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Clinical Trials in the USA / NCT04612751
Active, not recruiting Phase 1

Phase 1b Study of Dato-DXd in Combination With Immunotherapy With or Without Carboplatin in Advanced or Metastatic Non-Small Cell Lung Cancer

NCT04612751 · tracked via the Priya Life Science USA tracker
Sponsor
AstraZeneca
Phase
Phase 1
Started
2021-02-02
Last updated
2026-07-27

Condition(s) studied

Advanced or Metastatic NSCLC

Investigational drug(s) / intervention(s)

Datopotamab deruxtecanDurvalumabCarboplatinAZD2936MEDI5752AZD7789

Datopotamab deruxtecan: Intravenous infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle

Durvalumab: Intravenous infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle

Carboplatin: Intravenous infusion Q3W on Day 1 or Day 2 of each 21-day cycle

AZD2936: Intravenous infusion prior to Dato-DXd every 3 weeks (Q3W) on Day 1 prior to Dato-Dxd of each 21-day cycle

MEDI5752: Intravenous infusion prior to Dato-DXd every 3 weeks (Q3W) on Day 1 prior to Dato-Dxd of each 21-day cycle

AZD7789: Intravenous infusion prior to Dato-DXd every 3 weeks (Q3W) on Day 1 prior to Dato-Dxd of each 21-day cycle

Study summary

This study will assess safety, tolerability, and treatment activity of datopotamab deruxtecan (Dato-DXd) in combination with immunotherapy with or without carboplatin in participants with advanced or metastatic non-small cell lung cancer (NSCLC).

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: * Participant ≥18 years old on the day of signing the ICF (local regulatory requirement to consent should be followed). * Histologically or cytologically confirmed diagnosis of advanced or metastatic NSCLC, without EGFR or ALK genomic alterations (testing not required for participants with documented squamous histology) and no known genomic alterations in other actionable driver kinases with approved therapies. Participants whose tumors harbor KRAS mutations are eligible for this study. * For Cohorts 1 to 4, participants must be treatment-naïve or have received and radiologically progressed after only 1 prior line of systemic chemotherapy, without concomitant immune checkpoint inhibitors for advanced or metastatic NSCLC. For Cohorts 4a, 5 to 11, and 14, participants must be treatment-naïve for advanced or metastatic NSCLC. For Cohorts 12 to 13, participants must be CPI acquired resistant after 1 or 2 prior lines of systemic therapy for advanced or metastatic NSCLC, of which 1 should have contained an approved anti-PD-1/PD L1. Cohort 4a will enroll participants whose tumors have squamous histology only; Cohorts 5 Part 2A and Part 2B as well as Cohorts 12 and 13 will enroll participants whose tumors have non-squamous histology only. * Willing and able to undergo a mandatory tumor biopsy. A tumor biopsy that was recently collected (within 3 months of screening) after completion of the most recent anticancer treatment regimen may be substituted for the biopsy collected during screening. For Cohorts 12 and 13, a tumor sample taken ≤24 months prior to screening is acceptable. * Has measurable disease per RECIST1.1 within 28 days prior to Cycle 1 Day 1 * Eastern Co-operative Oncology Group (ECOG) performance status of 0 or 1 at screening * Has adequate bone marrow reserve and organ function at baseline within 7 days prior to Cycle 1 day 1 * For Cohorts 5 to 14 only: Documented IHC PD-L1 expression per analytically validated Ventana PD-L1 (SP263) IHC assay, 22C3 PharmDx assay, or 28-8 PharmDx assay Exclusion Criteria: * Active or prior documented autoimmune or inflammatory disorders * Uncontrolled or significant cardiac disease * History of another primary malignancy with exceptions * active or uncontrolled hepatitis B or C virus or uncontrolled HIV infection * spinal cord compression or clinically active CNS metastases * History of (non-infectious) ILD/pneumonitis that required steroids * Clinically severe pulmonary compromise resulting from intercurrent pulmonary illness * Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals * Clinically significant corneal disease

Primary outcome measure(s)

Trial sites (42)

FacilityCityRegionStatus
Research Site La Jolla California
Research Site Santa Ana California
Research Site St Louis Missouri
Research Site Hackensack New Jersey
Research Site Cleveland Ohio
Research Site Philadelphia Pennsylvania
Research Site Dallas Texas
Research Site Houston Texas
Research Site San Antonio Texas
Research Site Fairfax Virginia
Research Site Hasselt Belgium
Research Site Roeselare Belgium
Research Site Aviano Italy
Research Site Meldola Italy
Research Site Orbassano Italy
Research Site Roma Italy
Research Site Kōtoku Japan
Research Site Sunto-gun Japan
Research Site Yokohama Japan
Research Site Gdansk Poland
Research Site Lodz Poland
Research Site Lublin Poland
Research Site Warsaw Poland
Research Site A Coruña Spain
Research Site Badalona Spain
Research Site Barcelona Spain
Research Site Madrid Spain
Research Site Madrid Spain
Research Site Madrid Spain
Research Site Seville Spain
Research Site Hsinchu Taiwan
Research Site Taichung Taiwan
Research Site Tainan Taiwan
Research Site Taipei Taiwan
Research Site Taipei Taiwan
Research Site Taipei Taiwan
Research Site Taoyuan Taiwan
Research Site Adana Turkey (Türkiye)
Research Site Ankara Turkey (Türkiye)
Research Site Ankara Turkey (Türkiye)

+ 2 more sites — see the full list on the official registry below.

On this site

📄 Imfinzi (durvalumab) drug profile →

More AstraZeneca trials in the USA

Other trials for the same condition

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 NCT04612751 on ClinicalTrials.gov ↗ ← All trials in the USA