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
+14 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 · prostate cancer · small cell lung carcinoma
Investigated by
AstraZeneca · Daiichi Sankyo · Merck Sharp & Dohme LLC · Gustave Roussy, Cancer Campus, Grand Paris · Translational Breast Cancer Research Consortium · Ana C Garrido-Castro, MD
+13 more · Cullinan Therapeutics Inc. · Fudan University · 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 · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
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 44 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT06244485 Feb 2024 → Nov 2028 expected Daiichi Sankyo 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 2027 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
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 → Nov 2027 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 No outcome recorded
Phase 215 trials
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 NCT05489211 Sep 2022 → Oct 2027 expected biliary tract cancer, castration-resistant prostate carcinoma, colorectal cancer, endometrial cancer +3 AstraZeneca 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
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 → Jun 2027 expected non-small cell lung carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase 3 NCT06417814 Oct 2024 → Sep 2026 expected 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
Also used as a comparator or background therapy in 3 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 22 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 41 trial
Phase 4 NCT07357597 Background Jun 2026 → Jan 2028 expected stomatitis AstraZeneca Recruiting No outcome recorded

Press releases naming this drug 25 releases

DateIssuerRelease
2025-01-17 AstraZeneca Datroway (datopotamab deruxtecan) approved in the US for patients with previously treated metastatic HR-positive, HER2-negative breast cancer astrazeneca.com
2025-01-13 AstraZeneca Datopotamab deruxtecan granted Priority Review in the US for patients with previously treated advanced EGFR-mutated non-small cell lung cancer astrazeneca.com
2024-12-24 AstraZeneca Datopotamab deruxtecan application in the EU for patients with advanced nonsquamous non-small cell lung cancer voluntarily withdrawn astrazeneca.com
2024-12-09 AstraZeneca Datopotamab deruxtecan granted breakthrough therapy designation in US for patients with previously treated advanced EGFR-mutated non-small cell lung cancer astrazeneca.com
2024-11-12 AstraZeneca Datopotamab deruxtecan new BLA submitted for accelerated approval in the US for patients with previously treated advanced EGFR-mutated non-small cell lung cancer astrazeneca.com
2024-09-23 AstraZeneca Datopotamab deruxtecan final overall survival results reported in patients with metastatic HR-positive, HER2-low or negative breast cancer in TROPION-Breast01 Phase III trial astrazeneca.com
2024-09-09 AstraZeneca Datopotamab deruxtecan showed median overall survival of 14.6 months in patients with advanced nonsquamous non-small cell lung cancer in TROPION-Lung01 Phase III trial astrazeneca.com
2024-09-08 AstraZeneca Novel computational pathology-based TROP2 biomarker for datopotamab deruxtecan was predictive of clinical outcomes in patients with non-small cell lung cancer in TROPION-Lung01 Phase III trial astrazeneca.com
2024-05-27 AstraZeneca Datopotamab deruxtecan showed clinically meaningful overall survival improvement vs. chemotherapy in patients with advanced nonsquamous non-small cell lung cancer in TROPION-Lung01 Phase III trial astrazeneca.com
2024-04-02 AstraZeneca Datopotamab deruxtecan Biologics License Application accepted in the US for patients with previously treated metastatic HR-positive, HER2-negative breast cancer astrazeneca.com
2024-03-04 AstraZeneca Two datopotamab deruxtecan applications validated in the EU for patients with advanced nonsquamous non-small cell lung cancer or HR-positive, HER2-negative breast cancer astrazeneca.com
2024-02-19 AstraZeneca Datopotamab deruxtecan Biologics License Application accepted in the US for patients with previously treated advanced nonsquamous non-small cell lung cancer astrazeneca.com

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 52 sources stand behind the page.

FieldValueCited text
Known as Datopotamab Deruxtecan “Participants with previously treated, locally advanced, unresectable, or metastatic non-squamous non-small cell lung cancer (NSCLC) with or without actionable genomic...” NCT06244485
36

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) 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

NCT07357597

NCT04526691

NCT05555732

NCT05417594

NCT06350097

NCT05687266

NCT06279728

NCT05215340

NCT05460273

NCT06130553

NCT03944772

NCT07069595

NCT06676917

NCT05489211

NCT03401385

NCT07291037

NCT06822543

NCT04612751

NCT05866432

NCT06533826

NCT06176261

NCT01042379

NCT06954480

NCT07471776

NCT07474558

NCT03742102

NCT06564844

NCT06357533

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
25

“Participants with previously treated, locally advanced, unresectable, or metastatic non-squamous non-small cell lung cancer (NSCLC) with or without actionable genomic...” NCT06244485

“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

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

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

“Datopotamab deruxtecan (Dato-DXd)” NCT07291037

“Datopotamab Deruxtecan (Dato-DXd)” NCT05460273

“Datopotamab Deruxtecan (Dato-DXd)” NCT07357597

“Datopotamab Deruxtecan (Dato-DXd)” NCT06954480

“Datopotamab Deruxtecan (Dato-DXd)” NCT05417594

NCT07535437

NCT06508216

NCT05374512

NCT06103864

NCT05629585

NCT05061550

NCT07205822

NCT04644068

NCT06112379

NCT07129993

NCT07098338

Known as Datopotamab deruxtecan (Dato-DXd, DS-1062a) Datopotamab deruxtecan (Dato-DXd, DS-1062a)NCT05629585
4

Datopotamab deruxtecan (Dato-DXd, DS-1062a)NCT06103864

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

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

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

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

NCT04940325

NCT04484142

NCT04656652

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 “Tumor-associated calcium signal transducer 2 binding agent” CHEMBL4297939
Target TOP1 “DNA topoisomerase I inhibitor” CHEMBL4297939