NSCLCPhase 3AVANZARNCT05687266
Phase III, Open-label, First-line Study of Dato-DXd in Combination With Durvalumab and Carboplatin for Advanced NSCLC Without Actionable Genomic Alterations
A Phase 3 study testing Datopotamab deruxtecan, Durvalumab and Carboplatin in people with NSCLC, run by AstraZeneca at 254 sites in 23 countries.
Trial summary
This is a Phase III, randomized, open-label, multicenter, global study to compare the efficacy and safety of Datopotamab Deruxtecan (Dato-DXd) in combination with durvalumab and carboplatin compared with pembrolizumab in combination with histology-specific platinum-based chemotherapy as first-line treatment of adults… Read more about this study
- Who is it for?
- Ages 18 to 130 years
- Conditions the study is for
- NSCLC
- What is being tested?
- Datopotamab deruxtecan, Durvalumab and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,350 participants
- Where
- 254 sitesin 23 countries
- Study dates
- 29 Dec 2022to 1 Nov 2027
- Phase
- Phase 3
- 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
- Participants ≥ 18 years at screening
- Histologically or cytologically documented NSCLC that at the time of randomisation is Stage IIIB or IIIC disease not amenable to surgical resection or definitive chemoradiation or Stage IV metastatic disease
- Lacks sensitising EGFR tumour tissue mutation and ALK and ROS1 rearrangements and has no documented tumour genomic alterations in NTRK, BRAF, RET, MET or other actionable driver oncogenes with approved and available therapies (actionable genomic alterations).
- Testing is not required for tumors with squamous histology, with exceptions.
- ECOG PS of 0 or 1
- Archival tumour tissue
- Has adequate bone marrow reserve and organ function within 7 days before randomization
Who cannot join
- Mixed small-cell lung cancer and NSCLC histology; sarcomatoid variant of NSCLC
- History of another primary malignancy with exceptions
- Persistent toxicities caused by previous anti-cancer therapy not yet improved to Grade ≤ 1 or baseline, with exceptions.
- Spinal cord compression or clinically or radiologically active brain metastases
- History of leptomeningeal carcinomatosis.
- Known active or uncontrolled hepatitis B or C virus infection.
Show all 9Show fewer
- Uncontrolled or suspected infection requiring IV antibiotics, antivirals, or antifungals.
- Clinically significant corneal disease
- History of non-infectious ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening.
Trial locations and contacts
254 sites in 23 countries.
254 sites in 23 countries
United States52 sites
Research Site
Appleton, Wisconsin, 54911
Research Site
Asheville, North Carolina, 28806
Research Site
Baton Rouge, Louisiana, 70808
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Bettendorf, Iowa, 52722
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Boulder, Colorado, 80303
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Canton, Ohio, 44710
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Clifton Park, New York, 12065
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Columbus, Ohio, 43219
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Covington, Louisiana, 70433
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Dallas, Texas, 75246
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Duluth, Minnesota, 55805
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Fairfax, Virginia, 22031
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Fort Myers, Florida, 33901
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Fort Wayne, Indiana, 46845
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Fort Worth, Texas, 76104
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Fountain Valley, California, 92708
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Hannibal, Missouri, 63401
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Henrico, Virginia, 23229
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Hinsdale, Illinois, 60521
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Hot Springs, Arkansas, 71913
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Houston, Texas, 77030
Research Site
Houston, Texas, 77090
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Iowa City, Iowa, 52242
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Irving, Texas, 75063
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Jacksonville, Florida, 32224
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La Crosse, Wisconsin, 54601
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Lincoln, Nebraska, 68506
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Lincoln, Nebraska, 68516
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Little Rock, Arkansas, 72205
Research Site
Los Angeles, California, 90017
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Maumee, Ohio, 43537
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Memphis, Tennessee, 38120
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Norfolk, Virginia, 23502
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Orange, California, 92868
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Philadelphia, Pennsylvania, 19104
Research Site
Philadelphia, Pennsylvania, 19107
Research Site
Philadelphia, Pennsylvania, 19111
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Phoenix, Arizona, 85054
Research Site
Portland, Oregon, 97239
Research Site
Renton, Washington, 98055
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Rochester, Minnesota, 55905
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Salem, Oregon, 97301
Research Site
Spokane, Washington, 99202
Research Site
Springdale, Arkansas, 72762
Research Site
St. Petersburg, Florida, 33705
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Tacoma, Washington, 98405
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Tucson, Arizona, 85704
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Tulsa, Oklahoma, 74134
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Watertown, South Dakota, 57201
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Waukee, Iowa, 50263
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West Palm Beach, Florida, 33401
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York, Pennsylvania, 17403
China33 sites
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Beijing, 100010
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Beijing, 100029
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Beijing, 100037
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Beijing, 100039
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Beijing, 100853
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Beijing, CN-100730
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Changsha, 410008
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Changsha, 410013
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Chengdu, 610041
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Chengdu, 610072
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Chongqing, 400037
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Guangzhou, 510000
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Guangzhou, 510100
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Hefei, 230601
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Jinan, 250021
