Hematological MalignanciesPhase 1/2NCT07220616
A First-in-Human Trial of DS3790a in Participants With Hematological Malignancies
A Phase 1/2 study testing DS3790a and Combination drug in people with Hematological Malignancies and B-cell Non-Hodgkin Lymphoma, run by Daiichi Sankyo at 8 sites in 4 countries.
Trial summary
This clinical trial is designed to assess the safety, preliminary efficacy, and pharmacokinetics (PK) of DS3790a monotherapy and combination regimens in participants with hematological malignancies. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hematological Malignancies, B-cell Non-Hodgkin Lymphoma
- What is being tested?
- DS3790a and Combination drug
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 420 participants
- Where
- 8 sitesin 4 countries
- Study dates
- 16 Jan 2026to 30 Nov 2030
- Phase
- Phase 1/2
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
To be eligible to participate in this trial, an individual must meet all the following criteria:
- Sign and date the ICF, prior to the start of any trial-specific procedures.
- Adults >=18 years at the time the ICF is signed.
- History of one of the histologically documented hematologic malignancies according to the 5th edition of WHO classification as specified in the protocol.
- NHL participants only: Agree to provide baseline tumor tissue samples as specified in the protocol.
- ECOG PS of 0, 1 or 2 assessed no more than 14 days prior to initiation of trial intervention.
- Has adequate organ and bone marrow function as assessed by local laboratory within 14 days prior to initiation of trial intervention as specified in the protocol.
- Has an LVEF >=50% by either an ECHO or MUGA within 28 days before the trial starts.
- Life expectancy of at least 3 months.
- Is willing and able to comply with scheduled visits, drug administration plan, laboratory tests, other trial procedures, and trial restrictions.
- A woman of childbearing potential is eligible to participate if she meets all criteria as specified in the protocol.
- A male participant capable of producing sperm is eligible to participate if he agrees to all criteria as specified in the protocol.
An individual who meets any of the following criteria will be excluded from participating in this trial:
- Prior Allo-SCT.
- Prior solid organ transplantation.
- Inadequate washout period before initiation of trial intervention as specified in the protocol.
- Evidence of brain or leptomeningeal disease (spinal cord or CNS metastases) based on history and physical examination, unless treated and with radiologically documented lack of progression within 4 weeks prior to initiation of trial intervention.
- Uncontrolled or significant cardiovascular disease as specified in the protocol.
- Any of the following within the past 6 months prior to enrollment: cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event.
- Has a history of (noninfectious) ILD/pneumonitis that required corticosteroids, 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 including, but not limited to, any underlying pulmonary disorder and any autoimmune, connective tissue, or inflammatory disorder with potential pulmonary involvement, or prior pneumonectomy.
- Has been diagnosed with another malignancy within the previous 3 years.
- Unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia and lymphocytopenia) not yet resolved to NCI-CTCAE Version 5.0, Grade <=1 or baseline.
- Evidence of ongoing uncontrolled systemic bacterial, fungal, or viral infection.
- Has active or uncontrolled HBV, HCV, or HIV infections.
Trial locations and contacts
8 sites in 4 countries. Contact the study team or a site near you to ask about taking part.
Daiichi Sankyo Contact for Clinical Trial Information contact
8 sites in 4 countries
France3 sites, 3 recruiting
- Recruiting
Research Site
Lille, 59037
Principal Investigator
- Recruiting
Research Site
Pierre-Bénite, 69495
Principal Investigator
- Recruiting
Research Site
Villejuif, 94800
Principal Investigator
Japan3 sites, 3 recruiting
- Recruiting
Research Site
Nagoya, 464-8681
Principal Investigator
- Recruiting
Research Site
Tokyo, 104-0045
Principal Investigator
- Recruiting
Research Site
Tokyo, 135-8550
Principal Investigator
United States1 site, 1 recruiting
- Recruiting
Research Site
New York, New York, 10065
Principal Investigator
Italy1 site, 1 recruiting
- Recruiting
Research Site
Bologna, 40138
Principal Investigator
About this study
Official title: A Phase 1/2, Multicenter, Open-Label, Multi-Cohort, First-in Human Trial of DS3790a, a DXd-ADC Targeting CD37, for Hematological Malignancies
This clinical trial is designed to assess the safety, preliminary efficacy, and pharmacokinetics (PK) of DS3790a monotherapy and combination regimens in participants with hematological malignancies.
Read the detailed description
DS3790a may be effective in the treatment of patients with hematological malignancies. The primary objective of this study will assess the safety and preliminary efficacy of DS3790a monotherapy and combination regimens.
