Clinical Trials /

Datopotamab Deruxtecan (Dato-DXd) in Combination With Pembrolizumab With or Without Platinum Chemotherapy in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer (TROPION-Lung02)

NCT04526691

Description:

This study will assess safety and treatment activity of datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab with or without platinum chemotherapy in participants with advanced or metastatic non-small cell lung cancer.

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Datopotamab Deruxtecan (Dato-DXd) in Combination With Pembrolizumab With or Without Platinum Chemotherapy in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer (TROPION-Lung02)
  • Official Title: Phase 1b, Multicenter, Open-label Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Pembrolizumab With or Without Platinum Chemotherapy in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer (TROPION-Lung02)

Clinical Trial IDs

  • ORG STUDY ID: DS1062-A-U102
  • SECONDARY ID: 2020-006047-25
  • SECONDARY ID: jRCT2031200193
  • SECONDARY ID: KEYNOTE KN-B43
  • NCT ID: NCT04526691

Conditions

  • Advanced or Metastatic NSCLC

Interventions

DrugSynonymsArms
Datopotamab deruxtecanDato-DXdDatopotamab deruxtecan (Dato-DXd)
PembrolizumabDatopotamab deruxtecan (Dato-DXd)
CarboplatinDatopotamab deruxtecan (Dato-DXd)
CisplatinDatopotamab deruxtecan (Dato-DXd)

Purpose

This study will assess safety and treatment activity of datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab with or without platinum chemotherapy in participants with advanced or metastatic non-small cell lung cancer.

Detailed Description

      The primary objective of this study will assess safety and treatment activity of datopotamab
      deruxtecan (Dato-DXd) in combination with pembrolizumab with or without 4 cycles of platinum
      chemotherapy in participants with advanced or metastatic NSCLC who have either been
      previously treated or are treatment naïve in a metastatic setting.

      Two dose levels of Dato-DXd (4.0 mg/kg and 6.0 mg/kg) will be studied in combination with 200
      mg fixed-dose pembrolizumab in 6 study cohorts. This study will be conducted sequentially and
      dose escalation will occur according to lower dose to higher dose in the same combination
      regimen (4.0 mg/kg to 6.0 mg/kg) and from 2-drug combination (Dato-DXd and pembrolizumab) to
      3-drug combination regimen (Dato-DXd, pembrolizumab, and carboplatin or cisplatin).
    

Trial Arms

NameTypeDescriptionInterventions
Datopotamab deruxtecan (Dato-DXd)ExperimentalDose Escalation and Dose Expansion: Datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab with or without platinum chemotherapy in participants with advanced or metastatic NSCLC
  • Datopotamab deruxtecan
  • Pembrolizumab
  • Carboplatin
  • Cisplatin

Eligibility Criteria

        Inclusion Criteria:

          -  Advanced or metastatic NSCLC, histologically confirmed at diagnosis of NSCLC,
             documented negative test results for EGFR and ALK genomic alterations, and no known
             genomic alterations in ROS1, NTRK, BRAF, RET, MET, or other driver oncogenes with
             approved therapies (actionable genomic alterations).

          -  Documentation of radiological disease progression while on or after receiving the most
             recent treatment regimen, if any, for advanced or metastatic NSCLC.

          -  Must meet the following prior therapy requirements for advanced or metastatic NSCLC:

               -  Dose escalation (all cohorts): Has received ≤2 lines of prior anticancer therapy
                  for locally advanced or metastatic NSCLC.

               -  Dose expansion (cohorts with 4.0 mg/kg or 6.0 mg/kg Dato-DXd in combination with
                  200 mg fixed dose of pembrolizumab): Has not received PD-1/PD-L1, PD-L2, CTLA-4
                  directed immunotherapy and may or may not have been treated with systemic
                  chemotherapy for advanced or metastatic NSCLC.

               -  Dose expansion (cohorts with 4.0 mg/kg or 6.0 mg/kg Dato-DXd in combination with
                  200 mg fixed dose of pembrolizumab and 4 cycles of AUC 5 carboplatin or cisplatin
                  75 mg/m^2): Has not been treated with systemic anticancer therapy for advanced or
                  metastatic NSCLC.

          -  Willing and able to undergo a mandatory tumor biopsy.

          -  Archival tumor tissue from initial diagnosis, to the extent that archival tumor tissue
             is available, for measurement of TROP2 expression levels or other biomarkers.

