NCT03329690 · OUTCOME
Pharmacokinetic Parameter of Maximum Observed Serum Concentration (Cmax) and Trough Serum Concentration (Ctrough) of DS-8201a and Total Anti-HER2 Antibody Following Treatment With DS-8201a
DS-8201a in Human Epidermal Growth Factor Receptor 2 (HER2)-Expressing Gastric Cancer [DESTINY-Gastric01] · Source last updated 2022-03-18
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
- Measure
- MEAN
- Unit
- ug/mL
- Interval / dispersion
- Standard Deviation
- Time frame
- Cycle 1 and 3, Day 1: predose, 4 hours (h), 7h postdose; Day 8, Day 15, and Day 22 postdose; Cycle 2, Day 1 and Day 22 postdose; Cycle 4, 6, and 8, Day 1 postdose (each cycle is 21 days)
What was measured
Blood samples for DS-8201a pharmacokinetic (PK) analysis were obtained at the specified timepoints. The maximum serum concentration (Cmax) and the trough serum concentration (Ctrough) of DS-8201a were assessed. These serum PK parameters for DS-8201a and total anti-HER2 antibody were estimated in each participant using standard noncompartmental methods.
Analysis population: Pharmacokinetic parameters were assessed in the Pharmacokinetic Analysis Set.
Groups in this outcome
DS-8201a
Participants with HER2-overexpressing (IHC 3+ or IHC 2+/ISH+) advanced gastric or gastroesophageal junction adenocarcinoma, whose disease had progressed on two prior regimens, were randomized to receive DS-8201a once every 3 weeks.
Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a
Non-randomized participants with HER2 IHC 2+/ISH- advanced gastric or gastroesophageal junction adenocarcinoma who received DS-8201a once every three weeks.
Exploratory: Naïve HER2 IHC 1+, DS-8201a
Non-randomized participants with HER2 IHC 1+ advanced gastric or gastroesophageal junction adenocarcinoma who received DS-8201a once every 3 weeks.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 125 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 20 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 24 |
|---|
Reported measurements
Cmax: DS-8201a, Cycle 1
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 125 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 20 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 24 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 127 | 28.4 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 119 | 29.1 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 127 | 24.5 | Not reported | Not reported | Not reported |
|---|
Cmax: DS-8201a, Cycle 3
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 69 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 11 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 11 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 137 | 31.1 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 128 | 25.6 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 123 | 23.2 | Not reported | Not reported | Not reported |
|---|
Cmax: Total Anti-HER2 antibody, Cycle 1
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 125 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 20 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 24 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 116 | 30.6 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 105 | 26.1 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 110 | 19.6 | Not reported | Not reported | Not reported |
|---|
Cmax: Total Anti-HER2 antibody, Cycle 3
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 69 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 11 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 11 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 121 | 28.4 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 115 | 24.2 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 112 | 21.9 | Not reported | Not reported | Not reported |
|---|
Ctrough: DS-8201a, Cycle 1
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 125 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 20 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 24 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 5.56 | 3.08 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 4.52 | 2.42 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 9.51 | 23.4 | Not reported | Not reported | Not reported |
|---|
Ctrough: DS-8201a, Cycle 3
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 69 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 11 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 11 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 13.4 | 17.3 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 8.84 | 3.09 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 13.2 | 18.6 | Not reported | Not reported | Not reported |
|---|
Ctrough: Total Anti-HER2 antibody, Cycle 1
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 125 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 20 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 24 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 8.56 | 8.60 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 5.33 | 2.97 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 10.0 | 20.5 | Not reported | Not reported | Not reported |
|---|
Ctrough: Total Anti-HER2 antibody, Cycle 3
Analysis denominator · Participants
| Group | Source count |
|---|
