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A Study of DS-3939a in Participants With Solid Tumors

400 patients around the world
Available in Argentina, Brazil, United States
The study includes 2 independent substudies, which have been defined by treatment combination and participant population as follows: 1. Substudy 1 will evaluate the safety and efficacy of DS-3939a in combination with immunotherapy with or without chemotherapy (carboplatin or pemetrexed) in participants with locally advanced unresectable or metastatic non-squamous (NSQ) NSCLC in the first-line setting. 2. Substudy 2 will evaluate the safety and efficacy of DS-3939a in combination with DS-1103a or as a monotherapy in participants with locally advanced unresectable or metastatic NSQ NSCLC who are pretreated. Each sub study will be conducted in 2 parts: Dose escalation (Part 1) and Dose expansion (Part 2). The allocation of participants in Part 1 will be non-randomized, and in Part 2, it will be randomized for both substudies.
Daiichi Sankyo
11Research sites
400Patients around the world

This study is for people with

Solid tumors

Requirements for the patient

From 18 Years
All Gender

Medical requirements

Sign and date the Main Trial informed consent form (ICF), prior to the start of any trial-specific procedures.
Adults greater than or equal to (≥)18 years of age at the time the Main Trial ICF is signed (follow local regulatory requirements if the legal age of consent for trial participation is >18 years old).
Histologically documented Stage IIIB, IIIC disease who is not candidate for surgical resection or definitive chemoradiation, or Stage IV NSQ NSCLC.
Has a left ventricular ejection fraction (LVEF) ≥50 percent (%) by either an echocardiogram (ECHO) or multigated acquisition scan (MUGA) within 28 days of the first trial intervention.
Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 assessed no more than 14 days prior to initiation of trial interventions.
Has adequate organ function.
Participants must have measurable disease by investigator assessment according to RECIST v1.1.
Additional Inclusion Criteria for Substudy 1.
Participants must not have received prior systemic therapy for locally advanced unresectable or metastatic NSCLC.
Additional Inclusion Criteria for Substudy 2.
Participants with AGA (excluding EGFR mutation): Participants have been previously treated with targeted therapy for the AGA and platinum-based chemotherapy for the advanced disease setting.
Participants without AGA: Participants have been previously treated with platinum-based chemotherapy and anti-programmed death-1 (anti-PD-1)/programmed death-ligand 1 (PD-L1) antibody.
Part 2 only: Participants must have received only 1 or 2 prior lines of anticancer therapy for the advanced disease setting.
Prior systemic anticancer therapy targeting MUC1 or TA-MUC1.
Prior systemic anticancer therapy with topoisomerase 1 inhibitor or topoisomerase 1 inhibitor-based antibody-drug conjugate (ADCs) (e.g., datopotamab deruxtexan and Sacituzumab govitecan).
Has spinal cord compression or clinically active central nervous system (CNS) metastases.
Has multiple primary malignancies.
Has any history of interstitial lung disease (ILD)/pneumonitis irrespective of steroid use, or current ILD, or suspected ILD, or ILD that cannot be ruled out by imaging at screening.
Has active or uncontrolled human immunodeficiency virus (HIV) infection.
Has active or uncontrolled hepatitis B virus (HBV)/hepatitis C virus (HCV) infection.
Any of the following within the past 6 months: cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event.
Current participation in other therapeutic investigational procedures, except for participation in long term survival follow-up (LTSFU) without any investigational treatment.

Sites

Centro Polivalente de Asistencia e Investigación Clínica - CER San Juan
Centro Polivalente de Asistencia e Investigación Clínica - CER San Juan
Laprida 532 Este, San Juan
Instituto Multidisciplinario de Oncología - CIC - Clínica Viedma, Río Negro.
Instituto Multidisciplinario de Oncología - CIC - Clínica Viedma, Río Negro.
25 de mayo 174, Viedma, Río Negro
Sanatorio Parque - Rosario
Boulevard Oroño 860, Rosario, Santa Fe
Instituto Oncológico de Córdoba IONC - Fundación Richardet Longo
Paraná 560, Córdoba
Instituto Médico Especializado Alexander Fleming - CABA, Buenos Aires
Av. Crámer 1180, CABA, Buenos Aires
Obras Sociais Irma Dulce
Av. Dendezeiros do Bonfim, 161 - Bonfim, Salvador - BA, 40415-000, Brazil
Hospital Israelita Albert Einstein
Avenida Albert Einstein 627/701, 2° Subsolo - Bloco A, Centro de Pesquisa Clínica, São Paulo, Sao Paulo
Hospital de Câncer de Barretos - Fundação PIO XII (Hospital de AMOR)
Rua Antenor Duarte Villela 1331 - Barretos, Sao Paulo, 14784-400
Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica
Natal, Rio Grande Do Norte, 59075-740
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Rua Professor Annes Dias - Centro Histórico, Porto Alegre - RS, 90020-090, Brazil
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