Drugs / Datopotamab deruxtecan
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Datopotamab deruxtecan

Monoclonal antibody targets TACSTD2, TOP1 via inhibition

Developed for
non-small cell lung carcinoma · breast cancer · triple-negative breast carcinoma · biliary tract cancer · colorectal cancer · endometrial cancer · female breast carcinoma · gastric cancer
+16 more · Her2-receptor negative breast cancer · hormone receptor-positive breast cancer · ovarian cancer · urinary bladder cancer · urothelial carcinoma · castration-resistant prostate carcinoma · cervical cancer · estrogen-receptor positive breast cancer · high grade malignant neoplasm · lung cancer · malignant pancreatic neoplasm · metastatic malignant neoplasm in the brain · neoplasm · pancreatic adenocarcinoma · prostate cancer · small cell lung carcinoma
Investigated by
AstraZeneca · Daiichi Sankyo · Merck Sharp & Dohme LLC · Fudan University · Gustave Roussy, Cancer Campus, Grand Paris · Translational Breast Cancer Research Consortium
+13 more · Ana C Garrido-Castro, MD · Cullinan Therapeutics Inc. · Latin American Cooperative Oncology Group · MedSIR · Medical University of Vienna · Memorial Sloan Kettering Cancer Center · Parexel · QuantumLeap Healthcare Collaborative · Queen Mary University of London · SWOG Clinical Trials Partnerships, LLC · Sarah Sammons, MD · Summit Therapeutics · UNC Lineberger Comprehensive Cancer Center

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed lung cancer 1 milestone
Filed US (FDA) — lung cancer 2024-11-12

“AstraZeneca and Daiichi Sankyo have submitted a new Biologics License Application (BLA) for accelerated approval in the US for datopotamab deruxtecan” astrazeneca.com ↗

Filed non-small cell lung carcinoma 1 milestone
Filed US (FDA) — non-small cell lung carcinoma 2024-02-19

“Biologics License Application (BLA) for datopotamab deruxtecan (Dato-DXd) has been accepted in the US” astrazeneca.com ↗

Filed triple-negative breast carcinoma 1 milestone
Filed US (FDA) Datroway triple-negative breast carcinoma 2026-02-03

“AstraZeneca and Daiichi Sankyo’s supplemental Biologics License Application (sBLA) for Datroway (datopotamab deruxtecan) has been accepted and granted Priority Review in the US” astrazeneca.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) DATROWAY — 2026-05-22 fda.gov ↗
Approved EU (EMA) Datroway — 2025-04-04 europa.eu ↗
Approved US (FDA) DATROWAY — 2025-01-17 fda.gov ↗

