Can a new drug shrink advanced solid tumors?
NCT ID NCT06644755
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This trial tests an experimental drug called DS-2243a in adults with advanced solid tumors, including sarcoma, that have spread or cannot be removed surgically. The study has two parts: first, researchers find the safest dose by giving increasing amounts to small groups; then, they give that dose to more participants to check safety and whether tumors shrink. The goal is to see if DS-2243a is safe, tolerable, and shows signs of fighting cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DS-2243a, an experimental drug given intravenously at escalating doses
- What this could lead to
- If DS-2243a proves safe and effective, it could become a new treatment option for people with advanced solid tumors, including sarcoma, that have not responded to standard therapies.
- What could go wrong
- This is an early, first-in-human trial, so the drug may not work as hoped or may cause unexpected side effects. The results will only show whether further testing is warranted.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Sign and date the main ICF. 2. Adults ≥18 years at the time the biosample ICF or main ICF, whichever is signed first. Follow local regulatory requirements if the legal age of consent for trial participation is \>18 years old. 3. One of the following histologically or cytologically documented cancers: Advanced (metastatic or unresectable) SS Advanced (metastatic or unresectable) MRCLS Metastatic or unresectable locally advanced NSCLC (Ad/Sq) Metastatic or unresectable locally advanced UC 4. Relapsed from, refractory to, or intolerant to appropriate therapies \[eg, standard of care (SOC) therapy\] to provide clinical benefit for their condition as assessed by their physician and/or investigator. \[For South Korea only: Relapsed from, refractory to, or intolerant to all available therapies (eg, SOC therapy domestically approved) for their condition.\] 5. HLA-A\*02:01, 02:02, 02:03, 02:04, 02:05, 02:06, 02:09, 02:10, or 02:11 positive. 6. Has measurable disease based on RECIST v1.1 on computed tomography/magnetic resonance imaging (CT/MRI). 7. Is willing and able to provide adequate pre-treatment or archival tumor tissue sample. 8. Has Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1 at Screening. 9. Meets the following required baseline local laboratory data within 14 days prior to start of trial intervention administration: 1. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3 × upper limit of normal (ULN) in participants with no liver metastasis, or ≤5 × ULN in participants with liver metastasis 2. Total bilirubin (TBL) ≤1.5 × ULN (≤3 × ULN for participants with a documented history of Gilbert's syndrome) 3. Absolute neutrophil count (ANC) ≥1.5 × 10\^9/L 4. Platelet count ≥100 × 10\^9/L 5. Hemoglobin ≥8 g/dL 6. Creatinine clearance (CrCl) ≥45 mL/min as calculated using the Cockcroft-Gault equation (Section 10.3.1) Note: Any blood or blood product transfusion is allowed up to 7 days before the hematology evaluations and any dose of hematologic growth factor is allowed up to 14 days before the hematology evaluations. 10. a) A female participant of childbearing potential (CBP), as defined in Section 10.3.5.1, is eligible to participate if the following conditions are met: Participant is not pregnant as confirmed by highly sensitive pregnancy test (see Section 10.3.5.3). Participant does not breastfeed during the trial intervention period and for at least 120 days after last dose of trial intervention. Participant agrees to adhere to a contraceptive method that is highly effective (Section 10.3.5.2) and agrees not to donate eggs (ova, oocytes) to others or freeze/store eggs during the intervention period and for at least the time needed to eliminate the trial intervention after the last dose. The length of time required to continue contraception after last dose for the trial intervention is 120 days. Preservation of eggs may be considered prior to first dose of trial intervention. b) A male participant capable of producing sperm is eligible to participate if he agrees to the following during the Treatment Period and for at least the time needed to eliminate the trial intervention. The length of time required to continue contraception after the last dose of the trial intervention is 120 days. * Avoid donating sperm. Note: Preservation of sperm should be considered prior to enrollment/randomization in this trial. * Adhere to either of the following contraception methods: * True abstinence from penile-vaginal intercourse, when this is in line with the preferred and usual lifestyle of the participant, OR * Uses a penile/external condom when having penile-vaginal intercourse with a nonparticipant of childbearing potential (see Section 10.3.5) PLUS partner use of an additional contraceptive method (see Section 10.3.5.2), as a condom may break or leak. Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. If the contraception requirements in the local label for any of the trial interventions are more stringent than the requirements above, the local label requirements are to be followed. Note: If the participant is azoospermic (vasectomized or secondary to medical cause, documented from the site personnel's review of the participant's medical records, medical examination, or medical history interview), no contraception is required. Key Exclusion Criteria: 1. Has received prior therapy targeting NY-ESO-1. 