Endometrial CancerPhase 2NCT05489211
Study of Dato-DXd as Monotherapy and in Combination With Anti-cancer Agents in Patients With Advanced Solid Tumours (TROPION-PanTumor03)
A Phase 2 study testing Datopotamab deruxtecan (Dato-DXd), Capecitabine and 5-Fluorouracil in people with Endometrial Cancer and Gastric Cancer, run by AstraZeneca at 96 sites in 14 countries.
Trial summary
TROPION-PanTumor03 will investigate the safety, tolerability, and anti-tumour activity of Datopotamab Deruxtecan (Dato-DXd) as Monotherapy and in Combination with Anticancer Agents in Patients with Advanced/Metastatic Solid Tumours. Read more about this study
- Who is it for?
- Ages 18 to 130 years
- Conditions the study is for
- Endometrial Cancer, Gastric Cancer, Metastatic Castration-resistant Prostate Cancer
- What is being tested?
- Datopotamab deruxtecan (Dato-DXd), Capecitabine and 5-Fluorouracil
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 454 participants
- Where
- 96 sitesin 14 countries
- Study dates
- 6 Sep 2022to 1 Oct 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 130 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- 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
Show all 31Show fewer
- 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
Trial locations and contacts
96 sites in 14 countries. Contact the study team or a site near you to ask about taking part.
AstraZeneca Clinical Study Information Center contact
96 sites in 14 countries
United States18 sites, 11 recruiting
- Recruiting
Research Site
Albuquerque, New Mexico, 87109
- Withdrawn
Research Site
Boston, Massachusetts, 02114
- Completed
Research Site
Boston, Massachusetts, 02215
- Recruiting
Research Site
Cincinnati, Ohio, 45219
- Recruiting
Research Site
Columbus, Ohio, 43219
- Recruiting
Research Site
Commack, New York, 11725
- Recruiting
Research Site
East Brunswick, New Jersey, 08816
- Recruiting
Research Site
Grand Rapids, Michigan, 49503
- Recruiting
Research Site
Houston, Texas, 77030
- Withdrawn
Research Site
Kansas City, Kansas, 66160
- Recruiting
Research Site
Los Angeles, California, 90095
- Recruiting
Research Site
Madison, Wisconsin, 53792
- Withdrawn
Research Site
Muncie, Indiana, 47303
- Recruiting
Research Site
Nashville, Tennessee, 37203
- Withdrawn
Research Site
Nashville, Tennessee, 37232
- Withdrawn
Research Site
Portland, Oregon, 97239
- Withdrawn
Research Site
San Diego, California, 92103
- Recruiting
Research Site
Santa Rosa, California, 95403
China14 sites, 5 recruiting
- Withdrawn
Research Site
Changsha, 410013
- Withdrawn
Research Site
Chongqing, 400030
- Completed
Research Site
Guangzhou, 510060
- Recruiting
Research Site
Guangzhou, 510060
- Withdrawn
Research Site
Guangzhou, 510120
- Recruiting
Research Site
Hangzhou, 310020
- Withdrawn
Research Site
Hefei, 230001
- Recruiting
Research Site
Shanghai, 200032
- Not yet recruiting
Research Site
Shanghai, 200032
- Withdrawn
Research Site
Shenyang, 110016
- Withdrawn
Research Site
Wuhan, 430030
- Withdrawn
Research Site
Wuhan, 430079
- Withdrawn
Research Site
Xi'an, 710000
- Recruiting
Research Site
Zhengzhou, 450052
Turkey (Türkiye)8 sites, 7 recruiting
- Recruiting
Research Site
Ankara, 06620
- Recruiting
Research Site
Ankara, 06800
- Recruiting
Research Site
Cordaleo, 35575
- Recruiting
Research Site
Edirne, 22030
- Recruiting
Research Site