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Kunming, 650101
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Lanzhou, 730000
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Liuzhou, 545006
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Shandong
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Shanghai, 200030
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Shanghai, 200032
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Shanghai, 200080
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Shantou, 515041
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Shenyang, 110004
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Shenzhen, 517108
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Taiyuan, 030000
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Tianjin, 300060
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Wenzhou, 325000
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Wuhan, 430030
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Wuhan, 430060
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Xiamen, 361004
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Yangzhou, 225131
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Zhengzhou, 450052
Japan18 sites
Research Site
Bunkyō City, 113-8603
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Chūōku, 104-0045
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Hamamatsu, 431-3192
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Hamamatsu, 432-8580
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Hidaka-shi, 350-1298
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Hirosaki-shi, 036-8563
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Hiroshima, 730-8518
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Kumamoto, 860-8556
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Nagoya, 464-8681
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Nagoya, 466-8560
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Okayama, 700-8558
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Osaka, 545-8586
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Sakai, 590-0197
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Sapporo, 060-8638
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Sunto-gun, 411-8777
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Wakayama, 641-8510
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Yokohama, 221-0855
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Yokohama, 241-8515
France13 sites
Research Site
Brest, 29200
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Créteil, 94010
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Gleizé, 69400
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Montpellier, 34070
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Nîmes, 30029
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Paris, 75018
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Paris, 75674
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Rouen, 76031
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Saint-Quentin, 02321
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Strasbourg, 67091
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Toulon, 83800
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Toulouse, 31059
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Tours, 37000
Germany13 sites
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Bad Berka, 99437
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Berlin, 14109
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Frankfurt A. Main, 60590
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Gauting, 82131
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Gütersloh, 33332
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Hamburg, 20251
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Kassel, 34125
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Kiel, 24116
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Koblenz, 56073
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Minden, 32429
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Rosenheim, 83022
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Velbert, 42551
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Würzburg, 97074
Brazil11 sites
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Blumenau, 89010-340
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Florianópolis, 88034-000
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Fortaleza, 60336-045
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Londrina, 86015-520
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Porto Alegre, 90035-903
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São Paulo, 01246-000
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São Paulo, 01327-001
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São Paulo, 01509-900
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São Paulo, 09323-900
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Taubaté, 12030-200
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Vitória, 29043-260
Poland11 sites
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Bydgoszcz, 85-796
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Bystra, 43-360
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Grudziądz, 86-300
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Kielce, 25-734
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Koszalin, 75-581
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Olsztyn, 10-357
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Poznan, 60-569
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Przemyśl, 37-700
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Racibórz, 47-400
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Radom, 26-600
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Siedlce, 08-110
United Kingdom11 sites
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Aberdeen, AB25 2ZN
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Cambridge, CB2 0QQ
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Cardiff, CF14 2TL
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Cheltenham, GL53 7AN
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Edinburgh, EH4 2XU
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London, SE1 9RT
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London, W6 8RF
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Manchester, M20 4BX
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Middlesbrough, TS4 3BW
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Newcastle upon Tyne, NE7 7DN
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Taunton, TA1 5DA
Canada10 sites
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Brampton, Ontario, L6R 3J7
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Greater Sudbury, Ontario, P3E 5J1
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Kitchener, Ontario, N2G 1G3
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Montreal, Quebec, H1T 2M4
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Montreal, Quebec, H4A 3J1
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Montreal, Quebec, H4J 1C5
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Newmarket, Ontario, L3Y 2P9
