Smart drug missiles take aim at Hard-to-Treat lung cancer

NCT ID NCT06780085

First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times

Summary

This Phase 2 study tests two new antibody-drug conjugates (R-DXd and I-DXd) against standard chemotherapy in 96 people with advanced nonsquamous non-small cell lung cancer that has worsened after prior immunotherapy and chemotherapy. These 'guided missiles' deliver a cancer-killing drug directly to tumor cells. Researchers will compare how well the tumors shrink and monitor side effects.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Raludotatug Deruxtecan (R-DXd) and Ifinatamab Deruxtecan (I-DXd)
What this could lead to
If successful, these antibody-drug conjugates could offer a new treatment option for people with advanced nonsquamous lung cancer that has stopped responding to standard therapies.
What could go wrong
This is a Phase 2 trial with only 96 participants, so results are preliminary. The drugs may cause side effects and may not work better than chemotherapy.

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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.

Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • AHN Cancer Institute - Allegheny General ( Site 9501)

    RECRUITING

    Pittsburgh, Pennsylvania, 15212, United States

  • Ankara Bilkent Şehir Hastanesi. ( Site 0142)

    RECRUITING

    Ankara, 06800, Turkey (Türkiye)

  • Azienda Ospedaliera Universitaria Careggi ( Site 0173)

    RECRUITING

    Florence, 50134, Italy

  • Bacs-Kiskun Varmegyei Oktatokorhaz ( Site 0063)

    RECRUITING

    Kecskemét, Bács-Kiskun county, 6000, Hungary

  • Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 0141)

    RECRUITING

    Adana, 01250, Turkey (Türkiye)

  • Bradfordhill ( Site 0162)

    RECRUITING

    Santiago, Region M. de Santiago, 8420383, Chile

  • Centro de Estudios Clínicos SAGA ( Site 0161)

    RECRUITING

    Santiago, Region M. de Santiago, 7500653, Chile

  • Charite-Universitaetsmedizin Berlin ( Site 0191)

    RECRUITING

    Berlin, 13353, Germany

  • Ege Universitesi Hastanesi ( Site 0143)

    RECRUITING

    Izmir, 35100, Turkey (Türkiye)

  • European Interbalkan Medical Center ( Site 0205)

    RECRUITING

    Thessaloniki, 570 01, Greece

  • FALP ( Site 0160)

    RECRUITING

    Santiago, Region M. de Santiago, 7500921, Chile

  • Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0175)

    RECRUITING

    Milan, Lombardy, 20133, Italy

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0174)

    RECRUITING

    Roma, 00168, Italy

  • Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0140)

    RECRUITING

    Ankara, 06230, Turkey (Türkiye)

  • Hospital Universitario Quiron Madrid ( Site 0091)

    RECRUITING

    Madrid, 28223, Spain

  • I. U. Cerrahpasa Tip Fakultesi ( Site 0144)

    RECRUITING

    Istanbul, 34098, Turkey (Türkiye)

  • Institut Català d'Oncologia - L'Hospitalet ( Site 0090)

    RECRUITING

    L'Hospitalet de Llobregat, Barcelona, 08908, Spain

  • Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz-Rendelointezet ( Site 0061)

    RECRUITING

    Szolnok, Jász-Nagykun-Szolnok, 5000, Hungary

  • MedStar Franklin Square Medical Center ( Site 0033)

    RECRUITING

    Baltimore, Maryland, 21237, United States

  • Meir Medical Center ( Site 0071)

    RECRUITING

    Kfar Saba, 4428164, Israel

  • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0151)

    RECRUITING

    Warsaw, Masovian Voivodeship, 02-781, Poland

  • Ospedale San Raffaele. ( Site 0171)

    RECRUITING

    Milan, 20132, Italy

  • Petz Aladar Egyetemi Oktato Korhaz ( Site 0062)

    RECRUITING

    Győr, Győr-Moson-Sopron, 9024, Hungary

  • Rabin Medical Center ( Site 0074)

    RECRUITING

    Petah Tikva, 4941492, Israel

  • Rambam Health Care Campus ( Site 0076)

    RECRUITING

    Haifa, 3109601, Israel

  • Shaare Zedek Medical Center ( Site 0075)

    RECRUITING

    Jerusalem, 9103102, Israel

  • Sheba Medical Center ( Site 0070)

    RECRUITING

    Ramat Gan, 5265601, Israel

  • Sourasky Medical Center ( Site 0077)

    RECRUITING

    Tel Aviv, 6423906, Israel

  • Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie ( Site 0152)

    RECRUITING

    Koszalin, West Pomeranian Voivodeship, 75-581, Poland

  • THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA"-3rd Dept of Internal Medicine and Laboratory, Oncol ( Site 0204)

    RECRUITING

    Athens, Attica, 115 27, Greece

  • Universitaetsklinik Tuebingen ( Site 0192)

    RECRUITING

    Tübingen, Baden-Wurttemberg, 72076, Germany

  • University of Kentucky Chandler Medical Center ( Site 0019)

    RECRUITING

    Lexington, Kentucky, 40536-0293, United States

  • Uniwersyteckie Centrum Kliniczne-Early Clinical Trials Unit ( Site 0150)

    RECRUITING

    Gdansk, Pomeranian Voivodeship, 80-214, Poland

  • Wielkopolskie Centrum Pulmonologii i Torakochirurgii ( Site 0153)

    RECRUITING

    Poznan, Greater Poland Voivodeship, 60-569, Poland

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