Kadıkoy/Istanbul, 34722
- Recruiting
Research Site
Konya, 42080
- Recruiting
Research Site
Pamukkale, 20070
- Withdrawn
Research Site
Samsun, 55139
Italy7 sites, 3 recruiting
- Withdrawn
Research Site
Florence, 50139
- Withdrawn
Research Site
Genova, 16132
- Recruiting
Research Site
Milan, 20132
- Withdrawn
Research Site
Milan, 20141
- Recruiting
Research Site
Milan, 20162
- Recruiting
Research Site
Naples, 80131
- Withdrawn
Research Site
Rome, 00168
Japan6 sites, 6 recruiting
- Recruiting
Research Site
Chūōku, 104-0045
- Recruiting
Research Site
Kashiwa, 277-8577
- Recruiting
Research Site
Kōtoku, 135-8550
- Recruiting
Research Site
Nagoya, 464-8681
- Recruiting
Research Site
Shinagawa-ku, 142-8666
- Recruiting
Research Site
Suita-shi, 565-0871
Spain6 sites, 5 recruiting
- Recruiting
Research Site
Barcelona, 8035
- Terminated
Research Site
Córdoba, 14004
- Recruiting
Research Site
Madrid, 28046
- Recruiting
Research Site
Málaga, 29010
- Recruiting
Research Site
Pamplona, 31008
- Recruiting
Research Site
Seville, 41013
United Kingdom6 sites, 6 recruiting
- Recruiting
Research Site
Cambridge, CB2 0QQ
- Recruiting
Research Site
Dundee, DD1 9SY
- Recruiting
Research Site
London, EC1A 7BE
- Recruiting
Research Site
London, NW1 2PG
- Recruiting
Research Site
London, SE1 9RT
- Recruiting
Research Site
Manchester, M20 4BX
Canada5 sites
- Withdrawn
Research Site
Montreal, Quebec, H2X 0A9
- Completed
Research Site
Montreal, Quebec, H4A 3J1
- Active, not recruiting
Research Site
Québec, Quebec, G1J 1Z4
- Withdrawn
Research Site
Toronto, Ontario, M4N 3M5
- Completed
Research Site
Toronto, Ontario, M5G 2M9
Germany5 sites
- Withdrawn
Research Site
Berlin, 10117
- Withdrawn
Research Site
Essen, 45136
- Withdrawn
Research Site
Hanover, 30625
- Withdrawn
Research Site
München, 81377
- Withdrawn
Research Site
Regensburg, 93053
Poland5 sites, 2 recruiting
- Recruiting
Research Site
Gliwice, 44-102
- Recruiting
Research Site
Krakow, 31-501
- Withdrawn
Research Site
Lodz, 92-213
- Withdrawn
Research Site
Poznan, 61-866
- Completed
Research Site
Warsaw, 02-781
Taiwan5 sites, 5 recruiting
- Recruiting
Research Site
Liou Ying Township, 736
- Recruiting
Research Site
Taipei, 100
- Recruiting
Research Site
Taipei, 11259
- Recruiting
Research Site
Taipei, 112
- Recruiting
Research Site
Taoyuan, 333
France4 sites, 3 recruiting
- Recruiting
Research Site
Bordeaux, 33076
- Recruiting
Research Site
Lyon, 69373
- Withdrawn
Research Site
Marseille, 13273
- Recruiting
Research Site
Suresnes, 92150
South Korea4 sites, 4 recruiting
- Recruiting
Research Site
Seoul, 03722
- Recruiting
Research Site
Seoul, 05505
- Recruiting
Research Site
Seoul, 06351
- Recruiting
Research Site
Seoul, 110-744
Switzerland3 sites
- Withdrawn
Research Site
Basel, 4031
- Withdrawn
Research Site
Bellinzona, 6500
- Withdrawn
Research Site
Sankt Gallen, 9007
About this study
Official title: A Phase II, Multicentre, Open-label, Master Protocol to Evaluate the Efficacy and Safety of Datopotamab Deruxtecan (Dato-DXd) as Monotherapy and in Combination With Anticancer Agents in Patients With Advanced/Metastatic Solid Tumours
TROPION-PanTumor03 will investigate the safety, tolerability, and anti-tumour activity of Datopotamab Deruxtecan (Dato-DXd) as Monotherapy and in Combination with Anticancer Agents in Patients with Advanced/Metastatic Solid Tumours.
