NCT05460273

Brief Summary

Researchers are looking for a better way to treat advanced Triple-Negative Breast Cancer (TNBC) and Non-Small-Cell Lung Cancer (NSCLC). "Advanced" usually means that the cancer keeps growing even with treatment. The cancer may also be "metastatic", which means that it has spread to other parts of the body or the surrounding tissue. The study drug, Datopotamab deruxtecan, is designed to work by attaching to the tumor cells and stopping the tumor growth. Datopotamab deruxtecan is also known as Dato-DXd. In this study, the researchers want to find out how well Dato-DXd works to stop tumors from growing in Chinese participants with NCSLC or TNBC. This is the first time Dato-DXd is being studied in Chinese population. Participants in this study will get Dato-DXd through a needle as an injection. They will get 1 dose of Dato-DXd every 3 weeks until their cancer gets worse or they leave the study for another reason. Participants will visit their study sites at least once every 3 weeks for as long as they are in the study. The study doctors will take blood samples every 3 weeks and take images of the participants' tumors every 6 weeks until the participant leaves the study.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
119

participants targeted

Target at P75+ for phase_1

Timeline
1mo left

Started Jul 2022

Longer than P75 for phase_1

Geographic Reach
1 country

21 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress96%
Jul 2022Jun 2026

First Submitted

Initial submission to the registry

June 8, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

July 11, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 15, 2022

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 7, 2023

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

June 13, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Expected
Last Updated

March 11, 2026

Status Verified

February 1, 2026

Enrollment Period

1.3 years

First QC Date

June 8, 2022

Results QC Date

October 31, 2024

Last Update Submit

March 10, 2026

Conditions

Keywords

Non-small-cell Lung CancerTriple-negative Breast CancerDato-DXdDS-1062a

Outcome Measures

Primary Outcomes (1)

  • Confirmed Objective Response Rate(ORR) Assessed by Independent Central Review(ICR)

    Confirmed ORR is defined as the proportion of participants in each cohort who have a confirmed CR or confirmed PR, as assessed by ICR per RECIST 1.1.

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

Secondary Outcomes (22)

  • Confirmed Objective Response Rate(ORR) Assessed by Investigator

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

  • Duration of Response (DoR), Assessed by Investigator

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

  • Disease Control Rate (DCR), Assessed by ICR

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

  • Best Overall Response (BoR) , Assessed by ICR

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

  • Time To Response (TTR) , Assessed by ICR

    TNBC cohort: from enrollment to 13 months post last subject dose with a median of 12 months follow up. NSCLC cohort: from enrollment to 20 months post last subject dose with a median of 16.7 months follow up.

  • +17 more secondary outcomes

Study Arms (1)

Dato-DXd Arm

EXPERIMENTAL

This single-arm study consists of multiple cohorts, divided by indication.

Drug: Datopotamab Deruxtecan (Dato-DXd)

Interventions

Dato-DXd is an antibody-drug conjugate (ADC) that binds to TROP2.

Also known as: DS-1062a
Dato-DXd Arm

Eligibility Criteria

Age18 Years - 130 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Capable of giving signed informed consent.
  • Participant must be ≥ 18 years at the time of screening.
  • Eastern Cooperative Oncology Group performance status of 0 or 1.
  • At least one lesion not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline and can be accurately measured at baseline and is suitable for accurate repeated measurements.
  • \- Histologically or cytologically documented Stage IIIB or IIIC NSCLC disease not amenable for surgical resection or definitive chemoradiation or Stage IV NSCLC disease at the beginning of study intervention.
  • For the subset of participants without AGAs:
  • Documented negative test results for EGFR and ALK genomic alterations. If test results for EGFR and ALK are not available, participants are required to undergo testing performed locally for these genomic alterations.
  • Participants must meet one of the required prior therapy requirements for advanced or metastatic NSCLC.
  • For the subset of participants with AGAs:
  • \- Documented positive test results for one or more actionable genomic alteration: EGFR, ALK, ROS1, METex14 skipping, RET or other AGAs with approved therapies
  • \- Received one or two prior lines of applicable targeted therapy for the participant's genomic alteration at the time of screening.
  • Pathologically documented oestrogen and progesterone receptor-negative and HER2-negative expression.
  • Inoperable locally advanced or metastatic breast cancer.
  • Received at least 2 prior chemotherapy regimens for locally advanced or metastatic breast cancer and previously treated with a taxane in any setting.

You may not qualify if:

  • Has leptomeningeal carcinomatosis or metastasis
  • Has clinically significant corneal disease
  • Has known active hepatitis or uncontrolled hepatitis B or C infection
  • 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.
  • Prior exposure to specific therapies without an adequate treatment washout period prior to enrolment.
  • \- Has mixed SCLC and NSCLC histology.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

Research Site

Beijing, 100039, China

Location

Research Site

Beijing, 100044, China

Location

Research Site

Beijing, 100142, China

Location

Research Site

Bengbu, 233004, China

Location

Research Site

Changchun, 130012, China

Location

Research Site

Changchun, 130021, China

Location

Research Site

Chengdu, 610000, China

Location

Research Site

Chongqing, 400030, China

Location

Research Site

Dalian, 116023, China

Location

Research Site

Fuzhou, 350001, China

Location

Research Site

Guangzhou, 510060, China

Location

Research Site

Guangzhou, 510100, China

Location

Research Site

Hangzhou, 310022, China

Location

Research Site

Harbin, 150081, China

Location

Research Site

Jinan, 250030, China

Location

Research Site

Jinan, 250117, China

Location

Research Site

Nanchang, 330006, China

Location

Research Site

Nanchang, 330009, China

Location

Research Site

Shenyang, 110042, China

Location

Research Site

Wuhan, 430022, China

Location

Research Site

Wuhan, 430030, China

Location

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungTriple Negative Breast Neoplasms

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesBreast NeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Results Point of Contact

Title
Global Clinical Lead
Organization
AstraZeneca

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Masking Details
It is a single-arm, multi-cohort study with no blinding.
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: This is a Phase 1/Phase 2, multicentre, open-label, multiple-cohort study, which is designed to evaluate the efficacy, safety, PK, and immunogenicity of Dato-DXd in adult Chinese participants with advanced or metastatic solid tumours.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 8, 2022

First Posted

July 15, 2022

Study Start

July 11, 2022

Primary Completion

November 7, 2023

Study Completion (Estimated)

June 30, 2026

Last Updated

March 11, 2026

Results First Posted

June 13, 2025

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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