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)
Number of participants with DLTs; TEAEs and other safety parameters during the study. — DLTs: within first cycle (21 days); TEAEs and other safety parameters: when all participants have either discontinued the study or the last participant enrolled in the study has completed at least 9 months of follow-up (approximately 60 months) DLTs, TEAEs, SAEs, AESIs, ECOG PS, vital sign measurements, standard clinical laboratory parameters (hematology, clinical chemistry, and urinalysis), ECG parameters, ECHO/MUGA scan findings, and ophthalmologic findings
Trial sites (42)
Facility
City
Region
Status
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.
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.
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