New drug cocktail takes on seven tough cancers
NCT ID NCT05489211
First seen Jun 25, 2026 · Last updated Aug 14, 2026 · Updated 3 times
Summary
This phase 2 trial is testing a drug called datopotamab deruxtecan (Dato-DXd), alone or with other cancer medicines, in people with advanced or metastatic solid tumours. The study includes seven cancer types and aims to see if the drug shrinks tumours and how safe it is. Around 454 participants will be enrolled at multiple centres.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- datopotamab deruxtecan (Dato-DXd), a targeted chemotherapy drug
- What this could lead to
- If successful, this could offer a new treatment option for several advanced cancers that are hard to treat.
- What could go wrong
- This is an early-phase trial with many different cancer types, so results may not apply to all. Side effects from the drug combinations could be serious.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 454 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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Oct 2027
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 to 130 years
- 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: There are additional substudy requirements not reflected here. This list is based solely on the master CSP * Male and female, ≥ 18 years * Documented advanced or metastatic malignancy * Eastern Cooperative Oncology Group performance status of 0 or 1 with no deterioration over the 2 weeks prior to baseline or day of first dosing * All participants must provide a tumour sample for tissue-based analysis * At least 1 measurable lesion not previously irradiated, except Substudy 3 (Prostate Cancer) which allows participants with non measurable bone metastatic disease * Adequate bone marrow reserve and organ function * Minimum life expectancy of 12 weeks * At the time of screening, contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies * All women of childbearing potential must have a negative serum pregnancy test documented during screening * Female participants must be 1 year post-menopausal, surgically sterile, or using 1 highly effective form of birth control. Female participants must not donate, or retrieve for their own use, ova at any time during this study * Male participants who intend to be sexually active with a female partner of childbearing potential must be surgically sterile, avoid intercourse, or use a highly effective method of contraception. Male participants must not freeze or donate sperm at any time during this study. * Capable of giving signed informed consent * Provision of signed and dated written optional genetic research informed consent prior to collection of samples for optional genetic research that supports the Genomic Initiative Key Exclusion Criteria: * Any evidence of diseases which, in the investigator's opinion, makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol * History of another primary malignancy except for adequately resected basal cell carcinoma or in situ squamous cell carcinoma of the skin, or other solid malignancy treated with curative intent * Persistent toxicities caused by previous anticancer therapy, excluding alopecia, not yet improved * Irreversible toxicity that is not reasonably expected to be exacerbated by study intervention in the opinion of the investigator, for example hearing loss * Spinal cord compression or brain metastases unless treated * Leptomeningeal carcinomatosis * Clinically significant corneal disease * Active hepatitis or uncontrolled hepatitis B or C virus infection * Uncontrolled infection requiring IV antibiotics, antivirals or antifungals, for example prodromal symptoms * Known HIV infection that is not well controlled * Known active tuberculosis infection * Mean resting corrected QTcF \> 470 ms * In the judgement of the investigator, history of QT prolongation associated with other medications that required discontinuation of that medication, or any current concomitant medication known to prolong the QT interval and cause TdP * In the judgement of the investigator, congenital long QT syndrome, family history of long QT syndrome, or unexplained sudden death under 40 years of age in first-degree relatives * Uncontrolled or significant cardiac diseases * History of non-infectious Interstitial lung disease (ILD)/pneumonitis, including radiation pneumonitis that required steroids * Has severe pulmonary function compromise * Prior exposure to chloroquine/hydroxychloroquine without an adequate treatment washout period * Receipt of live, attenuated vaccine within 30 days prior to the first dose of study intervention * Prior exposure to anticancer therapies without an adequate treatment washout period prior to enrolment or any concurrent anticancer treatment * Palliative radiotherapy with a limited field of radiation within ≤ 2 weeks or to more than 30% of the bone marrow within ≤ 4 weeks before the first dose of study intervention * Major surgical procedure or significant traumatic injury within ≤ 3 weeks of the first dose of study intervention or an anticipated need for major surgery during the study * Prior treatment with TROP2-directed therapies or other antibody-drug conjugate (ADCs) with deruxtecan payload * Herbal or natural products intended as treatment or prophylaxis for any type of cancer that may interfere with the activity of the study intervention * Previous treatment in the present study * Participation in another clinical study with a study intervention or investigational medicinal device administered in the last 4 weeks prior to first dose of study intervention or concurrent enrolment in another clinical study * Severe hypersensitivity to Dato-DXd or any of the excipients, including but not limited to polysorbate 80 or other monoclonal antibodies * Involvement in the planning and/or conduct of the study * Judgment by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements * Females that are pregnant, breastfeeding, or planning to become pregnant * Female participants should refrain from breastfeeding from enrolment throughout the study and for at least 7 months after last dose of Dato-DXd
