DS-6000a for Kidney and Ovarian Cancer

Not currently recruiting at 16 trial locations
(s
Overseen By(US sites) Daiichi Sankyo Contact for Clinical Trial Information
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, DS-6000a, for individuals with advanced kidney and ovarian cancer. The main goals are to determine a safe dose, identify side effects, and assess effectiveness. Participants will receive the treatment through an intravenous (IV) infusion. It suits those with advanced kidney or ovarian cancer who can provide a tumor sample. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive it.

Do I need to stop my current medications for the trial?

The trial requires an adequate treatment washout period (time without taking certain medications) before starting the study treatment, but it doesn't specify which medications need to be stopped. It's best to discuss your current medications with the trial team to understand what changes might be needed.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that DS-6000a, also known as raludotatug deruxtecan or R-DXd, has a safe profile in early studies. Initial results suggest that this treatment is well-tolerated for both kidney and ovarian cancer. In studies with patients who had tried other treatments, DS-6000a was tolerable.

Animal studies considered R-DXd safe. Ongoing trials in people with advanced kidney and ovarian cancers have reported manageable side effects. This suggests that R-DXd might be safe enough for further testing in humans. However, since DS-6000a remains in the early stages of research, more information is needed to fully understand its safety and effectiveness.12345

Why do researchers think this study treatment might be promising for kidney and ovarian cancer?

Researchers are excited about DS-6000a because it offers a novel approach to treating kidney and ovarian cancers. Unlike standard treatments such as chemotherapy and targeted therapies that often have broad effects on both healthy and cancerous cells, DS-6000a is designed to deliver its cancer-fighting agent directly to tumor cells, potentially reducing side effects. This targeted mechanism of action means it could be more effective at attacking cancer cells while sparing healthy ones. Additionally, its delivery method as an intravenous infusion allows for precise dosing, which could further enhance its effectiveness and safety profile.

What evidence suggests that DS-6000a might be an effective treatment for kidney and ovarian cancer?

Research has shown that raludotatug deruxtecan (R-DXd, also known as DS-6000a) is showing early signs of effectiveness for both kidney and ovarian cancers. In studies, some patients with advanced kidney cancer (renal cell carcinoma) experienced partial responses, with their tumors shrinking. For ovarian cancer, R-DXd achieved a 50.5% response rate, meaning about half of the patients saw tumor reduction. In this trial, participants with either kidney or ovarian cancer will receive R-DXd in different treatment arms, including a dose escalation arm and dose expansion cohorts. The treatment targets specific tumors common in these cancers, enhancing the drug's ability to enter cancer cells. Early findings also indicate that the drug is generally well-tolerated, suggesting it could be a promising treatment.24678

Who Is on the Research Team?

GC

Global Clinical Leader

Principal Investigator

Daiichi Sankyo

Are You a Good Fit for This Trial?

This trial is for adults with advanced kidney cancer or ovarian tumors who can consent, use effective contraception, have a good performance status (able to carry out daily activities), and proper heart function. They must not have had certain previous cancer treatments, multiple cancers unless cured over 3 years ago, recent serious heart issues, significant lung illnesses, uncontrolled infections or brain metastases.

Inclusion Criteria

I am fully active or can carry out light work.
Has an adequate treatment washout period prior to start of study treatment
I have stored samples of my tumor available.
See 4 more

Exclusion Criteria

I am currently fighting an infection that needs treatment.
I had a heart attack or unstable chest pain within the last 6 months.
I have been treated with a specific type of cancer drug related to trastuzumab.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants with ovarian cancer (OVC) or renal cell carcinoma (RCC) receive an intravenous infusion of R-DXd to assess safety and determine the maximum tolerated dose

21 days per cycle, up to several cycles
1 visit every 21 days

Dose Expansion

Participants receive R-DXd at the recommended dose to evaluate clinical activity

21 days per cycle, up to several cycles
1 visit every 21 days

Follow-up

Participants are monitored for safety and effectiveness after treatment

up to 52 months

What Are the Treatments Tested in This Trial?