Trials 45

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT06244485 Feb 2024 → Nov 2028 expected neoplasm Daiichi Sankyo Active not recruiting No outcome recorded
Phase 1 NCT05117476 Oct 2021 → Mar 2026 overdue non-small cell lung carcinoma Cullinan Therapeutics Inc. Active not recruiting No outcome recorded
Phase 1 NCT04612751 Feb 2021 → May 2026 overdue non-small cell lung carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase 1 NCT04526691 Sep 2020 → Apr 2024 overdue non-small cell lung carcinoma Daiichi Sankyo Active not recruiting No outcome recorded
Phase 1 NCT03401385 Jan 2018 → Jan 2028 expected hormone receptor-positive breast cancer, non-small cell lung carcinoma, triple-negative breast carcinoma Daiichi Sankyo Active not recruiting No outcome recorded
Phase 1/27 trials · 1 missed
Phase 1/2 NCT07535437 Apr 2026 → Apr 2028 expected non-small cell lung carcinoma Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT06508216 Jul 2024 → Dec 2025 overdue breast cancer Gustave Roussy, Cancer Campus, Grand Paris Recruiting No outcome recorded
Phase 1/2 NCT06130553 Jan 2024 → Dec 2028 expected — AstraZeneca Recruiting No outcome recorded
Phase 1/2 NCT05460273 Jul 2022 → Nov 2023 overdue non-small cell lung carcinoma, triple-negative breast carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase 1/2 NCT05417594 Jun 2022 → Feb 2028 expected high grade malignant neoplasm AstraZeneca Recruiting No outcome recorded
Phase 1/2 NCT04644068 Nov 2020 → May 2027 expected biliary tract cancer, breast cancer, cervical cancer, colorectal cancer +8 AstraZeneca Active not recruiting No outcome recorded
Phase 1/2 NCT03742102 Dec 2018 → Nov 2024 overdue triple-negative breast carcinoma AstraZeneca Active not recruiting Missed primary
Phase 216 trials
Phase 2 NCT07825753 Sep 2026 → Sep 2027 expected breast cancer, pancreatic adenocarcinoma Fudan University Not yet recruiting No outcome recorded
Phase 2 NCT07471776 Mar 2026 → Mar 2028 expected Her2-receptor negative breast cancer Fudan University Recruiting No outcome recorded
Phase 2 NCT07069595 Feb 2026 → Nov 2031 expected triple-negative breast carcinoma UNC Lineberger Comprehensive Cancer Center Recruiting No outcome recorded
Phase 2 NCT06954480 Oct 2025 → Feb 2028 expected triple-negative breast carcinoma Queen Mary University of London Recruiting No outcome recorded
Phase 2 NCT06822543 Sep 2025 → Jun 2028 expected metastatic malignant neoplasm in the brain, non-small cell lung carcinoma Latin American Cooperative Oncology Group Recruiting No outcome recorded
Phase 2 NCT07098338 Aug 2025 → Apr 2029 expected non-small cell lung carcinoma AstraZeneca Recruiting No outcome recorded
Phase 2 NCT06676917 Jun 2025 → Aug 2027 non-small cell lung carcinoma MedSIR Withdrawn No outcome recorded
Phase 2 NCT06533826 Oct 2024 → Jan 2028 expected Her2-receptor negative breast cancer Ana C Garrido-Castro, MD Recruiting No outcome recorded
Phase 2 NCT06176261 Jan 2024 → Jan 2028 expected estrogen-receptor positive breast cancer, female breast carcinoma, triple-negative breast carcinoma Sarah Sammons, MD Recruiting No outcome recorded
Phase 2 NCT05866432 Jul 2023 → May 2026 overdue breast cancer Medical University of Vienna Recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT07129993 Sep 2025 → Jun 2029 expected urinary bladder cancer, urothelial carcinoma Daiichi Sankyo Recruiting No outcome recorded
Phase 315 trials · 1 met primary
Phase 3 NCT07291037 Oct 2025 → Jan 2029 expected non-small cell lung carcinoma AstraZeneca Recruiting No outcome recorded
Phase 3 NCT07205822 Oct 2025 → Feb 2028 expected breast cancer AstraZeneca Recruiting No outcome recorded
Phase 3 NCT06564844 Oct 2024 → Jul 2026 overdue non-small cell lung carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase 3 NCT06417814 Oct 2024 → Sep 2026 overdue non-small cell lung carcinoma AstraZeneca Recruiting No outcome recorded
Phase 3 NCT06350097 Apr 2024 → Mar 2028 expected non-small cell lung carcinoma AstraZeneca Recruiting No outcome recorded
Phase 3 NCT06357533 Apr 2024 → Dec 2029 expected non-small cell lung carcinoma AstraZeneca Recruiting No outcome recorded
Phase 3 NCT06103864 Nov 2023 → Jul 2027 expected breast cancer AstraZeneca Recruiting No outcome recorded
Phase 3 NCT06112379 Nov 2023 → Nov 2028 expected breast cancer AstraZeneca Active not recruiting No outcome recorded
Phase 3 NCT05555732 Jan 2023 → May 2029 expected non-small cell lung carcinoma Daiichi Sankyo Active not recruiting No outcome recorded
Phase 3 NCT05687266 Dec 2022 → Nov 2027 expected non-small cell lung carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase not stated1 trial
— NCT06279728 — lung cancer Daiichi Sankyo Approved for marketing No outcome recorded
Comparator or background therapy3 trials
Phase 2 NCT07474558 Background Sep 2026 → Jan 2030 expected alopecia, metastatic neoplasm Jules Bordet Institute Not yet recruiting No outcome recorded
Phase 2 NCT06974604 Background Oct 2025 → May 2027 expected breast neoplasm, lung neoplasm Brown University Recruiting No outcome recorded
Phase 4 NCT07357597 Background Jun 2026 → Jan 2028 expected stomatitis AstraZeneca Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 35

