General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0NNKAQ
ADC Name
Ifinatamab deruxtecan
Synonyms
ifinatamab deruxtecan; DS-7300; DS-7300a; I-DXd; MK-2400
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Organization
Daiichi Sankyo (Originator);Merck & Co. (Top20 MNC)
Drug Status
New Drug Application
Drug-to-Antibody Ratio
4
Structure
Antibody Name
Ifinatamab
 Antibody Info 
Antigen Name
CD276 antigen (CD276); Hepatocyte growth factor receptor (MET)
 Antigen Info 
Payload Name
DXd
 Payload Info 
Therapeutic Target
DNA topoisomerase 1 (TOP1)
 Target Info 
Linker Name
Mc-Gly-Gly-Phe-Gly
 Linker Info 
Conjugate Type
Random Cysteines
Combination Type
deruxtecan
The indication landscape of This ADC(2027 Update)
The clinical trial pipeline of This ADC(2027 Update)
Indication Phase 1 Phase 1/2 Phase 2 Phase 2/3 Phase 3 New Drug Application Approved
Biliary tract cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Breast cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Cervical cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Colorectal cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Endometrial cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Gastric cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Gastroesophageal junction adenocarcinoma
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Head and neck cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Liver cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Lung cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00005350; NCT06780137; jRCT2031250039; EudraCT2024-517926-25; EUCT2024-517926-25-00; CTR20253994
1 Trials
Trial ID
TWCT00003638; NCT05280470; jRCT2041220019; EudraCT2022-000503-13; EUCT2024-512368-79-00; CTR20222027
1 Trials
Trial ID
TWCT00003633; NCT06203210; jRCT2031230631; EudraCT2023-509628-16; EUCT2023-509628-16-00; CTR20242805
Melanoma
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Oesophageal cancer
3 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
TWCT00005454; NCT07405151; jRCT2041250179; EudraCT2025-524146-10
1 Trials
Trial ID
TWCT00004452; NCT06644781; jRCT2031240571; EudraCT2023-509630-19; EUCT2023-509630-19-00; CTR20250583
Ovarian cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Pancreatic cancer
1 Trials
Trial ID
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
Prostate cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00005166; NCT06863272; EudraCT2024-516036-94; EUCT2024-516036-94-00
1 Trials
Trial ID
TWCT00005154; NCT06925737; jRCT2071250013; EudraCT2024-517423-40; EUCT2024-517423-40-00; CTR20252497
Sarcomas
1 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
Unspecific solid tumor
1 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
Urothelial cancer
2 Trials
Trial ID
NCT04145622; jRCT2080224907; JapicCTI-194992
TWCT00004454; NCT06330064; jRCT2031240016; EudraCT2023-509632-26; EUCT2023-509632-26-00
ADC-specific functional property(2027 Update)
Binding Affinity
Click To Hide/Show 4 ADC-specific functional property Data
Dissocation Constant (Kd) Binding Target Description Reference
117.6 ng/mL
Human 4lg B7-H3
Binding affinities of DS-7300a to B7-H3 orthologs
[1]
301.6 ng/mL
Human 2lg B7-H3
Binding affinities of DS-7300a to B7-H3 orthologs
[1]
127.6 ng/mL
Monkey 4lg B7-H3
Binding affinities of DS-7300a to B7-H3 orthologs
[1]
396.7 ng/mL
Monkey 2lg B7-H3
Binding affinities of DS-7300a to B7-H3 orthologs
[1]
Circulating Stability
Click To Hide/Show 8 ADC-specific functional property Data
Incubation Time 21days Release 5.3% Reference
[1]
Incubation Medium human plasma
Description
The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation
Incubation Time 21days Release <5% Reference
[1]
Incubation Medium monkey plasma
Description
The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation
Incubation Time 21days Release <4% Reference
[1]
Incubation Medium Rat plasma
Description
The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation
Incubation Time 21days Release 1.5% Reference
[1]
Incubation Medium mouse plasma
Description
The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation
Incubation Time 21days Release <5% Reference
[1]
Incubation Medium human serum
Description
We confirmed the in vitro stability of DS-7300a in human, cynomolgus monkey, rat, and mouse plasma. The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation ranged from 1.5% to 5.3% (Fig. 2E), indicating that DS-7300a is stable in plasma in vitro.