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Saint John, New Brunswick, E2L 4L2
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Saint-Jérôme, Quebec, J7Z 5T3
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Saskatoon, Saskatchewan, S7N 4H4
South Korea10 sites
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Busan, 48108
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Cheongju-si, 28644
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Jinju, 52727
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Seoul, 03080
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Seoul, 03722
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Seoul, 05505
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Seoul, 06351
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Seoul, 07061
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Suwon, 16247
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Suwon, 16499
Italy9 sites
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Florence, 50134
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Lecco, 23900
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Messina, 98158
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Naples, 80131
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Orbassano, 10043
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Padova, 35128
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Parma, 43126
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Peschiera del Garda, 37019
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Rozzano, 20089
Hungary8 sites
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Budapest, 1121
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Budapest, 1122
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Gyöngyös - Mátraháza, 3200
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Kaposvár, 7400
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Pécs, 7624
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Szekszárd, 7100
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Szolnok, 5000
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Törökbálint, 2045
India7 sites
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Calicut, 673601
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Delhi, 110029
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Delhi, 110085
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Jaipur, 302017
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Kolkata, 700160
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Madurai, 625107
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Puducherry, 605006
Spain7 sites
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Las Palmas de Gran Canaria, 35016
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Lugo, 27003
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Madrid, 28041
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Santander, 39008
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Seville, 41013
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Valencia, 46010
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Zaragoza, 50009
Greece6 sites
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Athens, 11526
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Athens, 11527
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Athens, 155 62
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Piraeus, 185 47
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Thessaloniki, 55236
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Thessaloniki, 57001
Peru6 sites
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Arequipa, 04002
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Concepción, 12125
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Lima, 15036
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Lima, 34
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Lima, LIMA 27
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Lima, LIMA 29
Taiwan6 sites
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Hsinchu, 300
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New Taipei City, 235
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Taichung, 40705
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Tainan, 73657
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Taipei, 11217
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Taoyuan, 333
Sweden5 sites
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Gävle, 801 88
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Linköping, 581 85
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Lund, 221 85
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Stockholm, 17176
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Uppsala, 751 85
Turkey (Türkiye)5 sites
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Adana, 01060
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Ankara, 06800
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Edirne, 22030
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Istanbul, 34098
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Izmir, 35110
Austria4 sites
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Graz, 8036
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Rankweil, 6830
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Vienna, 1090
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Vienna, 1210
Mexico4 sites
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Del. Cuauhtemoc, 06700
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México, 14080
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Mexico City, 03810
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San Luis Potosí City, 78209
Bulgaria3 sites
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Sofia, 1113
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Sofia, 1330
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Varna, 9010
Vietnam2 sites
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Hanoi, 100000
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Ho Chi Minh City, 700000
About this study
Official title: A Phase III, Randomised, Open-label, Multicentre, Global Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Durvalumab and Carboplatin Versus Pembrolizumab in Combination With Platinum-based Chemotherapy for the First-line Treatment of Patients With Locally Advanced or Metastatic NSCLC Without Actionable Genomic Alterations (D926NC00001; AVANZAR)
This is a Phase III, randomized, open-label, multicenter, global study to compare the efficacy and safety of Datopotamab Deruxtecan (Dato-DXd) in combination with durvalumab and carboplatin compared with pembrolizumab in combination with histology-specific platinum-based chemotherapy as first-line treatment of adults with stage IIIB, IIIC, or IV NSCLC without actionable genomic alterations (including sensitizing EGFR mutations, and ALK and ROS1 rearrangements).
Read the detailed description
Participants with locally advanced or metastatic NSCLC without actionable tumor tissue genomic alterations and confirmed to meet all eligibility criteria will be randomized in a 1:1 ratio to Dato-DXd in combination with durvalumab and carboplatin versus pembrolizumab in combination with histology-specific platinum-based chemotherapy as first-line treatment.