DateIssuerRelease
2026-07-31 AstraZeneca Regulatory Datroway approved in the EU as only TROP2-directed medicine with overall survival benefit for the 1st-line treatment of patients with metastatic TNBC who are not candidates for immunotherapy astrazeneca.com ↗
AstraZeneca and Daiichi Sankyo’s Datroway (datopotamab deruxtecan) has been approved in the European Union (EU) as monotherapy for the 1st-line treatment of adult patients with unresectable or metastatic triple-negative breast cancer (TNBC) who are not candidates for PD-1/PD-L1 inhibitor therapy.
2026-06-26 AstraZeneca Regulatory Datroway recommended for approval in the EU by CHMP as 1st-line treatment for patients with metastatic triple-negative breast cancer who are not candidates for immunotherapy astrazeneca.com ↗
2026-06-01 Daiichi Sankyo Regulatory Anvisa aprova datopotamabe deruxtecana para pacientes com câncer de mama metastático RH positivo, HER2 negativo que receberam terapia endócrina prévia e pelo menos uma linha de quimioterapia daiichisankyo.com.br ↗
A Agência Nacional de Vigilância Sanitária (Anvisa) anunciou a aprovação do datopotamabe deruxtecana (Dato-Dxd) no Brasil para o tratamento de pacientes adultos com câncer de mama irressecável ou metastático receptor hormonal (RH) positivo, HER2 negativo (IHC 0, IHC 1+ ou IHC 2+/ISH-), que receberam terapia endócrina prévia e pelo menos uma linha de quimioterapia.
2026-05-22 AstraZeneca Regulatory Datroway approved in the US as first TROP2-directed antibody drug conjugate for 1st-line treatment of patients with metastatic triple-negative breast cancer who are not PD-1/PD-L1 inhibitor candidates astrazeneca.com ↗
AstraZeneca and Daiichi Sankyo’s Datroway (datopotamab deruxtecan) has been approved in the US for the treatment of adult patients with unresectable or metastatic triple-negative breast cancer (TNBC) who are not candidates for PD-1/PD-L1 inhibitor therapy.
2026-02-03 AstraZeneca Regulatory Datroway granted Priority Review in the US as 1st-line treatment for patients with metastatic triple-negative breast cancer who are not candidates for immunotherapy astrazeneca.com ↗
2025-10-19 AstraZeneca Results Datroway demonstrated an unprecedented median overall survival improvement of five months vs. chemotherapy as 1st-line treatment for patients with metastatic triple-negative breast cancer for whom immunotherapy was not an option in TROPION-Breast02 astrazeneca.com ↗
Datroway demonstrated a 5.0-month improvement in median OS compared to chemotherapy (hazard ratio [HR] 0.79; 95% confidence interval [CI] 0.64-0.98; p=0.0291).
2025-10-06 AstraZeneca Results Datroway demonstrated statistically significant and clinically meaningful improvement in overall survival as 1st-line therapy for patients with metastatic triple-negative breast cancer for whom immunotherapy was not an option in TROPION-Breast02 astrazeneca.com ↗
AstraZeneca and Daiichi Sankyo’s Datroway is the first and only therapy to significantly improve overall survival vs. chemotherapy in this patient population
2025-06-23 AstraZeneca Regulatory Datroway approved in the US for patients with previously treated advanced EGFR-mutated non-small cell lung cancer astrazeneca.com ↗
Datroway (datopotamab deruxtecan or Dato-DXd) has been approved in the US for the treatment of adult patients with locally advanced or metastatic EGFR -mutated non-small cell lung cancer (NSCLC) who have received prior EGFR -directed therapy and platinum-based chemotherapy.
2025-03-25 AstraZeneca Results New study results reinforce Tagrisso as the backbone therapy for EGFR-mutated lung cancer across stages and settings astrazeneca.com ↗
SAVANNAH and ORCHARD Phase II trials show the addition of Orpathys or Datroway to Tagrisso upon disease progression demonstrates strong clinical activity
2025-01-17 AstraZeneca Regulatory Datroway (datopotamab deruxtecan) approved in the US for patients with previously treated metastatic HR-positive, HER2-negative breast cancer astrazeneca.com ↗
The approval by the US Food and Drug Administration (FDA) was based on results from the TROPION-Breast01 Phase III trial.
2025-01-13 AstraZeneca Regulatory Datopotamab deruxtecan granted Priority Review in the US for patients with previously treated advanced EGFR-mutated non-small cell lung cancer astrazeneca.com ↗
2025-01-13 ChemRar Research and Development Institute, LLC Regulatory Дайджест FDA (статусы Breakthrough therapy designation) — декабрь 2024 года chemrar.ru ↗
FDA предоставило Daiichi Sankyo статус прорывной терапии для ее конъюгата антитела с лекарственным средством (ADC) датопотамаба дерукстекана (datopotamab deruxtecan), который предназначен для лечения немелкоклеточного рака легких (НМРЛ).

All press releases naming this drug 44 releases

DateIssuerRelease

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 53 sources stand behind the page.

FieldValueCited text
Known as Datopotamab-Deruxtecan “Datopotamab deruxtecan (Dato-DXd), an antibody-drug conjugate comprising a humanized anti-trophoblast cell-surface antigen 2 (TROP 2) monoclonal antibody conjugated to a potent...” PMID 41466843 ↗ Dec 2025
36

“Datopotamab deruxtecan (Dato-DXd) consists of a TROP2-directed humanized IgG1 monoclonal antibody attached via a serum-stable cleavable linker to a topoisomerase I inhibitor payload.” PMID 37387213 ↗ Jun 2023

“Phase II Study of Datopotamab-Deruxtecan (Dato-DXd; DS-1026a) in Triple-negative Breast Cancer Patients With Newly Diagnosed or Progressing Brain Metastases” NCT05866432 ↗

“Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer” NCT04940325 ↗

“Patients in module 1 \& 2 will receive Datopotamab Deruxtecan (Dato-DXd) 6mg/kg every 21 days” NCT06508216 ↗

“Participants will receive datopotamab deruxtecan (Dato-DXd) via intravenous route.” NCT05061550 ↗

“Datopotamab Deruxtecan (Dato-DXd DS-1062a)” NCT06974604 ↗

“datopotamab deruxtecan- (Dato-DXd)” NCT07535437 ↗

NCT07291037 ↗

NCT07825753 ↗

NCT07357597 ↗

Show 26 more sources

Known as ADC DS-1062A ChEMBL registry synonym — accepted as the source's own label CHEMBL4297939 ↗
Known as Dato-DXd “Datopotamab deruxtecan (Dato-DXd) is an antibody-drug conjugate consisting of a humanized antitrophoblast cell-surface antigen 2 (TROP2) monoclonal antibody linked to a potent,...” PMID 38652877 ↗ Apr 2024
26

“Datopotamab deruxtecan (Dato-DXd) is an antibody-drug conjugate (ADC) consisting of a humanized anti-TROP2 IgG1 monoclonal antibody covalently linked to the topoisomerase I...” NCT07825753 ↗

“This study will assess safety and treatment activity of datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab with or without platinum chemotherapy in...” NCT04526691 ↗

“Datopotamab deruxtecan (Dato-DXd), an antibody-drug conjugate comprising a humanized anti-trophoblast cell-surface antigen 2 (TROP 2) monoclonal antibody conjugated to a potent...” PMID 41466843 ↗ Dec 2025

“Datopotamab deruxtecan (Dato-DXd) is a novel antibody-drug conjugate (ADC) composed of a humanized anti-TROP2 IgG1 monoclonal antibody linked to a topoisomerase I inhibitor...” NCT06822543 ↗

“Phase II Study of Datopotamab-Deruxtecan (Dato-DXd; DS-1026a) in Triple-negative Breast Cancer Patients With Newly Diagnosed or Progressing Brain Metastases” NCT05866432 ↗

“Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer” NCT04940325 ↗

“Datopotamab Deruxtecan (Dato-DXd DS-1062a)” NCT06974604 ↗

“Drug: Datopotamab Deruxtecan (Dato-DXd)” NCT07357597 ↗

“Datopotamab deruxtecan-dlnk (Dato-DXd)” NCT05117476 ↗

“Dato-DXd, 6 mg/kg Q3W, IV for 12 weeks” NCT01042379 ↗

Show 16 more sources

Known as Datopotamab deruxtecan (Dato-DXd, DS-1062a) “Datopotamab deruxtecan (Dato-DXd, DS-1062a)” NCT06103864 ↗
4

“Datopotamab deruxtecan (Dato-DXd, DS-1062a)” NCT05104866 ↗

“Datopotamab deruxtecan (Dato-DXd, DS-1062a)” NCT06112379 ↗

“Datopotamab deruxtecan (Dato-DXd, DS-1062a)” NCT05629585 ↗

“Datopotamab deruxtecan (Dato-DXd, DS-1062a)” NCT05374512 ↗

Known as Datopotamab deruxtecan-dlnk ClinicalTrials.gov intervention name — accepted as the source's own label NCT05117476 ↗
Known as DS-1026a “Phase II Study of Datopotamab-Deruxtecan (Dato-DXd; DS-1026a) in Triple-negative Breast Cancer Patients With Newly Diagnosed or Progressing Brain Metastases” NCT05866432 ↗
Known as DS-1062 ChEMBL registry synonym — accepted as the source's own label CHEMBL4297939 ↗
Known as DS-1062a “Datopotamab deruxtecan (DS-1062a) 6.0 mg/kg body weight i.v. on day 1 once every three weeks” NCT05866432 ↗
4

“Datopotamab Deruxtecan (Dato-DXd DS-1062a)” NCT06974604 ↗

NCT04484142 ↗

NCT04656652 ↗

NCT04940325 ↗

Action Deplete “Datopotamab binds to TROP2, a protein found on breast cancer cells, and is taken into the tumor cell where the linker breaks, releasing DXd to kill the cell.” PMID 38686016 ↗ Apr 2024
Action Inhibit “DNA topoisomerase I inhibitor” CHEMBL4297939 ↗
Modality Other / unclassified “is a trophoblast cell-surface antigen-2-directed antibody-drug conjugate with a highly potent topoisomerase I inhibitor payload” PMID 39761483 ↗ Jan 2025
Route Intravenous “Datopotamab deruxtecan iv 3-week cycles (once weekly) q3w” NCT03742102 ↗
Target TACSTD2 “humanized anti-TROP2 IgG1 monoclonal antibody” NCT07825753 ↗
Target TOP1 “DNA topoisomerase I inhibitor” CHEMBL4297939 ↗