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Incubation Time 21days Release <5% Reference
[1]
Incubation Medium cynomolgus monkey serum
Description
We confirmed the in vitro stability of DS-7300a in human, cynomolgus monkey, rat, and mouse plasma. The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation ranged from 1.5% to 5.3% (Fig. 2E), indicating that DS-7300a is stable in plasma in vitro.

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Incubation Time 21days Release <5% Reference
[1]
Incubation Medium rat monkey serum
Description
We confirmed the in vitro stability of DS-7300a in human, cynomolgus monkey, rat, and mouse plasma. The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation ranged from 1.5% to 5.3% (Fig. 2E), indicating that DS-7300a is stable in plasma in vitro.

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Incubation Time 21days Release <5% Reference
[1]
Incubation Medium mouse serum
Description
We confirmed the in vitro stability of DS-7300a in human, cynomolgus monkey, rat, and mouse plasma. The release rates of DXd from 100 ug/mL DS-7300a after a 21-day incubation ranged from 1.5% to 5.3% (Fig. 2E), indicating that DS-7300a is stable in plasma in vitro.

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General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 9 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 7.64 day*ug/mL
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Area Under the Concentration-Time Curve (AUC) 7.64±0.46 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 7.39±0.4 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 42±1.6 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 41.1±1.5 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 216±29 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 209±30 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 1140±160 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 1120±140 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUC28d.
[1]
Distribution
Click To Hide/Show 14 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 7.64 day*ug/mL
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Volume of Distribution (Vd) 113 mL/kg
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Area Under the Concentration-Time Curve (AUC) 7.64±0.46 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 7.39±0.4 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUC28d.
[1]
Volume of Distribution (Vd) 113±2 mL/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 42±1.6 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 41.1±1.5 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUC28d.
[1]
Volume of Distribution (Vd) 94.1±8.9 mL/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 216±29 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 209±30 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUC28d.
[1]
Volume of Distribution (Vd) 73.1±11.1 mL/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 1140±160 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 1120±140 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUC28d.
[1]
Volume of Distribution (Vd) 51.1±6.9 mL/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg.
[1]
Metabolism
Click To Hide/Show 9 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 7.64 day*ug/mL
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Area Under the Concentration-Time Curve (AUC) 7.64±0.46 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 7.39±0.4 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 42±1.6 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 41.1±1.5 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 216±29 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 209±30 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUC28d.
[1]
Area Under the Concentration-Time Curve (AUC) 1140±160 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 1120±140 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUC28d.
[1]
Excretion
Click To Hide/Show 19 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Elimination Half-Life (t1/2) 3.24 days
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Area Under the Concentration-Time Curve (AUC) 7.64 day*ug/mL
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Clearance (CL) 39.3 mL/day/kg
PK parameters of 0.3 mg/kg DS-7300a in plasma after single intravenousadministration to monkeys
[1]
Area Under the Concentration-Time Curve (AUC) 7.64±0.46 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 7.39±0.4 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg, AUC28d.
[1]
Clearance (CL) 39.3±2.4 mL/day/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg.
[1]
Elimination Half-Life (t1/2) 3.24±0.16 day
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 0.3 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 42±1.6 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 41.1±1.5 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg, AUC28d.
[1]
Clearance (CL) 23.8±0.9 mL/day/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg.
[1]
Elimination Half-Life (t1/2) 5.22±1.11 day
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 1 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 216±29 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 209±30 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg, AUC28d.
[1]
Clearance (CL) 14.1±2 mL/day/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg.
[1]
Elimination Half-Life (t1/2) 7.89±2.21 day
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 3 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 1140±160 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 1120±140 day*ug/mL
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg, AUC28d.
[1]
Clearance (CL) 8.89±1.19 mL/day/kg
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg.
[1]
Elimination Half-Life (t1/2) 4.81±1.53 day
PK parameters of DS-7300a in plasma after single intravenous administration to monkeys, 10 mg/kg.
[1]
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 16 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
stable disease (SD)  NCT05280470
PHASE2
A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)

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progressive disease (PD)  NCT05280470
PHASE2
A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)

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Partial Response (PR)  NCT05280470
PHASE2
A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)

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Complete response (CR)  NCT05280470
PHASE2
A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)