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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 places running it
57 sites in 11 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
Locations
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Research Site
RECRUITINGLos Angeles, California, 90095, United States
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Research Site
WITHDRAWNSan Diego, California, 92103, United States
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Research Site
RECRUITINGSanta Rosa, California, 95403, United States
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Research Site
WITHDRAWNMuncie, Indiana, 47303, United States
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Research Site
WITHDRAWNKansas City, Kansas, 66160, United States
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Research Site
WITHDRAWNBoston, Massachusetts, 02114, United States
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Research Site
COMPLETEDBoston, Massachusetts, 02215, United States
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Research Site
RECRUITINGGrand Rapids, Michigan, 49503, United States
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Research Site
RECRUITINGEast Brunswick, New Jersey, 08816, United States
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Research Site
RECRUITINGAlbuquerque, New Mexico, 87109, United States
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Research Site
RECRUITINGCommack, New York, 11725, United States
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Research Site
RECRUITINGCincinnati, Ohio, 45219, United States
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Research Site
RECRUITINGColumbus, Ohio, 43219, United States
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Research Site
WITHDRAWNPortland, Oregon, 97239, United States
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Research Site
RECRUITINGNashville, Tennessee, 37203, United States
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Research Site
WITHDRAWNNashville, Tennessee, 37232, United States
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Research Site
RECRUITINGHouston, Texas, 77030, United States
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Research Site
RECRUITINGMadison, Wisconsin, 53792, United States
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Research Site
WITHDRAWNToronto, Ontario, M4N 3M5, Canada
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Research Site
COMPLETEDToronto, Ontario, M5G 2M9, Canada
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Research Site
WITHDRAWNMontreal, Quebec, H2X 0A9, Canada
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Research Site
COMPLETEDMontreal, Quebec, H4A 3J1, Canada
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Research Site
ACTIVE_NOT_RECRUITINGQuébec, Quebec, G1J 1Z4, Canada
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Research Site
WITHDRAWNChangsha, 410013, China
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Research Site
WITHDRAWNChongqing, 400030, China
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Research Site
COMPLETEDGuangzhou, 510060, China
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Research Site
RECRUITINGGuangzhou, 510060, China
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Research Site
WITHDRAWNGuangzhou, 510120, China
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Research Site
RECRUITINGHangzhou, 310020, China
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Research Site
WITHDRAWNHefei, 230001, China
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Research Site
RECRUITINGShanghai, 200032, China
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Research Site
NOT_YET_RECRUITINGShanghai, 200032, China
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Research Site
WITHDRAWNShenyang, 110016, China
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Research Site
WITHDRAWNWuhan, 430030, China
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Research Site
WITHDRAWNWuhan, 430079, China
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Research Site
WITHDRAWNXi'an, 710000, China
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Research Site
RECRUITINGZhengzhou, 450052, China
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Research Site
RECRUITINGBordeaux, 33076, France
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Research Site
RECRUITINGLyon, 69373, France
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Research Site
WITHDRAWNMarseille, 13273, France
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Research Site
RECRUITINGSuresnes, 92150, France
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Research Site
WITHDRAWNBerlin, 10117, Germany
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Research Site
