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Trial · NCT02564900

Study of DS-8201a in Subjects With Advanced Solid Malignant Tumors

NCT02564900, Phase 1, Completed, Daiichi Sankyo Co., Ltd.; results first posted 2021-06-23

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ConductScience Library. Study of DS-8201a in Subjects With Advanced Solid Malignant Tumors. Trials, record NCT02564900. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02564900

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of DS-8201a in Subjects With Advanced Solid Malignant Tumors
NCT number
NCT02564900
Status
Completed
Phases
Phase 1
Enrollment
292 participants, actual
Lead sponsor
Daiichi Sankyo Co., Ltd.
Conditions
Advanced Solid Tumors
Interventions
DS-8201a (DP1), DS-8201a (DP2), DS-8201a (DP)
First posted
2015-10-01
Last updated
2024-01-22
Results first posted
2021-06-23

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Objective response rate (ORR) by independent central review was defined as the proportion of participants who achieve either complete response \[CR\] or partial response \[PR\] per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. HER2-positive other solid tumors included participants with salivary/submandibular/parotid gland (8 participants), breast with HER2-mutation (2 participants), endometrial (2 participants), esophageal (2 participants), Paget's disease (2 participants), cholangiocarcinoma (1 participant), extraskeletal myxoide chondrosarcoma (1 participant), gallbladder (1 participant), pancreatic (1 participant), small intestine (1 participant), uterine cervix (1 participant) and HER2-low gastric/GEJ (1 participant who received 5.4 mg/kg) cancer.
SecondaryDisease Control Rate (DCR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Disease control rate (DCR) by independent central review was calculated as the proportion of participants demonstrating complete response (CR), partial response (PR), or stable disease (SD) for a minimum of 6 weeks (±1week) from the first dosing date. CR was defined as a disappearance of all target lesions, PR as at least a 30% decrease in the sum of diameters of target lesions, and stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions. HER2-positive other solid tumors included 8 participants with salivary/submandibular/parotid gland, 2 breast with HER2-mutation, 2 endometrial, 2 esophageal, 2 Paget's disease, 1 cholangiocarcinoma, 1 extraskeletal myxoide chondrosarcoma, 1 gallbladder, 1 pancreatic, 1 small intestine, 1 uterine cervix, and 1 participant who received 5.4 mg/kg with HER2-low gastric/GEJ cancer.
SecondaryBest Overall Response Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Best overall response by independent central review was defined as the proportion of participants who achieved either complete response \[CR\], partial response \[PR\], stable disease (SD), progressive disease (PD), or were non-evaluable (NE) as per RECIST v1.1. CR was defined as a disappearance of all target lesions, PR at least a 30% decrease in the sum of diameters of target lesions, and SD as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD defined as at least a 20% increase in the sum of diameters of target lesions. HER2-positive other solid tumors included 8 participants with salivary/submandibular/parotid gland, 2 breast with HER2-mutation, 2 endometrial, 2 esophageal, 2 Paget's disease, 1 cholangiocarcinoma, 1 extraskeletal myxoide chondrosarcoma, 1 gallbladder, 1 pancreatic, 1 small intestine, 1 uterine cervix, and 1 participant who received 5.4 mg/kg with HER2-low gastric/GEJ cancer.
SecondaryDuration of Response (DoR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Duration of response (DoR) by independent central review was defined as the time between the date of the first complete response (CR) or partial response (PR) until the date of the first documentation of progressive disease (PD) or death due to any cause. CR was defined as a disappearance of all target lesions, PR as at least a 30% decrease in the sum of diameters of target lesions, and PD as at least a 20% increase in the sum of diameters of target lesions. HER2-positive other solid tumors included participants with salivary/submandibular/parotid gland (8 participants), breast with HER2-mutation (2 participants), endometrial (2 participants), esophageal (2 participants), Paget's disease (2 participants), cholangiocarcinoma (1 participant), extraskeletal myxoide chondrosarcoma (1 participant), gallbladder (1 participant), pancreatic (1 participant), small intestine (1 participant), uterine cervix (1 participant) and HER2-low gastric/GEJ (1 participant who received 5.4 mg/kg) cancer.
SecondaryTime to Response (TTR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Time to response (TTR) by independent central review was defined as the time interval between the date of registration until the date at which the criteria were first met for complete response (CR) or partial response (PR). Only participants who achieved CR or PR were included in the TTR analysis. CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions. HER2-positive other solid tumors included participants with salivary/submandibular/parotid gland (8 participants), breast with HER2-mutation (2 participants), endometrial (2 participants), esophageal (2 participants), Paget's disease (2 participants), cholangiocarcinoma (1 participant), extraskeletal myxoide chondrosarcoma (1 participant), gallbladder (1 participant), pancreatic (1 participant), small intestine (1 participant), uterine cervix (1 participant) and HER2-low gastric/GEJ (1 participant who received 5.4 mg/kg) cancer.