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Undisclosed  NCT06780111
PHASE1|||PHASE2
A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents in Combination With Pembrolizumab (MK-3475) With or Without Chemotherapy in Participants With 1L Locally Advanced Unresectable/Metastatic Esophageal Cancer: KEYMAKER-U06 Substudy 06E

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Undisclosed  NCT06644781
PHASE3
A Phase 3, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd) in Subjects With Pretreated Advanced or Metastatic Esophageal Squamous Cell Carcinoma (ESCC) (IDeate-Esophageal01)
Undisclosed  NCT06780098
PHASE2
KEYMAKER-U01 Substudy 01I: A Phase 2, Randomized, Umbrella Study With Rolling Arms of Investigational Agents in Participants With Previously Treated Stage IV Squamous Non-small Cell Lung Cancer (NSCLC)

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Undisclosed  NCT04165070
PHASE1|||PHASE2
KEYMAKER-U01 Substudy 01A: A Phase 1/2, Umbrella Study With Rolling Arms of Investigational Agents With Pembrolizumab With or Without Chemotherapy in Treatment-Naive Participants With Stage IV Non-small Cell Lung Cancer (NSCLC)

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Undisclosed  NCT06780085
PHASE2
KEYMAKER-U01 Substudy 01H: A Phase 2, Randomized, Umbrella Study With Rolling Arms of Investigational Agents in Participants With Previously Treated Stage IV Nonsquamous Non-small Cell Lung Cancer (NSCLC)

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Undisclosed  NCT06780137
PHASE1|||PHASE2
A Phase 1b/2 Open-Label Clinical Study to Evaluate the Safety and Efficacy of MK-6070 and Ifinatamab Deruxtecan (I-DXd) in Participants With Relapsed/Refractory Extensive-Stage Small Cell Lung Cancer
Undisclosed  NCT04471727
PHASE1|||PHASE2
A Phase 1/2 Open-label, Multicenter, Dose Escalation and Dose Expansion Study of the Safety, Tolerability, and Pharmacokinetics of HPN328 Monotherapy and HPN328 With Atezolizumab or Ifinatamab Deruxtecan (I-DXd) in Patients With Advanced Cancers Associated With Expression of Delta-like Canonical Notch Ligand 3 (DLL3).

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Undisclosed  NCT06863272
PHASE1|||PHASE2
MK-2400-01A Substudy: A Phase 1/2, Open-label Umbrella Substudy of MK-2400-U01 Master Protocol to Evaluate the Safety and Efficacy of Ifinatamab Deruxtecan-based Treatment Combinations or Ifinatamab Deruxtecan Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (IDeate-Prostate02)

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Undisclosed  NCT04145622
PHASE1|||PHASE2
Phase I/II, Two-Part, Multicenter First-in-Human Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Subjects With Advanced Solid Malignant Tumors (IDeate-PanTumor01)
Undisclosed  NCT06330064
PHASE2
A Phase 1B/2 Pan-Tumor, Open-Label Study To Evaluate The Efficacy And Safety Of Ifinatamab Deruxtecan (I-DXd) In Subjects With Recurrent Or Metastatic Solid Tumors (IDeate-PanTumor02)
Undisclosed  NCT05280470
Phase 2
A phase 2, multicenter, randomized, open-label study of DS-7300a, a B7-H3 antibody drug conjugate (ADC), in subjects with pretreated extensive-stage small cell lung cancer (ES-SCLC).
Undisclosed  NCT04145622
Phase 1/2
Phase 1/2, two-part, multicenter first-in-human study of DS-7300a in subjects with advanced solid malignant tumors.
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Standard Type Value Units Animal Model (No. of PDX)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Small cell lung cancer PDX model (PDX: CTG-2093)
Revealed Based on the Cell Line Data
Click To Hide/Show 4 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Inhibitory Concentration (IC50) 
0.36
nM
MFE-280 cells
Endometrial adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.37
nM
Rh41 cells
Alveolar rhabdomyosarcoma
Half Maximal Inhibitory Concentration (IC50) 
0.55
nM
CCRF-CEM cells
T acute lymphoblastic leukemia
Undisclosed  . .
CCRF-CEM cells
T acute lymphoblastic leukemia
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 16 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data stable disease (SD)
49%
Patients Enrolled
Eligible participants are adults (&ge;18) with histologically confirmed ES-SCLC, measurable per RECIST 1.1, progressing after &ge;1 platinum-based systemic therapy (&ge;2 cycles). Key exclusions: prior B7-H3/ADC (exatecan-based) therapy, active CNS metastases, uncontrolled cardiovascular/respiratory disease, ILD, unresolved toxicities (>Grade 1), active infections (HBV/HCV/HIV), or immunosuppressive steroid use (>10 mg/day prednisone equivalent). Live vaccines within 30 days or pregnancy also preclude enrollment.

