.uk

  • Sponsor organisation

    Daiichi Sankyo Inc.

  • Eudract number

    2020-004782-39

  • Clinicaltrials.gov Identifier

    NCT04744831

  • Clinicaltrials.gov Identifier

    136179, IND Number

  • Duration of Study in the UK

    1 years, 11 months, 8 days

  • Research summary

    Colorectal cancer (CRC) is the third most common cancer worldwide. There were approximately 1.85 million new cases diagnosed and 880,000 associated deaths worldwide in 2018. Several standard therapies for advanced or metastatic CRC (mCRC) are available. However, many patients with mCRC eventually progress on current standard of care treatments. The treatment benefit of third-line or subsequent therapy is also limited in patients who maintain a good performance status (PS) after receiving available treatments.

    Daiichi Sankyo Inc. is therefore conducting this study of an investigational medicine called 'Trastuzumab Deruxtecan'. Men and women aged 18 years or over with HER2 (Human Epidermal Growth Factor Receptor 2)-positive (or “overexpressing”) colorectal cancer will be invited to take part in the study. It is expected that approximately 120 patients with HER2 “overexpressing” colorectal cancer will be enrolled into this study.

    There will be two different treatment groups for this study:
    Stage 1 - 40 participants will receive a 5.4 mg/Kg dose of the study drug every three weeks, and 40 participants will receive a 6.4 mg/Kg dose of the study drug every three weeks. Once 80 participants have been recruited, then the second stage of treatment will begin:
    Stage 2 - 40 participants will receive a 5.4 mg/Kg dose of the study drug every three weeks.

    Participants will continue to receive treatment in this study as long as they are benefitting, until they experience severe side effects, their disease worsens, they withdraw consent from the study or it is decided by the study doctor or Sponsor to stop their participation. Their length of participation will vary based on health and the study events. Enrolment is planned to occur over approximately 18 months. The anticipated total duration of the study is expected to be 30 months.

  • REC name

    East Midlands - Derby Research Ethics Committee

  • REC reference

    21/EM/0058

  • Date of REC Opinion

    13 Apr 2021

  • REC opinion

    Further Information Favourable Opinion