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Clinical Trials in the USA / NCT04686305
Recruiting Phase 1

Phase Ib Study of the Safety of T-DXd and Immunotherapy Agents With and Without Chemotherapy in Advanced or Metastatic HER2+, Non-squamous NSCLC

NCT04686305 · tracked via the Priya Life Science USA tracker
Sponsor
AstraZeneca
Phase
Phase 1
Started
2021-03-09
Last updated
2026-04-13

Condition(s) studied

Locally Advanced or Metastatic Non-Small Cell Lung Cancer

Investigational drug(s) / intervention(s)

T-DXdDurvalumabCisplatinCarboplatinPemetrexedVolrustomigRilvegostomig

T-DXd: T-DXd: administered as an IV infusion

Durvalumab: Durvalumab: administered as an IV infusion

Cisplatin: Cisplatin: administered as an IV infusion

Carboplatin: Carboplatin: administered as an IV infusion

Pemetrexed: Pemetrexed: administered as an IV infusion (drug not used)

Volrustomig: Volrustomig: administered as an IV infusion

Rilvegostomig: Rilvegostomig: administered as an IV infusion

Study summary

DESTINY-Lung03 will investigate the safety and tolerability of trastuzumab deruxtecan in combination with Immunotherapy Agents with and without chemotherapy in patients with HER2 over-expressing non-small cell lung cancer. The efficacy will be also analyzed as a secondary endpoint.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion criteria: * Histologically documented unresectable locally advanced/metastatic non-squamous NSCLC * Part 1: Progression after 1 or 2 lines of systemic therapy for recurrent or metastatic setting. * Part 3, Part 4 and Part 5: Patients must have tumors that do not harbor known genomic alterations or actionable driver kinases, for which approved therapies are available are allowed. * Part 3, Part 4 and Part 5: Patient must be treatment-naïve for advanced or metastatic NSCLC. Patients who have received prior adjuvant, or neoadjuvant chemotherapy, or definitive chemoradiation for advanced disease are eligible, provided that progression has occurred \> 6 months from end of last therapy * HER2overexpression status as determined by central review of tumor tissue * WHO / ECOG performance status of 0 or 1 * Measurable target disease assessed by the investigator using RECIST 1.1 * Has protocol defined adequate organ and bone marrow function * Part 3, Part 4 and Part 5: Minimum body weight of 35 kg. Exclusion criteria: * HER2 mutation if previously known * Has a history of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening * Lung-specific intercurrent clinically significant illnesses including, but not limited to, any underlying pulmonary disorder and prior pneumonectomy * Active primary immunodeficiency known HIV infection, or active chronic and resolved hepatitis B (positive hepatitis B virus surface antigen \[HBsAg+ve\] or hepatitis B virus core antibody (anti-HBc +ve) regardless of HBV DNA level)) or hepatitis C infection. Patients positive for HCV antibody are eligible only if polymerase chain reaction is negative for HCV RNA. Patients should be tested for HIV prior to treatment assignment if required by local regulations or IRB/EC * Active infection including tuberculosis and uncontrolled infection requiring IV antibiotics, antivirals, or antifungals * Spinal cord compression or clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms * Medical history of myocardial infarction within 6 months before treatment assignment, symptomatic CHF (New York Heart Association Class II to IV), clinically important cardiac arrhythmias, or a recent (\< 6 months) cardiovascular event including stroke * For Part 3, Part 4 and Part 5: Cardiomyopathy of any etiology, symptomatic CHF (as defined by New York Heart Association Class \> II), unstable angina pectoris, history of MI within the past 12 months, or cardiac arrhythmia are to be excluded. Patients with troponin levels above ULN at screening (as defined by the manufacturer), and without any myocardial related symptoms, should have a cardiologic consultation before treatment assignment to rule out acute cardiopulmonary events. * Ascites or pericardial effusion that requires drainage, peritoneal shunt, Pleuroperitoneal shunt or CART (Concentrated Ascites Reinfusion Therapy) * For Part 3, Part 4 and Part 5: Active non-infectious skin disease (including any grade rash, urticarial, dermatitis, ulceration, or psoriasis) requiring systemic treatment, active or prior documented autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment. * Unresolved toxicities not yet resolved to Grade ≤ 1 or baseline from previous anticancer therapy OR prior discontinuation of any planned study therapy due to toxicity. * must not have any medical contraindication to platinum-based chemotherapy. * Part 3, Part 4 and Part 5 patients must not have had prior exposure to anti-PD-1, anti-PD-L1, anti-CTLA-4, anti-TIGIT or any other experimental immunotherapy in any setting. * For Part 3, Part 4 and Part 5: History of substance abuse or any other medical or psychological conditions that may, in the opinion of the Investigator, interfere with the subject's participation in the clinical study or evaluation of the clinical study results * For Part 3, Part 4 and Part 5: History of thromboembolic events within 3 months before the first dose of IP (limited to pulmonary embolism, deep vein thrombosis, or cerebral venous sinus thrombosis).

Primary outcome measure(s)

Trial sites (91)

FacilityCityRegionStatus
Research Site Duarte California Withdrawn
Research Site Newport Beach California Withdrawn
Research Site Orange California Recruiting
Research Site Santa Rosa California Withdrawn
Research Site Westwood Kansas Withdrawn
Research Site Baltimore Maryland Recruiting
Research Site Detroit Michigan Withdrawn
Research Site Buffalo New York Withdrawn
Research Site New York New York Withdrawn
Research Site The Bronx New York Withdrawn
Research Site Houston Texas Recruiting
Research Site Fairfax Virginia Recruiting
Research Site Tacoma Washington Withdrawn
Research Site Adelaide Australia Terminated
Research Site Heidelberg Australia Withdrawn
Research Site Nedlands Australia Recruiting
Research Site Edegem Belgium Completed
Research Site Barretos Brazil Recruiting
Research Site Porto Alegre Brazil Recruiting
Research Site São Paulo Brazil Recruiting
Research Site Winnipeg Manitoba Withdrawn
Research Site London Ontario Withdrawn
Research Site Montreal Quebec Recruiting
Research Site Changchun China Not Yet Recruiting
Research Site Chengdu China Not Yet Recruiting
Research Site Fuzhou China Not Yet Recruiting
Research Site Shandong China Not Yet Recruiting
Research Site Shanghai China Recruiting
Research Site Zhengzhou China Not Yet Recruiting
Research Site Bordeaux France Withdrawn
Research Site Dijon France Recruiting
Research Site Pierre-Bénite France Recruiting
Research Site Saint-Herblain France Recruiting
Research Site Villejuif France Recruiting
Research Site Kfar Saba Israel Recruiting
Research Site Tel Litwinsky Israel Recruiting
Research Site Milan Italy Completed
Research Site Milan Italy Recruiting
Research Site Monza Italy Recruiting
Research Site Naples Italy Recruiting

+ 51 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04686305 on ClinicalTrials.gov ↗ ← All trials in the USA