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Administration Dosage
I-DXd will be administered as an intravenous (IV) infusion on Day 1 of each 21-day cycle (every Q3W), 8/12 mg/kg.
Related Clinical Trial
NCT Number NCT05280470  Clinical Status PHASE2
Clinical Description A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)
Primary Endpoint
The primary endpoint is Objective Response Rate (ORR) assessed by BICR (36 months), defined as confirmed CR (complete disappearance of lesions) or PR (≥30% reduction in lesion diameters) per RECIST 1.1. Safety is measured via treatment-emergent adverse events (TEAEs) occurring after treatment initiation.
Other Endpoint
Secondary endpoints include progression-free survival (PFS), duration of response (DoR), overall survival (OS), time to response (TTR), and disease control rate (DCR) assessed up to 36 months by BICR/investigator. Pharmacokinetic evaluations (Cmax, Tmax, Ctrough, AUC, T1/2) track I-DXd, anti-B7-H3 antibody, and MAAA-1181a levels; immunogenicity assesses treatment-emergent antidrug antibodies (ADAs).

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Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data progressive disease (PD)
3%
Patients Enrolled
Eligible participants are adults (&ge;18) with histologically confirmed ES-SCLC, measurable per RECIST 1.1, progressing after &ge;1 platinum-based systemic therapy (&ge;2 cycles). Key exclusions: prior B7-H3/ADC (exatecan-based) therapy, active CNS metastases, uncontrolled cardiovascular/respiratory disease, ILD, unresolved toxicities (>Grade 1), active infections (HBV/HCV/HIV), or immunosuppressive steroid use (>10 mg/day prednisone equivalent). Live vaccines within 30 days or pregnancy also preclude enrollment.

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Administration Dosage
I-DXd will be administered as an intravenous (IV) infusion on Day 1 of each 21-day cycle (every Q3W), 8/12 mg/kg.
Related Clinical Trial
NCT Number NCT05280470  Clinical Status PHASE2
Clinical Description A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)
Primary Endpoint
The primary endpoint is Objective Response Rate (ORR) assessed by BICR (36 months), defined as confirmed CR (complete disappearance of lesions) or PR (≥30% reduction in lesion diameters) per RECIST 1.1. Safety is measured via treatment-emergent adverse events (TEAEs) occurring after treatment initiation.
Other Endpoint
Secondary endpoints include progression-free survival (PFS), duration of response (DoR), overall survival (OS), time to response (TTR), and disease control rate (DCR) assessed up to 36 months by BICR/investigator. Pharmacokinetic evaluations (Cmax, Tmax, Ctrough, AUC, T1/2) track I-DXd, anti-B7-H3 antibody, and MAAA-1181a levels; immunogenicity assesses treatment-emergent antidrug antibodies (ADAs).

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Experiment 3 Reporting the Activity Date of This ADC [2]
Efficacy Data Partial Response (PR)
16%
Patients Enrolled
Eligible participants are adults (&ge;18) with histologically confirmed ES-SCLC, measurable per RECIST 1.1, progressing after &ge;1 platinum-based systemic therapy (&ge;2 cycles). Key exclusions: prior B7-H3/ADC (exatecan-based) therapy, active CNS metastases, uncontrolled cardiovascular/respiratory disease, ILD, unresolved toxicities (>Grade 1), active infections (HBV/HCV/HIV), or immunosuppressive steroid use (>10 mg/day prednisone equivalent). Live vaccines within 30 days or pregnancy also preclude enrollment.