| DS-8201a | 69 |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 11 |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 11 |
|---|
Values in ug/mL · Interval/dispersion: Standard Deviation| Group | Value | Spread | Lower | Upper | Comment |
|---|
| DS-8201a | 15.6 | 13.6 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a | 12.2 | 5.76 | Not reported | Not reported | Not reported |
|---|
| Exploratory: Naïve HER2 IHC 1+, DS-8201a | 14.6 | 17.6 | Not reported | Not reported | Not reported |
|---|
Complete source fields
- classes
- categories
- measurements
- group Id
- OG000
- spread
- 28.4
- value
- 127
- group Id
- OG001
- spread
- 29.1
- value
- 119
- group Id
- OG002
- spread
- 24.5
- value
- 127
- denoms
- counts
- group Id
- OG000
- value
- 125
- group Id
- OG001
- value
- 20
- group Id
- OG002
- value
- 24
- units
- Participants
- title
- Cmax: DS-8201a, Cycle 1
- categories
- measurements
- group Id
- OG000
- spread
- 31.1
- value
- 137
- group Id
- OG001
- spread
- 25.6
- value
- 128
- group Id
- OG002
- spread
- 23.2
- value
- 123
- denoms
- counts
- group Id
- OG000
- value
- 69
- group Id
- OG001
- value
- 11
- group Id
- OG002
- value
- 11
- units
- Participants
- title
- Cmax: DS-8201a, Cycle 3
- categories
- measurements
- group Id
- OG000
- spread
- 30.6
- value
- 116
- group Id
- OG001
- spread
- 26.1
- value
- 105
- group Id
- OG002
- spread
- 19.6
- value
- 110
- denoms
- counts
- group Id
- OG000
- value
- 125
- group Id
- OG001
- value
- 20
- group Id
- OG002
- value
- 24
- units
- Participants
- title
- Cmax: Total Anti-HER2 antibody, Cycle 1
- categories
- measurements
- group Id
- OG000
- spread
- 28.4
- value
- 121
- group Id
- OG001
- spread
- 24.2
- value
- 115
- group Id
- OG002
- spread
- 21.9
- value
- 112
- denoms
- counts
- group Id
- OG000
- value
- 69
- group Id
- OG001
- value
- 11
- group Id
- OG002
- value
- 11
- units
- Participants
- title
- Cmax: Total Anti-HER2 antibody, Cycle 3
- categories
- measurements
- group Id
- OG000
- spread
- 3.08
- value
- 5.56
- group Id
- OG001
- spread
- 2.42
- value
- 4.52
- group Id
- OG002
- spread
- 23.4
- value
- 9.51
- denoms
- counts
- group Id
- OG000
- value
- 125
- group Id
- OG001
- value
- 20
- group Id
- OG002
- value
- 24
- units
- Participants
- title
- Ctrough: DS-8201a, Cycle 1
- categories
- measurements
- group Id
- OG000
- spread
- 17.3
- value
- 13.4
- group Id
- OG001
- spread
- 3.09
- value
- 8.84
- group Id
- OG002
- spread
- 18.6
- value
- 13.2
- denoms
- counts
- group Id
- OG000
- value
- 69
- group Id
- OG001
- value
- 11
- group Id
- OG002
- value
- 11
- units
- Participants
- title
- Ctrough: DS-8201a, Cycle 3
- categories
- measurements
- group Id
- OG000
- spread
- 8.60
- value
- 8.56
- group Id
- OG001
- spread
- 2.97
- value
- 5.33
- group Id
- OG002
- spread
- 20.5
- value
- 10.0
- denoms
- counts
- group Id
- OG000
- value
- 125
- group Id
- OG001
- value
- 20
- group Id
- OG002
- value
- 24
- units
- Participants
- title
- Ctrough: Total Anti-HER2 antibody, Cycle 1
- categories
- measurements
- group Id
- OG000
- spread
- 13.6
- value
- 15.6
- group Id
- OG001
- spread
- 5.76
- value
- 12.2
- group Id
- OG002
- spread
- 17.6
- value
- 14.6
- denoms
- counts
- group Id
- OG000
- value
- 69
- group Id
- OG001
- value
- 11
- group Id
- OG002
- value
- 11
- units
- Participants
- title
- Ctrough: Total Anti-HER2 antibody, Cycle 3
- denoms
- counts
- group Id
- OG000
- value
- 125
- group Id
- OG001
- value
- 20
- group Id
- OG002
- value
- 24
- units
- Participants
- description
- Blood samples for DS-8201a pharmacokinetic (PK) analysis were obtained at the specified timepoints. The maximum serum concentration (Cmax) and the trough serum concentration (Ctrough) of DS-8201a were assessed. These serum PK parameters for DS-8201a and total anti-HER2 antibody were estimated in each participant using standard noncompartmental methods.
- dispersion Type
- Standard Deviation
- groups
- description
- Participants with HER2-overexpressing (IHC 3+ or IHC 2+/ISH+) advanced gastric or gastroesophageal junction adenocarcinoma, whose disease had progressed on two prior regimens, were randomized to receive DS-8201a once every 3 weeks.
- id
- OG000
- title
- DS-8201a
- description
- Non-randomized participants with HER2 IHC 2+/ISH- advanced gastric or gastroesophageal junction adenocarcinoma who received DS-8201a once every three weeks.
- id
- OG001
- title
- Exploratory: Naïve HER2 IHC 2+/ISH-, DS-8201a
- description
- Non-randomized participants with HER2 IHC 1+ advanced gastric or gastroesophageal junction adenocarcinoma who received DS-8201a once every 3 weeks.
- id
- OG002
- title
- Exploratory: Naïve HER2 IHC 1+, DS-8201a
- param Type
- MEAN
- population Description
- Pharmacokinetic parameters were assessed in the Pharmacokinetic Analysis Set.
- reporting Status
- POSTED
- time Frame
- Cycle 1 and 3, Day 1: predose, 4 hours (h), 7h postdose; Day 8, Day 15, and Day 22 postdose; Cycle 2, Day 1 and Day 22 postdose; Cycle 4, 6, and 8, Day 1 postdose (each cycle is 21 days)
- title
- Pharmacokinetic Parameter of Maximum Observed Serum Concentration (Cmax) and Trough Serum Concentration (Ctrough) of DS-8201a and Total Anti-HER2 Antibody Following Treatment With DS-8201a
- type
- SECONDARY
- unit Of Measure
- ug/mL
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Preserved source evidence · Not medical advice