The primary objectives of the study are to demonstrate superiority of Dato-DXd in combination with durvalumab and carboplatin relative to pembrolizumab in combination with platinum-based chemotherapy by assessment of the following:
- PFS by BICR in first-line treatment of participants with non-squamous TROP2 biomarker positive locally-advanced or metastatic NSCLC
- OS in first-line treatment of participants with non-squamous TROP2 biomarker positive locally-advanced or metastatic NSCLC
- PFS by BICR in first-line treatment of participants with non-squamous locally-advanced or metastatic NSCLC
- OS in first-line treatment of participants with non-squamous locally-advanced or metastatic NSCLC
- Conditions
- NSCLC
- Being tested
- Datopotamab deruxtecan, Durvalumab, Carboplatin, Pembrolizumab, Cisplatin
- Keywords
- Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC), Datopotamab deruxtecan (Dato-DXd, Datroway), Durvalumab (Imfinzi), Carboplatin, Chemotherapy, Antibody-Drug Conjugate (ADC), Trophoblast cell surface protein 2 (TROP2)
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Datopotamab deruxtecanDrug
Also called Dato-DXd, Datroway
Intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
DurvalumabDrug
Also called MEDI4736, Imfinzi
Intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
CarboplatinDrug
Intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
PembrolizumabDrug
Intravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle for a maximum of 35 cycles or 2 years (whichever occurs first).
CisplatinDrug
Intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
PemetrexedDrug
Intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
PaclitaxelDrug
Intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
| Study group | Role | What they receive |
|---|---|---|
| Dato-DXd + Durvalumab + Carboplatin | Experimental | Participants will be randomized to receive 6.0mg/kg Dato-DXd plus 1120 mg durvalumab plus carboplatin area under the curve [AUC] 5 mg/mL/minute. Receives: Drug: Datopotamab deruxtecan; Drug: Durvalumab; Drug: Carboplatin |
| Histologic-specific therapy | Active comparator | Non-squamous NSCLC participants will be randomized to receive 200 mg pembrolizumab plus 500 mg/m2 pemetrexed plus either AUC 5 mg/mL/minute carboplatin or 75 mg/m2 cisplatin.
Squamous NSCLC participants will be randomized to receive 200 mg of pembrolizumab plus 200 mg/m2 paclitaxel plus AUC 5 or 6 mg/mL/minute carboplatin. Receives: Drug: Carboplatin; Drug: Pembrolizumab; Drug: Cisplatin; Drug: Pemetrexed; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) by blinded independent central review (BICR) in the non-squamous TROP2 biomarker positive population
PFS is defined as time from randomisation until progression per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) as assessed by BICR, or death due to any cause.
Measured: Approximately 3 years
Overall Survival (OS) in the non-squamous TROP2 biomarker positive population
OS is defined as the time from randomisation until the date of death due to any cause.
Measured: Approximately 5 years
PFS by BICR in the non-squamous population
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.
Measured: Approximately 3 years
OS in the non-squamous population
OS is defined as the time from randomisation until the date of death due to any cause.
Measured: Approximately 5 years
Secondary outcomes (9)
PFS by BICR in ITT and TROP2 biomarker-defined populations
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.
Measured: Approximately 3 years
OS in ITT and TROP2 biomarker-defined populations
OS is defined as the time from randomisation until the date of death due to any cause.
Measured: Approximately 5 years
Objective Response Rate (ORR) in ITT, non-squamous and TROP2 biomarker-defined populations
ORR is defined as the proportion of participants who have a confirmed Complete Response (CR) or confirmed Partial Response (PR), as determined by BICR per RECIST 1.1.
Measured: Approximately 5 years
Duration of Response (DoR) in ITT, non-squamous and TROP2 biomarker-defined populations
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 BICR and investigator clinical assessment or death due to any cause.
Measured: Approximately 5 years
PFS by investigator in ITT, non-squamous and TROP2 biomarker-defined populations
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by investigator clinical assessment, or death due to any cause.
Measured: Approximately 3 years
Pharmacokinetics of Dato-DXd when combined with durvalumab and carboplatin.
Concentration of Dato-DXd, total anti-TROP2 antibody, and DXd (payload deruxtecan) in plasma and pharmacokinetic (PK) parameters (such as peak and trough concentrations, as data allow; sparse sampling).
Measured: Approximately 5 years
Anti-Drug Antibody (ADA) for Dato-DXd
The immunogenicity of Dato-DXd when combined with durvalumab and carboplatin.