Interventions

  • DS-6000a
Trial Overview The study tests DS-6000a (Raludotatug Deruxtecan) in patients with advanced renal cell carcinoma and ovarian cancer. It aims to find the safest dose of R-DXd that participants can take while also evaluating its side effects and effectiveness against these cancers.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Dose Expansion: Cohort B-2Experimental Treatment1 Intervention
Group II: Dose Expansion: Cohort B-1Experimental Treatment1 Intervention
Group III: Dose EscalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Daiichi Sankyo

Lead Sponsor

Trials
443
Recruited
493,000+
Hiroyuki Okuzawa profile image

Hiroyuki Okuzawa

Daiichi Sankyo

Chief Executive Officer

Degree in Social Sciences from Hitotsubashi University

Yuki Abe profile image

Yuki Abe

Daiichi Sankyo

Chief Medical Officer since 2023

MD

Daiichi Sankyo, Inc.

Lead Sponsor

Trials
390
Recruited
442,000+
Yuki Abe profile image

Yuki Abe

Daiichi Sankyo, Inc.

Chief Medical Officer since 2022

MD

Hiroyuki Okuzawa profile image

Hiroyuki Okuzawa

Daiichi Sankyo, Inc.

Chief Executive Officer

Degree in Social Sciences from Hitotsubashi University

Merck Sharp & Dohme LLC

Industry Sponsor

Trials
4,096
Recruited
5,232,000+
Chirfi Guindo profile image

Chirfi Guindo

Merck Sharp & Dohme LLC

Chief Marketing Officer since 2022

Degree in Engineering from Ecole Centrale de Paris, MBA from New York University Stern School of Business

Robert M. Davis profile image

Robert M. Davis

Merck Sharp & Dohme LLC

Chief Executive Officer since 2021

JD from Northwestern University Pritzker School of Law, MBA from Northwestern University Kellogg Graduate School of Management, Bachelor's in Finance from Miami University

Published Research Related to This Trial

Docetaxel has shown comparable effectiveness to paclitaxel when combined with carboplatin for treating advanced ovarian cancer, with a potentially better safety profile.
Current treatments for platinum-resistant ovarian cancer are limited, and while some experimental therapies targeting the epidermal growth factor receptor show promise, more research is needed to find effective new treatments.
[New aspects by the therapy of ovarian cancer--What changes after the ASCO-Meeting 2001].Costa, SD., von Minckwitz, G., Wernicke, K., et al.[2008]
Patients with recurrent ovarian cancer are categorized as either platinum-sensitive or platinum-resistant, which influences treatment options; platinum-sensitive patients often benefit from re-treatment with paclitaxel/platinum combinations, while platinum-resistant patients may receive single-agent therapies like altretamine or topotecan.
For platinum-sensitive patients with minimal residual disease, intensive intraperitoneal therapy with cisplatin and paclitaxel shows the most promise for long-term disease-free survival, highlighting the importance of tailored treatment strategies based on disease characteristics.
Treatment of refractory and recurrent ovarian cancer.Alberts, DS.[2005]

Citations

DS-6000 Suggests Early Clinical Activity in Patients with ...Preliminary safety and efficacy results of DS-6000 were reported from the dose escalation part of the phase 1 trial in 30 heavily pretreated ...
NCT04707248 | A Study of DS-6000a in Subjects With ...This clinical trial will evaluate raludotatug deruxtecan (R-DXd; DS-6000a) in participants with advanced renal cell carcinoma (RCC) and ovarian cancer (OVC).
DS-6000a Displays Early Clinical Activity in Ovarian ...A phase 1 trial of DS-6000a in patients with advanced renal cell carcinoma (RCC) and ovarian cancer (NCT04707248) revealed acceptable tolerability with early ...
Researchers look to ADCs and radiotherapeutics ...In a phase 1 trial (NCT04707248), 2 partial responses were recorded—1 in a patient with advanced RCC and another in a patient with advanced ...
Raludotatug Deruxtecan, a CDH6-Targeting Antibody–Drug ...Taken together, these findings suggest that R-DXd may be effective for treating patients with CDH6-expressing tumor. R-DXd can be efficiently internalized into ...
NCT04707248 | A Study of DS-6000a in Subjects With ...This clinical trial will evaluate raludotatug deruxtecan (R-DXd; DS-6000a) in participants with advanced renal cell carcinoma (RCC) and ovarian cancer (OVC).
Raludotatug Deruxtecan, a CDH6-Targeting Antibody–Drug ...R-DXd demonstrated potent antitumor activity against CDH6-expressing tumors in mice and an acceptable safety profile in monkeys.
8.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38205802/
Raludotatug Deruxtecan, a CDH6-Targeting Antibody-Drug ...R-DXd demonstrated potent antitumor activity against CDH6-expressing tumors in mice and an acceptable safety profile in monkeys.
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