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Antibody-Drug Conjugate

T-DXd for HER2 Positive Breast Cancer (DESTINY-B12 Trial)

Phase 3
Waitlist Available
Led By Nadia Harbeck, MD, PhD
Research Sponsored by AstraZeneca
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group performance status 0-1
Participants with BMs must be neurologically stable
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from screening until pd (up to 2.5 years)
Awards & highlights

DESTINY-B12 Trial Summary

This trial is testing a new drug for people with HER2-positive breast cancer that has progressed after other treatments. The drug will be given to people with or without brain metastases.

Who is the study for?
This trial is for people with advanced or metastatic HER2 positive breast cancer who have had disease progression after prior anti-HER2 therapies and no more than two treatments in the metastatic setting. It includes those with or without brain metastasis (BMs), provided BMs are stable, untreated but not needing immediate therapy, or previously treated. Participants must be physically capable (ECOG 0-1), have a heart ejection fraction ≥50%, and women of childbearing potential must test negative for pregnancy.Check my eligibility
What is being tested?
The study tests Trastuzumab Deruxtecan (T-DXd) on participants to evaluate its effectiveness and safety. The trial is open-label, meaning everyone knows which treatment they're getting, and it's conducted at multiple centers internationally. Patients included may have measurable lesions suitable for repeated assessments or non-measurable bone-only diseases assessable by scans.See study design
What are the potential side effects?
While specific side effects of T-DXd aren't listed here, common ones from similar treatments include fatigue, nausea, hair loss (alopecia), blood cell count changes increasing infection risk, heart problems like reduced ejection fraction leading to heart failure symptoms, potential liver issues indicated by hepatitis exclusion criteria, possible lung inflammation/pneumonitis requiring steroids treatment.

DESTINY-B12 Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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You are in good enough health to carry out daily activities without limitations (Eastern Cooperative Oncology Group performance status 0-1).
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If you have brain metastases, you must be neurologically stable.
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You have been diagnosed with advanced or metastatic breast cancer and have been confirmed to have HER2-positive cancer.

DESTINY-B12 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from screening until pd (up to 2.5 years)
This trial's timeline: 3 weeks for screening, Varies for treatment, and from screening until pd (up to 2.5 years) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Objective Response Rate (ORR) in Participants without BM at Baseline (Cohort 1)
Progression-free Survival (PFS) in Participants with BM at Baseline (Cohort 2)
Secondary outcome measures
Central Nervous System Duration of Response in Participants with BM at Baseline (Cohort 2)
Defecation
Central Nervous System Progression-free Survival in Participants with BM at Baseline (Cohort 2)
+18 more

DESTINY-B12 Trial Design

1Treatment groups
Experimental Treatment
Group I: Trastuzumab DeruxtecanExperimental Treatment1 Intervention
Participants with or without BM at baseline will receive intravenous (IV) T-DXd, 5.4 mg/kg, every 3 weeks (21-day cycle) until Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) defined radiological progression outside central nervous system, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation is met.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Trastuzumab Deruxtecan
2021
Completed Phase 3
~510

Find a Location

Who is running the clinical trial?

AstraZenecaLead Sponsor
4,259 Previous Clinical Trials
288,593,396 Total Patients Enrolled
173 Trials studying Breast Cancer
1,245,833 Patients Enrolled for Breast Cancer
Daiichi Sankyo, Inc.Industry Sponsor
389 Previous Clinical Trials
414,791 Total Patients Enrolled
27 Trials studying Breast Cancer
19,096 Patients Enrolled for Breast Cancer
Daiichi SankyoIndustry Sponsor
392 Previous Clinical Trials
410,859 Total Patients Enrolled
25 Trials studying Breast Cancer
17,121 Patients Enrolled for Breast Cancer

Media Library

Trastuzumab Deruxtecan (Antibody-Drug Conjugate) Clinical Trial Eligibility Overview. Trial Name: NCT04739761 — Phase 3
Breast Cancer Research Study Groups: Trastuzumab Deruxtecan
Breast Cancer Clinical Trial 2023: Trastuzumab Deruxtecan Highlights & Side Effects. Trial Name: NCT04739761 — Phase 3
Trastuzumab Deruxtecan (Antibody-Drug Conjugate) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04739761 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any available positions left in this research project?

"Yes, the trial is currently recruiting patients. It was originally posted on 6/22/2021 and was last edited on 10/19/20222. They are looking for 500 participants from 7 different sites."

Answered by AI

How many test subjects are a part of this investigation?

"That is correct, the online information indicates that this study is still recruiting patients. The initial posting was on 6/22/2021 and there have been updates as recently as 10/19/2022. They are looking for 500 individuals total from 7 different locations."

Answered by AI

Are there any restrictions on who is able to enroll in this clinical trial?

"This trial is looking for 500 patients that have breast cancer and are aged 18-130. Applicants will be required to meet the following criteria: ≥ 7 days since stereotactic radiosurgery or gamma knife, ≥ 21 days since whole brain radiotherapy, Eastern Cooperative Oncology Group performance status 0-1, Previous breast cancer treatment: radiologic or objective evidence of disease progression on or after HER2 targeted therapies and no more than 2 lines/regimens of therapy in the metastatic setting, Participant with the following measurable: at least 1 lesion that can be accurately measured at baseline as ≥ 10 mm in the longest diameter with"

Answered by AI

What other scientific papers exist on Trastuzumab Deruxtecan's efficacy?

"Trastuzumab Deruxtecan was first trialled in 2015. In the 5 years since, there have been 37 completed studies with many more currently underway - particularly in Boston, Massachusetts."

Answered by AI

Is this a new clinical trial?

"There are 37 clinical trials for Trastuzumab Deruxtecan that are ongoing across 487 cities and 44 countries. The earliest study was conducted in 2015 by Daiichi Sankyo, Inc. This trial completed its Phase 1 drug approval stage with 292 patients. 5 other trials have been conducted since then."

Answered by AI

Are there any dangers associated with Trastuzumab Deruxtecan?

"Trastuzumab Deruxtecan is considered to be a safe medication, as it has received a score of 3. This is due to the fact that this drug is currently in Phase 3 clinical trials, which suggests that not only is there some evidence pointing to its efficacy, but also that multiple rounds of tests have yielded positive results in regards to safety."

Answered by AI

Is this trial taking place in numerous hospitals across America?

"To limit participant burden, the team conducting this study chose to set up shop in 7 locations. These sites are situated in Boston, Detroit, San Diego and 4 other cities."

Answered by AI

What are the objectives of this experiment?

"This clinical trial will focus on Progression-free Survival (PFS) in participants with brain metastases (BM) at baseline. The study's secondary outcomes include the number of participants with Investigator-assessed ILD/Pneumonitis or Rate of Investigator-assessed ILD/Pneumonitis, Time to new CNS Lesions in Participants with BM at Baseline, and Duration of Response (DoR)."

Answered by AI

Does this experiment allow octogenarians to participate?

"This specific clinical trial is open to patients aged 18-130. In total, there are 3400 trials for seniors and 178 for minors currently taking place."

Answered by AI
~135 spots leftby Apr 2025