SecondaryProgression-free Survival Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Progression-free survival (PFS) by independent central review was defined as the time from the date of enrollment to the earlier of the dates of the first objective documentation of disease progression (as per RECIST v1.1) or death due to any cause. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions. HER2-positive other solid tumors included participants with salivary/submandibular/parotid gland (8 participants), breast with HER2-mutation (2 participants), endometrial (2 participants), esophageal (2 participants), Paget's disease (2 participants), cholangiocarcinoma (1 participant), extraskeletal myxoide chondrosarcoma (1 participant), gallbladder (1 participant), pancreatic (1 participant), small intestine (1 participant), uterine cervix (1 participant) and HER2-low gastric/GEJ (1 participant who received 5.4 mg/kg) cancer.
SecondaryOverall Survival Among Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 months
Overall survival (OS) by independent central review was defined as the time interval from the date of enrollment to the date of death from any cause. HER2-positive other solid tumors included participants with salivary/submandibular/parotid gland (8 participants), breast with HER2-mutation (2 participants), endometrial (2 participants), esophageal (2 participants), Paget's disease (2 participants), cholangiocarcinoma (1 participant), extraskeletal myxoide chondrosarcoma (1 participant), gallbladder (1 participant), pancreatic (1 participant), small intestine (1 participant), uterine cervix (1 participant) and HER2-low gastric/GEJ (1 participant who received 5.4 mg/kg) cancer.
SecondaryPharmacokinetic (PK) Analysis: Area Under the Concentration Versus Time Curve (AUC) of Serum DS-8201a Following First DosePost first dose up to Day 147
The serum PK parameters of DS-8201a and its analytes for area under the concentration-versus-time curve from time 0 to the last quantifiable concentration as calculated by the linear-up log-down trapezoidal method (AUClast) and AUC from time 0 to infinity (AUCinf) elimination rate constant associated with the terminal phase were estimated using standard non-compartmental methods.
SecondaryPharmacokinetic Analysis: Maximum (Peak) Observed Serum Concentration (Cmax) of Serum DS-8201a Following First DosePost first dose up to Day 147The serum PK parameters Maximum (peak) Observed serum concentration of DS-8201a and its analytes were estimated using standard non-compartmental method.
SecondaryPharmacokinetic Analysis: Time of Maximum Plasma Concentration (Tmax) of Serum DS-8201a Following First DosePost first dose up to Day 147The serum PK parameters of Time of maximum plasma concentration (Tmax) for DS-8201a and its analytes were estimated using standard non-compartmental methods.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsORR was assessed among participants in the Intent-to-Treat Analysis Set.percentage of participantsNUMBER
SECONDARYDisease Control Rate (DCR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsDCR was assessed in the Intent-to-Treat Analysis Set.percentage of participantsNUMBER
SECONDARYBest Overall Response Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsBest overall response was assessed in the Intent-to-Treat Analysis Set.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of Response (DoR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsDoR was assessed among participants who achieved a CR or PR in the Intent-to-Treat Analysis Set.monthsMEDIAN
SECONDARYTime to Response (TTR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsTime to response was assessed among participants who achieved CR or PR in the Intent-to-Treat Analysis Set.monthsMEDIAN
SECONDARYProgression-free Survival Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsPFS was assessed in the Intent-to-Treat Analysis Set.monthsMEDIAN
SECONDARYOverall Survival Among Participants With Advanced Solid Malignant Tumors (Dose Expansion Phases)From 6 months postdose of last participant up to 3 years 5 monthsOS was assessed in the Intent-to-Treat Analysis Set.monthsMEDIAN
SECONDARYPharmacokinetic (PK) Analysis: Area Under the Concentration Versus Time Curve (AUC) of Serum DS-8201a Following First DosePost first dose up to Day 147Pharmacokinetic parameters were assessed in the Pharmacokinetic Analysis Set.ug*d/mLMEAN
SECONDARYPharmacokinetic Analysis: Maximum (Peak) Observed Serum Concentration (Cmax) of Serum DS-8201a Following First DosePost first dose up to Day 147Pharmacokinetic parameters were assessed in the Pharmacokinetic Analysis Set.ug/mLMEAN
SECONDARYPharmacokinetic Analysis: Time of Maximum Plasma Concentration (Tmax) of Serum DS-8201a Following First DosePost first dose up to Day 147Pharmacokinetic parameters were assessed in the Pharmacokinetic Analysis Set.hoursMEDIAN