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Administration Dosage
I-DXd will be administered as an intravenous (IV) infusion on Day 1 of each 21-day cycle (every Q3W), 8/12 mg/kg.
Related Clinical Trial
NCT Number NCT05280470  Clinical Status PHASE2
Clinical Description A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)
Primary Endpoint
The primary endpoint is Objective Response Rate (ORR) assessed by BICR (36 months), defined as confirmed CR (complete disappearance of lesions) or PR (≥30% reduction in lesion diameters) per RECIST 1.1. Safety is measured via treatment-emergent adverse events (TEAEs) occurring after treatment initiation.
Other Endpoint
Secondary endpoints include progression-free survival (PFS), duration of response (DoR), overall survival (OS), time to response (TTR), and disease control rate (DCR) assessed up to 36 months by BICR/investigator. Pharmacokinetic evaluations (Cmax, Tmax, Ctrough, AUC, T1/2) track I-DXd, anti-B7-H3 antibody, and MAAA-1181a levels; immunogenicity assesses treatment-emergent antidrug antibodies (ADAs).

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Experiment 4 Reporting the Activity Date of This ADC [2]
Efficacy Data Complete response (CR)
22%
Patients Enrolled
Eligible participants are adults (&ge;18) with histologically confirmed ES-SCLC, measurable per RECIST 1.1, progressing after &ge;1 platinum-based systemic therapy (&ge;2 cycles). Key exclusions: prior B7-H3/ADC (exatecan-based) therapy, active CNS metastases, uncontrolled cardiovascular/respiratory disease, ILD, unresolved toxicities (>Grade 1), active infections (HBV/HCV/HIV), or immunosuppressive steroid use (>10 mg/day prednisone equivalent). Live vaccines within 30 days or pregnancy also preclude enrollment.

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Administration Dosage
I-DXd will be administered as an intravenous (IV) infusion on Day 1 of each 21-day cycle (every Q3W), 8/12 mg/kg.
Related Clinical Trial
NCT Number NCT05280470  Clinical Status PHASE2
Clinical Description A Phase 2, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC) (IDeate-Lung01)
Primary Endpoint
The primary endpoint is Objective Response Rate (ORR) assessed by BICR (36 months), defined as confirmed CR (complete disappearance of lesions) or PR (≥30% reduction in lesion diameters) per RECIST 1.1. Safety is measured via treatment-emergent adverse events (TEAEs) occurring after treatment initiation.
Other Endpoint
Secondary endpoints include progression-free survival (PFS), duration of response (DoR), overall survival (OS), time to response (TTR), and disease control rate (DCR) assessed up to 36 months by BICR/investigator. Pharmacokinetic evaluations (Cmax, Tmax, Ctrough, AUC, T1/2) track I-DXd, anti-B7-H3 antibody, and MAAA-1181a levels; immunogenicity assesses treatment-emergent antidrug antibodies (ADAs).

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Experiment 5 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Eligibility requires locally advanced/metastatic esophageal SCC (1L setting), controlled HIV/HBV/HCV if applicable. Exclusions: prior systemic therapy for metastatic disease, high-risk tumor invasion (aorta/respiratory tract), uncontrolled effusions, corneal disease, or prior PD- (L)1/CTLA-4 treatment. HIV+ candidates with Kaposi's sarcoma are excluded.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06780111  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1/2 Open-Label, Umbrella Platform Design Study of Investigational Agents in Combination With Pembrolizumab (MK-3475) With or Without Chemotherapy in Participants With 1L Locally Advanced Unresectable/Metastatic Esophageal Cancer: KEYMAKER-U06 Substudy 06E
Primary Endpoint
Phase IB tracks Dose-Limiting Toxicities (DLTs) including Grade 3/4 hematologic/nonhematologic AEs (e.g., thrombocytopenia, febrile neutropenia) or treatment-related discontinuations (21-day window). Safety endpoints also cover AE incidence (28 months) and intervention discontinuation rates (25 months). Phase II measures ORR (73 months) per RECIST 1.1 via blinded central review.