Read the detailed description
This Phase II, open-label, uncontrolled, multicentre study evaluating the efficacy and safety of Dato-DXd as monotherapy (MONO) and in combination with anticancer agents (COMBO) in various advanced solid tumour types.
This study has a modular design, as such a master protocol with independent substudies enables simultaneous evaluation of the safety profile, recommended Phase II dose (RP2D), and efficacy of Dato-DXd in multiple disease populations and treatment combinations. This study will evaluate various solid tumour types, including endometrial cancer (Substudy 1), gastric cancer (Substudy 2), metastatic castration-resistant prostate cancer (mCRPC) (Substudy 3), ovarian cancer (Substudy 4), colorectal cancer (CRC) (Substudy 5), urothelial cancer (Substudy 6), and biliary tract cancer (Substudy 7) in the advanced or metastatic setting. Within each substudy, Dato-DXd will be evaluated as monotherapy (for all substudies except Substudy 2) and in combination with approved or novel anticancer agents that may be active in the tumour type being evaluated (for all substudies except Substudy 1 and Substudy 7).
- Conditions
- Endometrial Cancer, Gastric Cancer, Metastatic Castration-resistant Prostate Cancer, Ovarian Cancer, Colorectal Cancer, Urothelial Cancer
- Being tested
- Datopotamab deruxtecan (Dato-DXd), Capecitabine, 5-Fluorouracil, Volrustomig, Carboplatin
- Keywords
- TROPION-PanTumor03, Datopotamab Deruxtecan (Dato-DXd), Solid Tumours, Antibody-drug conjugate (ADC), Trophoblast cell surface protein 2 (TROP2)
- Medical subject headings
- Endometrial Neoplasms, Stomach Neoplasms, Ovarian Neoplasms, Colorectal Neoplasms, Biliary Tract Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Datopotamab deruxtecan (Dato-DXd)Drug
Also called DS-1062a
Intravenous (IV) Antibody drug conjugate
CapecitabineDrug
Also called Xeloda
Administered orally
5-FluorouracilDrug
Also called Adrucil
Administered as an IV
VolrustomigDrug
Also called MEDI5752
Administered as an IV
CarboplatinDrug
Also called Paraplatin
Administered as an IV
BevacizumabDrug
Also called Avastin
Administered as an IV
RilvegostomigDrug
Also called AZD2936
Administered as an IV
Prednisone/ prednisoloneDrug
Also called Prednisolone
Administered orally
CisplatinDrug
Also called Platinol
Administered as an IV
| Study group | Role | What they receive |
|---|---|---|
| Substudy-1A | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
| Substudy-2A | Experimental | Dato-DXd in combination with capecitabine will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Capecitabine |
| Substudy-2B | Experimental | Dato-DXd in combination with 5-FU will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: 5-Fluorouracil |
| Substudy-3A | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
| Substudy-3C | Experimental | Dato-DXd will be evaluated in combination with prednisone/prednisolone Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Prednisone/ prednisolone |
| Substudy-4A | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
| Substudy-4C | Experimental | Dato-DXd in combination with carboplatin + bevacizumab followed by Dato-DXd + bevacizumab will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Carboplatin; Drug: Bevacizumab |
| Substudy-5A | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
| Substudy-6A | Experimental | Dato-DXd in combination with volrustomig (MEDI5752) will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Volrustomig |
| Substudy-6B | Experimental | Data-DXd in combination with rilvegostomig (AZD2936) will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Rilvegostomig |
| Substudy-6C | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
| Substudy-6D | Experimental | Dato-DXd in combination with carboplatin or cisplatin will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Carboplatin; Drug: Cisplatin |
| Substudy-6E | Experimental | Dato-DXd in combination with rilvegostomig (AZD2936) will be evaluated Receives: Drug: Datopotamab deruxtecan (Dato-DXd); Drug: Rilvegostomig |
| Substudy-7A | Experimental | Dato-DXd will be evaluated as monotherapy Receives: Drug: Datopotamab deruxtecan (Dato-DXd) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rate (ORR)
Proportion of participants who have a confirmed CR or confirmed PR, as determined by the investigator at local site per RECIST 1.1.