          -  Has adequate bone marrow reserve and organ function at baseline within 7 days prior to
             Cycle 1 Day 1

        Exclusion Criteria:

          -  Experienced grade 3 or higher immune-related adverse events (AEs) with prior treatment
             of anti-programmed cell death 1 (anti-PD-1), anti-programmed cell death ligand 1
             (anti-PD-L1), or anti-PD-L2 agent or with an agent directed to another stimulatory or
             co-inhibitory T-cell receptor (eg, CTLA-4, OX 40, CD137).

          -  Received a live vaccine within 30 days prior to the first dose of study treatment.

          -  Active, known, or suspected autoimmune disease.

          -  Concomitant use of chronic systemic (IV or oral) corticosteroids or other
             immunosuppressive medications, except for managing AEs.

          -  Prior organ transplantation, including allogeneic tissue or solid organ
             transplantation.

          -  Has spinal cord compression or clinically active central nervous system metastases,
             defined as untreated and symptomatic, or requiring therapy with corticosteroids or
             anticonvulsants to control associated symptoms.

          -  History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required
             steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be
             ruled out by imaging at screening.

          -  Clinically severe pulmonary compromise resulting from intercurrent pulmonary
             illnesses.

          -  Has a history of malignancy, other than NSCLC, except (a) adequately resected
             non-melanoma skin cancer, (b) curatively treated in situ disease, or (c) other solid
             tumors curatively treated, with no evidence of disease for ≥3 years.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of Participants with Dose-limiting Toxicities (DLTs) and Treatment-emergent Adverse Events (TEAEs)
Time Frame:Baseline up to Cycle 1 (Days 1 to 21) for DLTs and up to 28 days after last dose for TEAEs, up to approximately 30 months post-dose
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Objective Response Rate
Time Frame:Baseline up to BOR (confirmed CR or PR), up to approximately 30 months post-dose
Safety Issue:
Description:
Measure:Duration of Response
Time Frame:From first objective response (confirmed CR or PR) to PD or death (whichever occurs first), up to approximately 30 months post-dose
Safety Issue:
Description:
Measure:Progression-free Survival
Time Frame:Baseline up PD or death (whichever occurs first), up to approximately 30 months post-dose
Safety Issue:
Description:
Measure:Overall Survival
Time Frame:Baseline up to death (any cause), up to approximately 30 months post-dose
Safety Issue:
Description:
Measure:Pharmacokinetic Parameter Maximum Plasma Concentration (Cmax) of Dato-DXd, Total Anti-TROP2 Antibody, and MAAA-1181a
Time Frame:Cycle 1, Day 1: pre-dose, 30 minutes, 3 hours, 5 hours, and 7 hours post-dose; Cycles 1 and 3, Day 2, Day 4, Day 8, and Day 15; Cycles 2-4, Cycle 6, and Cycle 8, Day 1: pre-dose and post-dose (each cycle is 21 days)
Safety Issue:
Description:
Measure:Pharmacokinetic Parameter Time to Maximum Plasma Concentration (Tmax) of Dato-DXd, Total Anti-TROP2 Antibody, and MAAA-1181a
Time Frame:Cycle 1, Day 1: pre-dose, 30 minutes, 3 hours, 5 hours, and 7 hours post-dose; Cycles 1 and 3, Day 2, Day 4, Day 8, and Day 15; Cycles 2-4, Cycle 6, and Cycle 8, Day 1: pre-dose and post-dose (each cycle is 21 days)
Safety Issue:
Description:
Measure:Pharmacokinetic Parameter Area Under the Plasma Concentration-Time Curve (AUC) of Dato-DXd, Total Anti-TROP2 Antibody, and MAAA-1181a
Time Frame:Cycle 1, Day 1: pre-dose, 30 minutes, 3 hours, 5 hours, and 7 hours post-dose; Cycles 1 and 3, Day 2, Day 4, Day 8, and Day 15; Cycles 2-4, Cycle 6, and Cycle 8, Day 1: pre-dose and post-dose (each cycle is 21 days)
Safety Issue:
Description:Area under the plasma concentration-time curve up to last quantifiable time (AUClast) and area under the plasma concentration-time curve during dosing interval (AUCtau) will be assessed.
Measure:Anti-drug Antibodies for Dato-DXd and Pembrolizumab
Time Frame:Baseline up to approximately 30 months post-dose
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Daiichi Sankyo, Inc.

Trial Keywords

  • Advanced or Metastatic NSCLC
  • Datopotamab deruxtecan (Dato-DXd)
  • Pembrolizumab
  • KEYNOTE
  • DS-1062a

Last Updated

July 12, 2021