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Other Endpoint
Key efficacy outcomes include Duration of Response (DOR), Progression-Free Survival (PFS), Overall Survival (OS) (all up to 73 months), and Disease Control Rate (DCR) with ≥6-month stability. Pharmacokinetics assess I-DXd parameters (Cmax/Tmax, AUC0-last/AUC-tau over 25 months), alongside antidrug antibody (ADA) development rates (73 months).
Experiment 6 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible participants (&ge;18 years) require histologically confirmed unresectable/metastatic ESCC, progression post-platinum+ICI therapy (&le;1 prior line), &ge;1 measurable lesion (RECIST v1.1), and ECOG 0-1. Exclusions: prior B7-H3/topoisomerase inhibitors, adenosquamous subtype, high-risk tumor invasion (aorta/respiratory tract), active brain metastases, recent thromboembolic events (6 months), or clinically significant ILD/pulmonary disease. Chronic steroids (>10 mg/day prednisone-equivalent) are excluded except for inhalers/topicals.

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Administration Dosage
Participants who are randomized to receive an intravenous infusion of I-DXd 12 mg/kg on Day 1 of every 21-day cycle (Q3W).
Related Clinical Trial
NCT Number NCT06644781  Clinical Status PHASE3
Clinical Description A Phase 3, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd) in Subjects With Pretreated Advanced or Metastatic Esophageal Squamous Cell Carcinoma (ESCC) (IDeate-Esophageal01)
Primary Endpoint
Primary efficacy endpoints include Overall Survival (OS) and Progression-Free Survival (PFS), both measured from randomization to death or disease progression (up to 54 months) by BICR per RECIST v1.1. Secondary outcomes are Objective Response Rate (ORR), Duration of Response (DoR), and Disease Control Rate (DCR). Patient-reported outcomes assess EORTC QLQ-C30/OES18 changes, while safety tracks TEAEs, AESIs, and ADA incidence over 54 months.

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Other Endpoint
Pharmacokinetic analysis evaluates Tmax for I-DXd, anti-B7-H3 antibody, and MAAA-1181a through plasma sampling at specific timepoints (Cycle 1-4+ every 2 cycles, 21-day cycles). ADA development and treatment-emergent immunogenicity are monitored longitudinally (up to 54 months).
Experiment 7 Reporting the Activity Date of This ADC [5]
Patients Enrolled
Eligible participants require histologically confirmed Stage IV squamous NSCLC with progression post anti-PD- (L)1 + platinum therapy. HIV/HBV/HCV-infected patients may enroll with controlled viral loads. Exclusions include small cell histology, uncontrolled cardiovascular/pulmonary disease, active CNS metastases, autoimmune/ILD conditions, dual HBV/HCV infection, transplant history, or recent major surgery complications.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06780098  Clinical Status PHASE2
Clinical Description KEYMAKER-U01 Substudy 01I: A Phase 2, Randomized, Umbrella Study With Rolling Arms of Investigational Agents in Participants With Previously Treated Stage IV Squamous Non-small Cell Lung Cancer (NSCLC)
Primary Endpoint
The primary efficacy measure is Objective Response Rate (ORR) evaluated per RECIST 1.1, with CR/PR assessments by both BICR and investigators over 84 months. Safety outcomes track AE incidence (84 months) and treatment discontinuations due to AEs (60 months).
Other Endpoint
Secondary endpoints include Duration of Response (DOR), Progression-Free Survival (PFS), and Overall Survival (OS) - all assessed up to 84 months. Disease progression criteria follow RECIST 1.1, requiring ≥20% increase (+5mm absolute) in target lesions or new lesions, with BICR evaluation for DOR and PFS.
Experiment 8 Reporting the Activity Date of This ADC [6]
Patients Enrolled
Eligible participants require histologically confirmed Stage IV NSCLC (non-small cell) with no prior systemic treatment for metastatic disease. Key exclusions: small cell histology, active CNS metastases, uncontrolled autoimmune/infectious conditions, recent major surgery (<3 weeks), prior immunotherapy discontinuation due to severe irAEs, and active HBV/HCV infections unless properly controlled. Screening requirements include tumor tissue submission and completion within specified windows (35 days for Part A, 28 days for Part B).