Measured: From baseline to progressive disease or death (approximately 1 year)
The number of subjects with adverse events/serious adverse events
Number of patients with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.
Measured: Throughout the treatment and the safety follow-up period 28 [+ 7] days after the discontinuation of all study interventions, except durvalumab, nivolumab, and bevacizumab for which it will be 90 [+ 7] days (approximately 1 year)
PSA50 response (Substudy 3 only)
Proportion of participants achieving a ≥ 50% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later.
Measured: From baseline to PSA response evaluated according to the PCWG3 criteria (approximately 1 year)
Progression free survival (PFS) response (Substudy 4C only)
PFS is defined as time from start of treatment until progression per RECIST 1.1 as assessed by the investigator or death due to any cause.
Measured: From baseline to progressive disease or death (approximately 1 year)
Secondary outcomes (14)
Progression free survival (PFS)
PFS is defined as time from start of treatment until progression per RECIST 1.1 as assessed by the investigator or death due to any cause.
Measured: From baseline to progressive disease or death (approximately 1 year)
Duration Of Response (DoR)
DoR is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1 as assessed by the investigator or death due to any cause.
Measured: From baseline to progressive disease or death (approximately 1 year)
Disease Control Rate (DCR)
DCR at 12 and 24 weeks is defined as the percentage of participants who prior to Progression of Disease (PD) and starting anticancer therapy have either at least one visit response of Complete response (CR)/Partial response (PR) or Stable disease (SD) for at least 11 and 23 weeks after the date of first dose respectively, per RECIST 1.1 as assessed by the investigator at local site and derived from the raw tumour data.
Measured: At approximately 1 year
Best percentage change in tumour size
The best percentage change from baseline in tumour size will be derived as the maximum reduction from baseline or (in the absence of reduction) the minimum increase from baseline.
Measured: From baseline to progressive disease or death (approximately 1 year)
Pharmacokinetics of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): Maximum plasma concentration of the drug (Cmax)
The concentration in plasma will be determined.
Measured: At predefined intervals throughout the treatment period (approximately 1 year)
Pharmacokinetics of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): The time taken to reach the maximum concentration (Tmax)
The concentration in plasma will be determined.
Measured: At predefined intervals throughout the treatment period (approximately 1 year)
Pharmacokinetic Parameter of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): Area under the plasma concentration- time curve (AUC)
The concentration in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
Measured: At predefined intervals throughout the treatment period (approximately 1 year)
Plasma concentration of Total anti-TROP2 antibody
Expression of TROP2 will be measured in blood sample
Measured: Throughout the treatment period at pre-defined intervals (approximately 1 year)
Plasma concentration of MAAA-1181a
The concentration in plasma will be determined (Cmax will be derived).
Measured: Throughout the treatment period at pre-defined intervals (approximately 1 year)
Anti Drug Antibody (ADA) for Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6)
Whole blood samples for determination of ADA in plasma will be collected; Percentage of patients who develop ADA
Measured: Throughout the treatment period at pre-defined intervals and including the safety follow-up period (approximately 1 year)
Radiographic PFS (Substudy 3)
PFS is defined as time from start of treatment until radiographic progression per RECIST 1.1 (soft tissue) and/or PCWG3 criteria (bone) as assessed by the investigator or death due to any cause.
Measured: From baseline to radiographic progression or death (approximately 1 year)
PSA progression (Substudy 3)
PSA progression is defined as an increase in PSA (after Week 12) of ≥25% greater than the nadir and an absolute increase of at least 2 ng/mL above nadir.
Measured: From baseline to PSA response evaluated according to the PCWG3 criteria (approximately 1 year)
CA-125 response (Substudy 4)
Proportion of participants achieving a > 50% reduction in CA-125 levels from a pre-treatment sample confirmed and maintained for at least 28 days.