Results by group393

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 1, 0.8 mg/kg095% Confidence Interval 0 to 70.8percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 2, 1.6 mg/kg33.395% Confidence Interval 0.8 to 90.6percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 3, 3.2 mg/kg095% Confidence Interval 0 to 70.8percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 4, 5.4 mg/kg83.395% Confidence Interval 35.9 to 99.6percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 5, 6.4 mg/kg33.395% Confidence Interval 4.3 to 77.7percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Escalation: Cohort 6, 8.0 mg/kg50.095% Confidence Interval 11.8 to 88.2percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Expansion: HER2-positive Breast Cancer, 5.4 mg/kg51.095% Confidence Interval 36.6 to 65.2percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Expansion: HER2-positive Breast Cancer, 6.4 mg/kg53.795% Confidence Interval 41.1 to 66.0percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Expansion: HER2-low Expressing Breast Cancer, 5.4 mg/kg33.395% Confidence Interval 14.6 to 57.0percentage of participants
Objective Response Rate (ORR) Following Treatment With DS-8201a in Participants With Advanced Solid Malignant Tumors (Dose Escalation and Dose Expansion Phases)Dose Expansion: HER2-low Expressing Breast Cancer, 6.4 mg/kg39.495% Confidence Interval 22.9 to 57.9percentage of participants

Participant flow105

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Dose EscalationSTARTEDDose Escalation: Cohort 1, 0.8 mg/kg3
Dose EscalationSTARTEDDose Escalation: Cohort 2, 1.6 mg/kg3
Dose EscalationSTARTEDDose Escalation: Cohort 3, 3.2 mg/kg3
Dose EscalationSTARTEDDose Escalation: Cohort 4, 5.4 mg/kg6
Dose EscalationSTARTEDDose Escalation: Cohort 5, 6.4 mg/kg6
Dose EscalationSTARTEDDose Escalation: Cohort 6, 8.0 mg/kg6
Dose EscalationSTARTEDDose Expansion: HER2-positive Breast Cancer, 5.4 mg/kg0
Dose EscalationSTARTEDDose Expansion: HER2-positive Breast Cancer, 6.4 mg/kg0
Dose EscalationSTARTEDDose Expansion: HER2-low Expressing Breast Cancer, 5.4 mg/kg0
Dose EscalationSTARTEDDose Expansion: HER2-low Expressing Breast Cancer, 6.4 mg/kg0

Adverse events3,094

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 1, 0.8 mg/kg13
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 2, 1.6 mg/kg13
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 3, 3.2 mg/kg03
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 4, 5.4 mg/kg26
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 5, 6.4 mg/kg06
otherNasopharyngitisInfections and infestationsDose Escalation: Cohort 6, 8.0 mg/kg06
otherNasopharyngitisInfections and infestationsDose Expansion: HER2-positive Breast Cancer, 5.4 mg/kg550
otherNasopharyngitisInfections and infestationsDose Expansion: HER2-positive Breast Cancer, 6.4 mg/kg966
otherNasopharyngitisInfections and infestationsDose Expansion: HER2-low Expressing Breast Cancer, 5.4 mg/kg021
otherNasopharyngitisInfections and infestationsDose Expansion: HER2-low Expressing Breast Cancer, 6.4 mg/kg433

Adverse event totals39

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDose Escalation: Cohort 1, 0.8 mg/kg03
Total, all-cause mortalityDose Escalation: Cohort 2, 1.6 mg/kg03
Total, all-cause mortalityDose Escalation: Cohort 3, 3.2 mg/kg03
Total, all-cause mortalityDose Escalation: Cohort 4, 5.4 mg/kg06
Total, all-cause mortalityDose Escalation: Cohort 5, 6.4 mg/kg06
Total, all-cause mortalityDose Escalation: Cohort 6, 8.0 mg/kg06
Total, all-cause mortalityDose Expansion: HER2-positive Breast Cancer, 5.4 mg/kg350
Total, all-cause mortalityDose Expansion: HER2-positive Breast Cancer, 6.4 mg/kg166
Total, all-cause mortalityDose Expansion: HER2-low Expressing Breast Cancer, 5.4 mg/kg021
Total, all-cause mortalityDose Expansion: HER2-low Expressing Breast Cancer, 6.4 mg/kg033

Papers8

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29037983RESULTPubMed
31047803RESULTPubMed
31047804RESULTPubMed
31825192RESULTPubMed
32058843DERIVEDPubMed
32213540RESULTPubMed
33999422DERIVEDPubMed
38231777DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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