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT04165070  Clinical Status PHASE1|||PHASE2
Clinical Description KEYMAKER-U01 Substudy 01A: A Phase 1/2, Umbrella Study With Rolling Arms of Investigational Agents With Pembrolizumab With or Without Chemotherapy in Treatment-Naive Participants With Stage IV Non-small Cell Lung Cancer (NSCLC)
Primary Endpoint
The primary efficacy endpoint is Objective Response Rate (ORR) in Part A (24 months) per RECIST 1.1, with CR/PR assessments. Part B safety evaluates AE incidence (27 months), treatment discontinuations due to AEs, and dose-limiting toxicities (DLTs) by CTCAE 5.0 during the first 3 weeks.
Other Endpoint
Part A assesses Progression-Free Survival (PFS) using RECIST 1.1 (24 months) and AE-related outcomes. Part B includes ORR/DOR per BICR (24 months) along with pharmacokinetic parameters (Cmax/Ctrough) for investigational drugs (I-DXd, HER3-DXd, pembrolizumab) over 2 years.
Experiment 9 Reporting the Activity Date of This ADC [7]
Patients Enrolled
Eligible participants include Stage IV nonsquamous NSCLC patients (EGFR/ALK/ROS1-negative) with RECIST 1.1-measurable disease, ECOG 0-1, and adequate organ function. Exclusions cover comorbidities like uncontrolled infections, recent radiotherapy, active malignancies, CNS metastases, autoimmune/ILDs, and prior transplant/HIV/Kaposi's sarcoma, ensuring protocol safety alignment.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06780085  Clinical Status PHASE2
Clinical Description KEYMAKER-U01 Substudy 01H: A Phase 2, Randomized, Umbrella Study With Rolling Arms of Investigational Agents in Participants With Previously Treated Stage IV Nonsquamous Non-small Cell Lung Cancer (NSCLC)
Primary Endpoint
The study evaluates Objective Response Rate (ORR) per RECIST 1.1 as the primary endpoint, defined by CR or PR. Adverse events (AEs), including discontinuation rates due to AEs, are monitored as secondary safety outcomes over specified timeframes.
Other Endpoint
Key efficacy measures include Duration of Response (DOR) and Progression-Free Survival (PFS) assessed per RECIST 1.1 via BICR, alongside Overall Survival (OS). DOR spans from initial response to PD or death, while PFS tracks time to PD/death post-randomization, and OS measures survival duration.
Experiment 10 Reporting the Activity Date of This ADC [8]
Patients Enrolled
Eligible participants must have extensive-stage SCLC post-platinum therapy, archival/fresh tissue availability, and controlled HIV if applicable. Key exclusions cover active infections, uncontrolled cardiovascular/neurologic conditions, prior transplants, untreated brain metastases, recent radiotherapy, immunosuppressive therapy, and malignancies requiring active treatment within 3 years. Specific restrictions apply to Part 1, including recent anticancer therapies and corneal disease.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06780137  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1b/2 Open-Label Clinical Study to Evaluate the Safety and Efficacy of MK-6070 and Ifinatamab Deruxtecan (I-DXd) in Participants With Relapsed/Refractory Extensive-Stage Small Cell Lung Cancer
Primary Endpoint
The primary safety outcomes include the number of participants experiencing adverse events (AEs), dose-limiting toxicities (DLTs), and discontinuations due to AEs, assessed over 44 months. Efficacy measures include Objective Response Rate (ORR) per RECIST 1.1, evaluating CR or PR rates as determined by investigator assessments.
Other Endpoint
Secondary endpoints focus on Duration of Response (DOR) and Progression-Free Survival (PFS), defined per RECIST 1.1, alongside pharmacokinetic metrics (Cmax, Tmax, AUCt, t½, steady-state parameters) for gocatamig, I-DXd, anti-B7-H3 antibody, and DXd. Anti-drug antibody (ADA) incidence is also monitored for immunogenicity assessment.
Experiment 11 Reporting the Activity Date of This ADC [9]
Patients Enrolled
Eligible participants must have DLL3-expressing malignancies: SCLC post-platinum therapy, relapsed/refractory NEPC, or other neuroendocrine tumors failing standard therapy. Key exclusions cover active CNS metastases, uncontrolled effusions, recent cardiovascular events (6 months), active hepatitis/HIV, transplants, immunosuppressive therapy (prednisone >10mg/day), interstitial lung disease, and investigational drug use within 3 weeks/5 half-lives. Autoimmune conditions and unresolved toxicities from prior treatments are prohibited.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT04471727  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1/2 Open-label, Multicenter, Dose Escalation and Dose Expansion Study of the Safety, Tolerability, and Pharmacokinetics of HPN328 Monotherapy and HPN328 With Atezolizumab or Ifinatamab Deruxtecan (I-DXd) in Patients With Advanced Cancers Associated With Expression of Delta-like Canonical Notch Ligand 3 (DLL3).
Primary Endpoint
Safety endpoints include the percentage of participants experiencing adverse events (AEs) and discontinuing due to AEs, graded per NCI CTCAE v5.0 and ASTCT criteria, monitored for up to 4 years. Dose-limiting toxicities (DLTs) following HPN328 treatment (mono/combination) are tracked alongside comprehensive pharmacokinetic parameters (Cmax, Tmax, AUCt/inf, t½, CL, Vss, AC) for gocatamig, atezolizumab, and I-DXd in serum/plasma under single dose and steady state conditions.