Measured: From baseline to CA-125 response evaluated according to the GCIG criteria (approximately 1 year)
Overall survival (OS) (Substudy 4)
OS is defined as time from start of treatment until death due to any cause.
Measured: From baseline to death (approximately 1 year)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2022
- Study start6 Sep 2022
- Primary completion1 Oct 2027 (estimated)
- Study completion1 Oct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Endometrial CancerStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Within each substudy, Dato-DXd will be evaluated as monotherapy (all except #2 Gastric Cancer) and in combination with approved or novel anticancer agents that may be active in the tumour type being evaluated (all except #1 Endometrial Cancer and #7 Biliary Tract Cancer). All substudies will be treatment assigned. Substudy 1 (Endometrial): MONO: Dato-DXd Substudy 2 (Gastric): COMBO: Dato-DXd + capecitabine, Dato-DXd + 5-fluorouracil (5-FU) Substudy 3 (mCRPC): MONO: Dato-DXd; COMBO: Dato-DXd + prednisone/prednisolone Substudy 4 (Ovarian): MONO: Dato-DXd; COMBO: Dato-DXd + carboplatin + bevacizumab --\> Dato-DXd + bevacizumab Substudy 5 (CRC): MONO: Dato-DXd; COMBO: Dato-DXd + 5-FU + leucovorin + bevacizumab or Dato-DXd + capecitabine + bevacizumab Substudy 6 (Urothelial): MONO: Dato-DXd; COMBO: Dato-DXd + volrustomig, Dato-DXd + rilvegostomig, Dato-DXd + carboplatin or cisplatin Substudy 7 (BTC): MONO: Dato-DXd
- Masking
- None (open label)
- Enrolment
- 454 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Daiichi Sankyo
- Responsible party
- Sponsor
- Investigators
- Global Clinical Lead, MD, Principal investigator, AstraZeneca
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05489211
- Sponsor's protocol ID
- D926UC00001
- Other IDs
- 2023-509436-26-00, 2022-000776-19, 2023
- Status last verified
- Sep 2026
- First submitted
- 21 Jul 2022
- Last updated
- 23 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests 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 approved.
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Multicentre, Open-label, Master Protocol to Evaluate the Efficacy and Safety of Datopotamab Deruxtecan (Dato-DXd) as Monotherapy and in Combination With Anticancer Agents in Patients With Advanced/Metastatic Solid Tumours
- ClinicalTrials.gov ID
- NCT05489211
- Acronym / sponsor ID
- D926UC00001
- Conditions
- Endometrial Cancer, Gastric Cancer, Metastatic Castration-resistant Prostate Cancer, Ovarian Cancer, Colorectal Cancer, Urothelial Cancer
- Keywords
- TROPION-PanTumor03, Datopotamab Deruxtecan (Dato-DXd), Solid Tumours, Antibody-drug conjugate (ADC), Trophoblast cell surface protein 2 (TROP2)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 454 participants (estimated)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Daiichi Sankyo
- Study start
- 6 Sep 2022 (actual)
- Primary completion
- 1 Oct 2027 (estimated)
- Study completion
- 1 Oct 2027 (estimated)
- First posted
- 5 Aug 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
TROPION-PanTumor03 will investigate the safety, tolerability, and anti-tumour activity of Datopotamab Deruxtecan (Dato-DXd) as Monotherapy and in Combination with Anticancer Agents in Patients with Advanced/Metastatic Solid Tumours.
Detailed description
This Phase II, open-label, uncontrolled, multicentre study evaluating the efficacy and safety of Dato-DXd as monotherapy (MONO) and in combination with anticancer agents (COMBO) in various advanced solid tumour types.
