General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0JXYIZ
ADC Name
DS-9606a
Synonyms
DS-9606a; DS-9606
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Organization
Daiichi Sankyo (Originator)
Drug Status
Phase 1 (discontinued)
Antibody Name
Anti-CLDN6 antibody
 Antibody Info 
Antigen Name
Claudin-6 (CLDN6)
 Antigen Info 
Payload Name
PBD dimer
 Payload Info 
Payload Target
Human deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
A cleavable linker
 Linker Info 
Conjugate Type
Enzymatic Catalysis
2027 Update
The indication landscape of This ADC
2027 Update
The clinical trial pipelines of This ADC
Indication Phase 1 Phase 2 Phase 3 Approved
Unspecific solid tumor
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Gastric cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Pancreatic cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Lung cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Peritoneal cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Ovarian cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Fallopian tube cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
Endometrial cancer
1 Trials
Trial ID
NCT05394675; EudraCT2022-000120-38
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT05394675
PHASE1
A Phase 1, First-in-Human Study of DS-9606a in Patients With Tumor Types Known to Express Claudin-6 (CLDN6)
Undisclosed  NCT05394675
Phase 1
A phase 1, first-in-human study of DS-9606a in patients with tumor types known to express claudin-6 (CLDN6).
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Eligible participants must be ≥18 years old with ECOG 0-1, adequate organ function, and tumor tissue availability (mandatory in some cohorts). Key exclusions include active CNS metastases (unless stable post-treatment), other malignancies within 2 years (exceptions apply), significant cardiac conditions (e.g., recent MI, symptomatic CHF), QTcF >470 ms, history of interstitial lung disease, or uncontrolled infections. Contraception requirements apply throughout and post-treatment (≥6 months for males, ≥7 months for females). Dose escalation requires progressing advanced cancers (e.g., ovarian, NSCLC, gastric), while expansion focuses on ovarian cancer with mandated biopsies when feasible.

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Administration Dosage
In dose escalation, adult pts (not selected based on tumor CLDN6 expression) with ECOG PS ≤1 who progressed on/were intolerant to standard therapies, receive DS-9606a IV Q3W at 0.016-0.225 mg/kg. Primary objectives are to evaluate safety and determine the maximum tolerated dose (MTD) and recommended dose (s) for expansion (RDE).
Related Clinical Trial
NCT Number NCT05394675  Clinical Status PHASE1
Clinical Description A Phase 1, First-in-Human Study of DS-9606a in Patients With Tumor Types Known to Express Claudin-6 (CLDN6)
Primary Endpoint
The study evaluates safety through dose-limiting toxicities (DLTs) in the first two cycles (each cycle is 21 days) and treatment-emergent adverse events (TEAEs) from Cycle 1 Day 1 until 30 days post-last dose (up to 36 months). Efficacy is assessed via investigator-evaluated overall response rate (ORR) during treatment cycles, with tumor assessments every 6 weeks initially and every 12 weeks after 24 weeks.

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Other Endpoint
Pharmacokinetic parameters (AUC, Cmax, Tmax, Ctrough) will be measured across multiple timepoints during Cycles 1-4 and beyond, with assessments continuing up to 36 months. Additional efficacy endpoints include duration of response (DoR), disease control rate (DCR), time to response (TTR), progression-free survival (PFS), and immunogenicity via anti-drug antibody (ADA) evaluation at scheduled intervals. Treatment cycles follow a 21-day schedule for all assessments.

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Experiment 2 Reporting the Activity Date of This ADC [2]
Related Clinical Trial
NCT Number NCT05394675  Clinical Status Phase 1
Clinical Description A phase 1, first-in-human study of DS-9606a in patients with tumor types known to express claudin-6 (CLDN6).
References
Ref 1 A Study of DS-9606a in Patients With Advanced Solid Tumors
Ref 2 A Phase 1, First-in-Human Study of DS-9606a in Patients With Tumor Types Known to Express Claudin-6 (CLDN6), NCT05394675