- Being tested
- DS3790a, Combination drug
- Keywords
- Hematological Malignancies, DS3790a, B-cell non-Hodgkin lymphoma
- Medical subject headings
- Hematologic Neoplasms, Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DS3790aDrug
Administered as specified in the protocol
Combination drugDrug
Administered as specified in the protocol
Combination drugDrug
Administered as specified in the protocol
| Study group | Role | What they receive |
|---|---|---|
| Monotherapy Dose Escalation Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy. Receives: Drug: DS3790a |
| Monotherapy Dose Expansion Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy. Receives: Drug: DS3790a |
| Cohort A Combination Dose-escalation Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. Receives: Drug: DS3790a; Drug: Combination drug |
| Cohort A Randomization/Optimization Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. Receives: Drug: DS3790a; Drug: Combination drug |
| Cohort A Phase 2 | Experimental | Participants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. Receives: Drug: DS3790a; Drug: Combination drug |
| Cohort B Combination Dose-escalation Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. Receives: Drug: DS3790a; Drug: Combination drug |
| Cohort B Randomization/Optimization Phase | Experimental | Participants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. Receives: Drug: DS3790a; Drug: Combination drug |
| Standard of Care | Active comparator | Participants with hematological malignancies who received standard of care (SoC). Receives: Drug: Combination drug |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants Reporting Dose-limiting Toxicities, Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events of Special Interest, and Deaths in Participants With Hematological Malignancies
Adverse events (AEs) will be graded using NCI-CTCAE version 5.0.
Measured: Baseline up to 5 years
Complete Response in Participants With Hematological Malignancies by Blinded Independent Central Review (Cohort A Randomization Optimization Phase, Cohort A Phase 2)
Complete Response (CR) is defined as participants with CR as measured by BICR assessment.
Measured: Baseline up to 5 years
Complete Response in Participants With Hematological Malignancies by Investigator Assessment (Cohort B Randomization Optimization Phase)
Complete Response (CR) is defined as participants with CR as measured by investigator assessment.
Measured: Baseline up to 5 years
Secondary outcomes (7)
Objective Response by Investigator Assessment In Participants With Hematological Malignancies
Objective response (OR) is defined as participants with complete response (CR) or partial response (PR) as measured by investigator assessment.
Measured: Baseline up to 5 years
Complete Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Complete response (CR) is defined as participants with CR as best overall response (BOR) as measured by investigator assessment.
Measured: Baseline up to 5 years
Disease Control in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Disease control (DC) is defined as participants with CR, PR or stable disease as BOR as measured by investigator assessment.
Measured: Baseline up to 5 years
Duration of Complete Response and Duration of Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Duration of Complete Response (DoCR) is defined as the time from the date of first documentation of CR to the first documentation of objective tumor progression by investigator assessment or to death due to any cause, whichever occurs first. DoCR will be calculated for responders (CR) only.
Duration of Response (DoR) is defined as the time from the date of first documentation of objective response (CR or PR) to the first documentation of objective tumor progression by investigator assessment or to death due to any cause, whichever occurs first. DoR will be calculated for responders (CR or PR) only.
Measured: Baseline up to 5 years
Time to Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time to Response (TTR) is defined as the time from the date of the start of trial intervention or randomization if randomized, to the date of the first documentation of objective response (CR or PR) by investigator assessment. TTR will be calculated for responders (CR or PR) only.
Measured: Baseline up to 5 years
Progression-free Survival Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Progression-free Survival (PFS) is defined as time from the date of the start of trial intervention or randomization if randomized, to the date of radiographic disease progression, defined as the first documented objective PD by investigator assessment or death due to any cause.
Measured: Baseline up to 5 years
Overall Survival Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Overall Survival (OS) is defined as the time from the date of the start of trial intervention or randomization if randomized, to the date of death due to any cause.
Measured: Baseline up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Oct 2025
- Study start16 Jan 2026
- Primary completion30 Nov 2030 (estimated)
- Study completion30 Nov 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hematological MalignanciesStudies of the same condition, open and under way.
- More trials run by Daiichi SankyoThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 420 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Daiichi Sankyo
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07220616
- Sponsor's protocol ID
- DS3790-076
- Other IDs
- 2025-522595-87-00, 2025
- Status last verified
- Aug 2026
- First submitted
- 21 Oct 2025
- Last updated
- 24 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, Multicenter, Open-Label, Multi-Cohort, First-in Human Trial of DS3790a, a DXd-ADC Targeting CD37, for Hematological Malignancies
- ClinicalTrials.gov ID
- NCT07220616
- Acronym / sponsor ID
- DS3790-076
- Keywords
- Hematological Malignancies, DS3790a, B-cell non-Hodgkin lymphoma
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 420 participants (estimated)
- Lead sponsor
- Daiichi SankyoIndustry (pharma, biotech, devices)
- Study start
- 16 Jan 2026 (actual)
- Primary completion
- 30 Nov 2030 (estimated)
- Study completion
- 30 Nov 2030 (estimated)
- First posted
- 24 Oct 2025 (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 clinical trial is designed to assess the safety, preliminary efficacy, and pharmacokinetics (PK) of DS3790a monotherapy and combination regimens in participants with hematological malignancies.