Measured: Approximately 5 years
Time to Second Progression or Death (PFS2) in ITT, non-squamous and TROP2 biomarker-defined populations
PFS2 is defined as the time from randomisation to the earliest of the progression events (following the initial progression), subsequent to first subsequent therapy, or death.
Measured: Approximately 5 years
Clinical Outcome Assessments in ITT, non-squamous and TROP2 biomarker-defined populations
Clinical Outcome Assessments, such as TTD in pulmonary symptoms (dyspnoea, cough and chest pain) as measured by the NSCLC-SAQ, and TTD in physical functioning as measured by PROMIS Physical Function short form 8c
Measured: Approximately 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jan 2023
- Study start29 Dec 2022
- Primary completion1 Nov 2027 (estimated)
- Study completion1 Nov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for NSCLCStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,350 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Charu Aggarwal, Study chair, Perelman Center for Advanced Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05687266
- Sponsor's protocol ID
- D926NC00001
- Other IDs
- 2021-004606-21
- Acronym
- AVANZAR
- Status last verified
- Oct 2026
- First submitted
- 28 Dec 2022
- Last updated
- 9 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomised, Open-label, Multicentre, Global Study of Datopotamab Deruxtecan (Dato-DXd) in Combination With Durvalumab and Carboplatin Versus Pembrolizumab in Combination With Platinum-based Chemotherapy for the First-line Treatment of Patients With Locally Advanced or Metastatic NSCLC Without Actionable Genomic Alterations (D926NC00001; AVANZAR)
- ClinicalTrials.gov ID
- NCT05687266
- Acronym / sponsor ID
- AVANZAR / D926NC00001
- Conditions
- NSCLC
- Keywords
- Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC), Datopotamab deruxtecan (Dato-DXd, Datroway), Durvalumab (Imfinzi), Carboplatin, Chemotherapy, Antibody-Drug Conjugate (ADC), Trophoblast cell surface protein 2 (TROP2)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,350 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 29 Dec 2022 (actual)
- Primary completion
- 1 Nov 2027 (estimated)
- Study completion
- 1 Nov 2027 (estimated)
- First posted
- 18 Jan 2023 (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.
This is a Phase III, randomized, open-label, multicenter, global study to compare the efficacy and safety of Datopotamab Deruxtecan (Dato-DXd) in combination with durvalumab and carboplatin compared with pembrolizumab in combination with histology-specific platinum-based chemotherapy as first-line treatment of adults with stage IIIB, IIIC, or IV NSCLC without actionable genomic alterations (including sensitizing EGFR mutations, and ALK and ROS1 rearrangements).
Detailed description
Participants with locally advanced or metastatic NSCLC without actionable tumor tissue genomic alterations and confirmed to meet all eligibility criteria will be randomized in a 1:1 ratio to Dato-DXd in combination with durvalumab and carboplatin versus pembrolizumab in combination with histology-specific platinum-based chemotherapy as first-line treatment.
The primary objectives of the study are to demonstrate superiority of Dato-DXd in combination with durvalumab and carboplatin relative to pembrolizumab in combination with platinum-based chemotherapy by assessment of the following:
- PFS by BICR in first-line treatment of participants with non-squamous TROP2 biomarker positive locally-advanced or metastatic NSCLC
- OS in first-line treatment of participants with non-squamous TROP2 biomarker positive locally-advanced or metastatic NSCLC
- PFS by BICR in first-line treatment of participants with non-squamous locally-advanced or metastatic NSCLC
- OS in first-line treatment of participants with non-squamous locally-advanced or metastatic NSCLC
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dato-DXd + Durvalumab + Carboplatin | Experimental | Drug: Datopotamab deruxtecan, Drug: Durvalumab, Drug: CarboplatinParticipants will be randomized to receive 6.0mg/kg Dato-DXd plus 1120 mg durvalumab plus carboplatin area under the curve [AUC] 5 mg/mL/minute. |
| Histologic-specific therapy | Active comparator | Drug: Carboplatin, Drug: Pembrolizumab, Drug: Cisplatin, Drug: Pemetrexed, Drug: PaclitaxelNon-squamous NSCLC participants will be randomized to receive 200 mg pembrolizumab plus 500 mg/m2 pemetrexed plus either AUC 5 mg/mL/minute carboplatin or 75 mg/m2 cisplatin. Squamous NSCLC participants will be randomized to receive 200 mg of pembrolizumab plus 200 mg/m2 paclitaxel plus AUC 5 or 6 mg/mL/minute carboplatin. |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Participants ≥ 18 years at screening
- Histologically or cytologically documented NSCLC that at the time of randomisation is Stage IIIB or IIIC disease not amenable to surgical resection or definitive chemoradiation or Stage IV metastatic disease
- Lacks sensitising EGFR tumour tissue mutation and ALK and ROS1 rearrangements and has no documented tumour genomic alterations in NTRK, BRAF, RET, MET or other actionable driver oncogenes with approved and available therapies (actionable genomic alterations).