WITHDRAWNEssen, 45136, Germany
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Research Site
WITHDRAWNHanover, 30625, Germany
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Research Site
WITHDRAWNMünchen, 81377, Germany
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Research Site
WITHDRAWNRegensburg, 93053, Germany
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Research Site
WITHDRAWNFlorence, 50139, Italy
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Research Site
WITHDRAWNGenova, 16132, Italy
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Research Site
RECRUITINGMilan, 20132, Italy
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Research Site
WITHDRAWNMilan, 20141, Italy
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Research Site
RECRUITINGMilan, 20162, Italy
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Research Site
RECRUITINGNaples, 80131, Italy
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Research Site
WITHDRAWNRome, 00168, Italy
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Research Site
RECRUITINGChūōku, 104-0045, Japan
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Research Site
RECRUITINGKashiwa, 277-8577, Japan
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Research Site
RECRUITINGKōtoku, 135-8550, Japan
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Research Site
RECRUITINGNagoya, 464-8681, Japan
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Research Site
RECRUITINGShinagawa-ku, 142-8666, Japan
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Research Site
RECRUITINGSuita-shi, 565-0871, Japan
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Research Site
RECRUITINGGliwice, 44-102, Poland
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Research Site
RECRUITINGKrakow, 31-501, Poland
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Research Site
WITHDRAWNLodz, 92-213, Poland
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Research Site
WITHDRAWNPoznan, 61-866, Poland
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Research Site
COMPLETEDWarsaw, 02-781, Poland
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Research Site
RECRUITINGSeoul, 03722, South Korea
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Research Site
RECRUITINGSeoul, 05505, South Korea
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Research Site
RECRUITINGSeoul, 06351, South Korea
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Research Site
RECRUITINGSeoul, 110-744, South Korea
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Research Site
RECRUITINGBarcelona, 8035, Spain
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Research Site
TERMINATEDCórdoba, 14004, Spain
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Research Site
RECRUITINGMadrid, 28046, Spain
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Research Site
RECRUITINGMálaga, 29010, Spain
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Research Site
RECRUITINGPamplona, 31008, Spain
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Research Site
RECRUITINGSeville, 41013, Spain
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Research Site
WITHDRAWNBasel, 4031, Switzerland
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Research Site
WITHDRAWNBellinzona, 6500, Switzerland
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Research Site
WITHDRAWNSankt Gallen, 9007, Switzerland
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Research Site
RECRUITINGLiou Ying Township, 736, Taiwan
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Research Site
RECRUITINGTaipei, 100, Taiwan
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Research Site
RECRUITINGTaipei, 11259, Taiwan
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Research Site
RECRUITINGTaipei, 112, Taiwan
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Research Site
RECRUITINGTaoyuan, 333, Taiwan
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Research Site
RECRUITINGAnkara, 06620, Turkey (Türkiye)
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Research Site
RECRUITINGAnkara, 06800, Turkey (Türkiye)
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Research Site
RECRUITINGCordaleo, 35575, Turkey (Türkiye)
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Research Site
RECRUITINGEdirne, 22030, Turkey (Türkiye)
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Research Site
RECRUITINGKadıkoy/Istanbul, 34722, Turkey (Türkiye)
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Research Site
RECRUITINGKonya, 42080, Turkey (Türkiye)
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Research Site
RECRUITINGPamukkale, 20070, Turkey (Türkiye)
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Research Site
WITHDRAWNSamsun, 55139, Turkey (Türkiye)
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Research Site
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Research Site
RECRUITINGDundee, DD1 9SY, United Kingdom
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Research Site
RECRUITINGLondon, EC1A 7BE, United Kingdom
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Research Site
RECRUITINGLondon, NW1 2PG, United Kingdom
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Research Site
RECRUITINGLondon, SE1 9RT, United Kingdom
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Research Site
RECRUITINGManchester, M20 4BX, United Kingdom
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