Detailed description
DS3790a may be effective in the treatment of patients with hematological malignancies. The primary objective of this study will assess the safety and preliminary efficacy of DS3790a monotherapy and combination regimens.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Monotherapy Dose Escalation Phase | Experimental | Drug: DS3790aParticipants with hematological malignancies who received DS3790a monotherapy. |
| Monotherapy Dose Expansion Phase | Experimental | Drug: DS3790aParticipants with hematological malignancies who received DS3790a monotherapy. |
| Cohort A Combination Dose-escalation Phase | Experimental | Drug: DS3790a, Drug: Combination drugParticipants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. |
| Cohort A Randomization/Optimization Phase | Experimental | Drug: DS3790a, Drug: Combination drugParticipants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. |
| Cohort A Phase 2 | Experimental | Drug: DS3790a, Drug: Combination drugParticipants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. |
| Cohort B Combination Dose-escalation Phase | Experimental | Drug: DS3790a, Drug: Combination drugParticipants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. |
| Cohort B Randomization/Optimization Phase | Experimental | Drug: DS3790a, Drug: Combination drugParticipants with hematological malignancies who received DS3790a monotherapy and selected combination regimen. |
| Standard of Care | Active comparator | Drug: Combination drugParticipants with hematological malignancies who received standard of care (SoC). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| DS3790aAdministered as specified in the protocol | Drug | Cohort A Combination Dose-escalation Phase, Cohort A Phase 2, Cohort A Randomization/Optimization Phase, Cohort B Combination Dose-escalation Phase, Cohort B Randomization/Optimization Phase, Monotherapy Dose Escalation Phase, Monotherapy Dose Expansion Phase |
| Combination drugAdministered as specified in the protocol | Drug | Cohort A Combination Dose-escalation Phase, Cohort A Phase 2, Cohort A Randomization/Optimization Phase |
| Combination drugAdministered as specified in the protocol | Drug | Cohort B Combination Dose-escalation Phase, Cohort B Randomization/Optimization Phase, Standard of Care |
Primary outcome
Number of Participants Reporting Dose-limiting Toxicities, Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events of Special Interest, and Deaths in Participants With Hematological Malignancies
Time frame: Baseline up to 5 years
Adverse events (AEs) will be graded using NCI-CTCAE version 5.0.
Complete Response in Participants With Hematological Malignancies by Blinded Independent Central Review (Cohort A Randomization Optimization Phase, Cohort A Phase 2)
Time frame: Baseline up to 5 years
Complete Response (CR) is defined as participants with CR as measured by BICR assessment.
Complete Response in Participants With Hematological Malignancies by Investigator Assessment (Cohort B Randomization Optimization Phase)
Time frame: Baseline up to 5 years
Complete Response (CR) is defined as participants with CR as measured by investigator assessment.
7 secondary outcomes
Objective Response by Investigator Assessment In Participants With Hematological Malignancies
Time frame: Baseline up to 5 years
Complete Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 5 years
Disease Control in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 5 years
Duration of Complete Response and Duration of Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 5 years
Time to Response in Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 5 years
Progression-free Survival Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 5 years
Overall Survival Participants With Hematological Malignancies by Investigator Assessment (Monotherapy Dose Escalation, Dose Expansion, and Cohorts A and B Dose Escalation)
Time frame: Baseline up to 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 24 Aug 2026.
- Individual participant dataSharing planned: Yes. De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
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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.
Daiichi Sankyo Contact for Clinical Trial Information contact
8 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing DS3790a and Combination drug in people with Hematological Malignancies and B-cell Non-Hodgkin Lymphoma, run by Daiichi Sankyo at 8 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in France, Japan, United States, Italy. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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 Daiichi Sankyo Contact for Clinical Trial Information (908-992-6400, CTRinfo_us@daiichisankyo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Reporting Dose-limiting Toxicities, Treatment-emergent Adverse Events, Serious Adverse Events, Adverse Events of Special Interest, and Deaths in Participants With Hematological Malignancies (time frame: Baseline up to 5 years). The study lists 3 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 24 Aug 2026.