2. Has an inadequate treatment washout period prior to the start of trial intervention, defined as follows: 1. Radiation therapy: \<4 weeks (or \<2 weeks if palliative radiation therapy without abdominal/pelvic radiation) 2. Chemotherapy, antibody-based anticancer therapy, immunotherapy: \<4 weeks 3. Small molecules (eg, tyrosine kinase inhibitors): \<2 weeks or 5 half-lives, whichever is longer 3. Has known symptomatic central nervous system (CNS) metastases, leptomeningeal disease, or cord compression. Note: Asymptomatic or adequately treated CNS metastases are not exclusionary provided that, in the opinion of the investigator, the participant is neurologically stable. MRI/CT of the brain is required for all participants during Screening Period (see Section 8.3.1). 4. Uncontrolled or clinically significant cardiovascular disease, including the following: 1. Myocardial infarction within 6 months prior to screening 2. Uncontrolled angina pectoris within 6 months prior to screening 3. New York Heart Association (NYHA) Class III or IV congestive heart failure 4. Left ventricular ejection fraction (LVEF) ≤50% or lower than the institutional lower limit of normal 5. QT interval corrected with Fridericia's formula (QTcF) interval \>480 ms 5. Chronic steroid treatment (IV or oral) or any other immunosuppressive medication (ie, prednisone \>10 mg daily (QD) or the equivalent). 6. Has active other primary malignancies. Note: Participants with the following can be enrolled: Adequately resected non-melanoma skin cancer, curatively treated in situ disease, superficial cancer in the gastrointestinal tract curatively resected by endoscopic surgery, or any other solid tumors curatively treated with no evidence of recurrent disease for ≥3 years and requires no treatment. 7. Has unresolved toxicities from previous anticancer treatment, defined as toxicities (other than alopecia) not yet resolved to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0, Grade ≤1 or baseline. Note: Participants with chronic, stable Grade 2 toxicities (defined as no worsening for 1 month prior to enrollment and managed with SOC treatment) that the investigator deems related to previous anticancer treatment may be enrolled. Such toxicities may include the following: 1. Chemotherapy-induced peripheral neuropathy 2. Residual toxicities from prior immuno-oncology treatment: Grade 2 endocrinopathies (hypothyroidism, hyperthyroidism, adrenal insufficiency, hyperglycemia due to type 1 diabetes mellitus) with adequate therapy Grade 2 skin hypopigmentation (vitiligo) 8. Has known hypersensitivity to biological agents. 9. Has a history of or active autoimmune disease. Note: Participants with the following examples may be enrolled as an exception: 1. Type I diabetes mellitus/hypothyroidism only requires hormone replacement. 2. Skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment. 10. Has human immunodeficiency virus (HIV) infection. Participants must be tested for HIV viral load during the Screening Period if acceptable by local regulations or Institutional Review Boards/Independent Ethics Committees (IRBs/IECs). Note: For Part 2 only, the following participants will be eligible: 1. Have CD4+ T-cell count ≥350 cells/mm3 at the time of screening. 2. Have virologic suppression, defined as confirmed HIV RNA level below 50 or the lower limit of quantitation (below the limit of detection) at the time of screening and for at least 12 weeks before screening. 3. Have no acquired immunodeficiency syndrome-defining opportunistic infections or conditions within the past 12 months. 4. Are on stable antiretroviral therapy regimen, without changes in drugs or dose modification, for at least 4 weeks before trial entry (Day 1) and agree to continue antiretroviral therapy throughout the trial, as defined per institutional protocol. 11. Has active or uncontrolled hepatitis B or C infection as defined per institutional guidelines. Note: For Part 2 only, the following participants will be eligible: 1. Hepatitis B surface antigen (HBsAg)-positive participants are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to allocation (participants should remain on antiviral therapy throughout trial intervention and follow local guidelines for HBV antiviral therapy after completion of trial intervention). 2. Have a history of hepatitis C infection and hepatitis C virus (HCV) viral load is below the level of detection in the absence of antiviral therapy during the previous 4 weeks. 3. Have normal transaminase values, or, if liver metastases are present, abnormal transaminases with a result of AST/ALT \<3 × ULN, which are not attributable to HCV infection.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
7 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Centre Leon Berard
RECRUITINGLyon, 6900, France
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Dana-Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215, United States
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David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
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Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis (NKI-AVL)
RECRUITINGAmsterdam, Netherlands
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Sarah Cannon Research Institute
RECRUITINGNashville, Tennessee, 37203, United States
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Seoul National University Hospital
RECRUITINGSeoul, South Korea
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UZ Leuven Europe Leuven
RECRUITINGLeuven, 3000, Belgium
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