This study has a modular design, as such a master protocol with independent substudies enables simultaneous evaluation of the safety profile, recommended Phase II dose (RP2D), and efficacy of Dato-DXd in multiple disease populations and treatment combinations. This study will evaluate various solid tumour types, including endometrial cancer (Substudy 1), gastric cancer (Substudy 2), metastatic castration-resistant prostate cancer (mCRPC) (Substudy 3), ovarian cancer (Substudy 4), colorectal cancer (CRC) (Substudy 5), urothelial cancer (Substudy 6), and biliary tract cancer (Substudy 7) in the advanced or metastatic setting. Within each substudy, Dato-DXd will be evaluated as monotherapy (for all substudies except Substudy 2) and in combination with approved or novel anticancer agents that may be active in the tumour type being evaluated (for all substudies except Substudy 1 and Substudy 7).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 14
- Model description
- Within each substudy, Dato-DXd will be evaluated as monotherapy (all except #2 Gastric Cancer) and in combination with approved or novel anticancer agents that may be active in the tumour type being evaluated (all except #1 Endometrial Cancer and #7 Biliary Tract Cancer). All substudies will be treatment assigned. Substudy 1 (Endometrial): MONO: Dato-DXd Substudy 2 (Gastric): COMBO: Dato-DXd + capecitabine, Dato-DXd + 5-fluorouracil (5-FU) Substudy 3 (mCRPC): MONO: Dato-DXd; COMBO: Dato-DXd + prednisone/prednisolone Substudy 4 (Ovarian): MONO: Dato-DXd; COMBO: Dato-DXd + carboplatin + bevacizumab --> Dato-DXd + bevacizumab Substudy 5 (CRC): MONO: Dato-DXd; COMBO: Dato-DXd + 5-FU + leucovorin + bevacizumab or Dato-DXd + capecitabine + bevacizumab Substudy 6 (Urothelial): MONO: Dato-DXd; COMBO: Dato-DXd + volrustomig, Dato-DXd + rilvegostomig, Dato-DXd + carboplatin or cisplatin Substudy 7 (BTC): MONO: Dato-DXd
| Arm | Type | Receives |
|---|---|---|
| Substudy-1A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
| Substudy-2A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: CapecitabineDato-DXd in combination with capecitabine will be evaluated |
| Substudy-2B | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: 5-FluorouracilDato-DXd in combination with 5-FU will be evaluated |
| Substudy-3A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
| Substudy-3C | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: Prednisone/ prednisoloneDato-DXd will be evaluated in combination with prednisone/prednisolone |
| Substudy-4A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
| Substudy-4C | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: Carboplatin, Drug: BevacizumabDato-DXd in combination with carboplatin + bevacizumab followed by Dato-DXd + bevacizumab will be evaluated |
| Substudy-5A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
| Substudy-6A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: VolrustomigDato-DXd in combination with volrustomig (MEDI5752) will be evaluated |
| Substudy-6B | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: RilvegostomigData-DXd in combination with rilvegostomig (AZD2936) will be evaluated |
| Substudy-6C | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
| Substudy-6D | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: Carboplatin, Drug: CisplatinDato-DXd in combination with carboplatin or cisplatin will be evaluated |
| Substudy-6E | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd), Drug: RilvegostomigDato-DXd in combination with rilvegostomig (AZD2936) will be evaluated |
| Substudy-7A | Experimental | Drug: Datopotamab deruxtecan (Dato-DXd)Dato-DXd will be evaluated as monotherapy |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (31 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Datopotamab deruxtecan (Dato-DXd)Also: DS-1062aIntravenous (IV) Antibody drug conjugate | Drug | Substudy-1A, Substudy-2A, Substudy-2B, Substudy-3A, Substudy-3C, Substudy-4A, Substudy-4C, Substudy-5A, Substudy-6A, Substudy-6B, Substudy-6C, Substudy-6D, Substudy-6E, Substudy-7A |
| CapecitabineAlso: XelodaAdministered orally | Drug | Substudy-2A |
| 5-FluorouracilAlso: AdrucilAdministered as an IV | Drug | Substudy-2B |
| VolrustomigAlso: MEDI5752Administered as an IV | Drug | Substudy-6A |
| CarboplatinAlso: ParaplatinAdministered as an IV | Drug | Substudy-4C, Substudy-6D |
| BevacizumabAlso: AvastinAdministered as an IV | Drug | Substudy-4C |
| RilvegostomigAlso: AZD2936Administered as an IV | Drug | Substudy-6B, Substudy-6E |
| Prednisone/ prednisoloneAlso: PrednisoloneAdministered orally | Drug | Substudy-3C |
| CisplatinAlso: PlatinolAdministered as an IV | Drug | Substudy-6D |
Primary outcome
Objective response rate (ORR)
Time frame: From baseline to progressive disease or death (approximately 1 year)
Proportion of participants who have a confirmed CR or confirmed PR, as determined by the investigator at local site per RECIST 1.1.