- Testing is not required for tumors with squamous histology, with exceptions.
- ECOG PS of 0 or 1
Key exclusion criteria (9 listed)
- Mixed small-cell lung cancer and NSCLC histology; sarcomatoid variant of NSCLC
- History of another primary malignancy with exceptions
- Persistent toxicities caused by previous anti-cancer therapy not yet improved to Grade ≤ 1 or baseline, with exceptions.
- Spinal cord compression or clinically or radiologically active brain metastases
- History of leptomeningeal carcinomatosis.
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 deruxtecanAlso: Dato-DXd, DatrowayIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle. | Drug | Dato-DXd + Durvalumab + Carboplatin |
| DurvalumabAlso: MEDI4736, ImfinziIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle. | Drug | Dato-DXd + Durvalumab + Carboplatin |
| CarboplatinIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles. | Drug | Dato-DXd + Durvalumab + Carboplatin, Histologic-specific therapy |
| PembrolizumabIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle for a maximum of 35 cycles or 2 years (whichever occurs first). | Drug | Histologic-specific therapy |
| CisplatinIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles. | Drug | Histologic-specific therapy |
| PemetrexedIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle. | Drug | Histologic-specific therapy |
| PaclitaxelIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles. | Drug | Histologic-specific therapy |
Primary outcome
Progression-Free Survival (PFS) by blinded independent central review (BICR) in the non-squamous TROP2 biomarker positive population
Time frame: Approximately 3 years
PFS is defined as time from randomisation until progression per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) as assessed by BICR, or death due to any cause.
Overall Survival (OS) in the non-squamous TROP2 biomarker positive population
Time frame: Approximately 5 years
OS is defined as the time from randomisation until the date of death due to any cause.
PFS by BICR in the non-squamous population
Time frame: Approximately 3 years
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.
OS in the non-squamous population
Time frame: Approximately 5 years
OS is defined as the time from randomisation until the date of death due to any cause.
9 secondary outcomes
PFS by BICR in ITT and TROP2 biomarker-defined populations
Time frame: Approximately 3 years
OS in ITT and TROP2 biomarker-defined populations
Time frame: Approximately 5 years
Objective Response Rate (ORR) in ITT, non-squamous and TROP2 biomarker-defined populations
Time frame: Approximately 5 years
Duration of Response (DoR) in ITT, non-squamous and TROP2 biomarker-defined populations
Time frame: Approximately 5 years
PFS by investigator in ITT, non-squamous and TROP2 biomarker-defined populations
Time frame: Approximately 3 years
Pharmacokinetics of Dato-DXd when combined with durvalumab and carboplatin.
Time frame: Approximately 5 years
Anti-Drug Antibody (ADA) for Dato-DXd
Time frame: Approximately 5 years
Time to Second Progression or Death (PFS2) in ITT, non-squamous and TROP2 biomarker-defined populations
Time frame: Approximately 5 years
Clinical Outcome Assessments in ITT, non-squamous and TROP2 biomarker-defined populations
Time frame: Approximately 5 years
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 9 Oct 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.
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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. This study is not recruiting at the moment.
Charu Aggarwal study chair
Perelman Center for Advanced Medicine
254 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Datopotamab deruxtecan, Durvalumab and Carboplatin in people with NSCLC, run by AstraZeneca at 254 sites in 23 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 7 inclusion and 9 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: under way, not looking for participants, as of the sponsor's last update on 9 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 254 sites in United States, China, Japan, France, Germany and 18 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) by blinded independent central review (BICR) in the non-squamous TROP2 biomarker positive population (time frame: Approximately 3 years). 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 9 Oct 2026.