The number of subjects with adverse events/serious adverse events
Time frame: Throughout the treatment and the safety follow-up period 28 [+ 7] days after the discontinuation of all study interventions, except durvalumab, nivolumab, and bevacizumab for which it will be 90 [+ 7] days (approximately 1 year)
Number of patients with adverse events and with serious adverse events including abnormal clinical observations, abnormal Electrocardiogram (ECG) parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline.
PSA50 response (Substudy 3 only)
Time frame: From baseline to PSA response evaluated according to the PCWG3 criteria (approximately 1 year)
Proportion of participants achieving a ≥ 50% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later.
Progression free survival (PFS) response (Substudy 4C only)
Time frame: From baseline to progressive disease or death (approximately 1 year)
PFS is defined as time from start of treatment until progression per RECIST 1.1 as assessed by the investigator or death due to any cause.
14 secondary outcomes
Progression free survival (PFS)
Time frame: From baseline to progressive disease or death (approximately 1 year)
Duration Of Response (DoR)
Time frame: From baseline to progressive disease or death (approximately 1 year)
Disease Control Rate (DCR)
Time frame: At approximately 1 year
Best percentage change in tumour size
Time frame: From baseline to progressive disease or death (approximately 1 year)
Pharmacokinetics of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): Maximum plasma concentration of the drug (Cmax)
Time frame: At predefined intervals throughout the treatment period (approximately 1 year)
Pharmacokinetics of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): The time taken to reach the maximum concentration (Tmax)
Time frame: At predefined intervals throughout the treatment period (approximately 1 year)
Pharmacokinetic Parameter of Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6): Area under the plasma concentration- time curve (AUC)
Time frame: At predefined intervals throughout the treatment period (approximately 1 year)
Plasma concentration of Total anti-TROP2 antibody
Time frame: Throughout the treatment period at pre-defined intervals (approximately 1 year)
Plasma concentration of MAAA-1181a
Time frame: Throughout the treatment period at pre-defined intervals (approximately 1 year)
Anti Drug Antibody (ADA) for Dato-DXd (all substudies) and volrustomig and rilvegostomig (substudy 6)
Time frame: Throughout the treatment period at pre-defined intervals and including the safety follow-up period (approximately 1 year)
Radiographic PFS (Substudy 3)
Time frame: From baseline to radiographic progression or death (approximately 1 year)
PSA progression (Substudy 3)
Time frame: From baseline to PSA response evaluated according to the PCWG3 criteria (approximately 1 year)
CA-125 response (Substudy 4)
Time frame: From baseline to CA-125 response evaluated according to the GCIG criteria (approximately 1 year)
Overall survival (OS) (Substudy 4)
Time frame: From baseline to death (approximately 1 year)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2026.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests 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 approved.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
AstraZeneca Clinical Study Information Center contact
Global Clinical Lead, MD principal investigator
AstraZeneca
96 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Datopotamab deruxtecan (Dato-DXd), Capecitabine and 5-Fluorouracil in people with Endometrial Cancer and Gastric Cancer, run by AstraZeneca at 96 sites in 14 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 0 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 96 sites in United States, China, Turkey (Türkiye), Italy, Japan and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective response rate (ORR) (time frame: From baseline to progressive disease or death (approximately 1 year)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Sep 2026.