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Other Endpoint
Efficacy outcomes focus on tumor response using RECIST v1.1 (PCWG3-modified for NEPC), including ORR, EC-ORR (extra-cranial), BOR, PFS, EC-PFS, OS, DOR, and EC-DOR - all evaluated over 4 years. Immunogenicity is assessed via anti-drug antibody (ADA) incidence against gocatamig, atezolizumab, and I-DXd at designated timepoints. Response criteria incorporate target lesion measurements (≥30% decrease for PR, ≥20% increase for PD with 5mm threshold) and new lesion appearance.

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Experiment 12 Reporting the Activity Date of This ADC [10]
Patients Enrolled
Eligible participants must have metastatic prostate adenocarcinoma progressing on ADT with 1-2 prior ARPI therapies (PARPi allowed if indicated), stable ECOG 0-1, and bone therapy stability. Exclusions cover ILD, uncontrolled cardiovascular/metabolic conditions, prior mCRPC taxanes, active CNS metastases, steroids >10mg/day, recent radiotherapy, autoimmune/transplant history, and other malignancies requiring treatment within 3 years.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06863272  Clinical Status PHASE1|||PHASE2
Clinical Description MK-2400-01A Substudy: A Phase 1/2, Open-label Umbrella Substudy of MK-2400-U01 Master Protocol to Evaluate the Safety and Efficacy of Ifinatamab Deruxtecan-based Treatment Combinations or Ifinatamab Deruxtecan Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (IDeate-Prostate02)
Primary Endpoint
Primary safety outcomes include DLTs (Grade 4 toxicities, significant Grade 3 events, treatment delays/discontinuations), AEs, and treatment discontinuations due to AEs in both efficacy (54 months) and safety lead-in phases (21 days), with PSA response rate additionally tracked in the efficacy phase. DLT criteria cover hematologic/nonhematologic toxicities, liver injuries, febrile neutropenia, and dose interruptions.

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Other Endpoint
Key efficacy measures per PCWG-modified RECIST 1.1 include ORR (CR/PR), rPFS (radiological progression/death), OS, DOR (response maintenance), TFST (subsequent therapy initiation), time to PSA progression (≥25% increase + ≥2ng/mL threshold), and TTPP (pain progression per BPI-SF/AQA), all monitored for up to 54 months with Kaplan-Meier analyses.

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Experiment 13 Reporting the Activity Date of This ADC [11]
Patients Enrolled
Eligible participants must have ECOG 0-1, measurable lesions per RECIST 1.1 (excluding irradiated sites without progression), adequate organ function, and specified advanced/metastatic cancers (e.g., HNSCC, ESCC, NSCLC, SCLC, CRPC). Key exclusions include prior B7-H3/I-DXd treatment, ADC-related toxicities, multiple malignancies (exceptions apply), uncontrolled cardiovascular/pulmonary disease, active infections, and conditions compromising safety or study integrity per investigator assessment. ESCC Cohort 4 requires progression post-platinum/ICI with &le;1 prior line of systemic therapy.

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Administration Dosage
Participants with advanced solid tumors who received I-DXd IV Q3W monotherapy during dose escalation phase. Enrollment to this phase is currently closed.
Related Clinical Trial
NCT Number NCT04145622  Clinical Status PHASE1|||PHASE2
Clinical Description Phase I/II, Two-Part, Multicenter First-in-Human Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Subjects With Advanced Solid Malignant Tumors (IDeate-PanTumor01)
Primary Endpoint
The study assesses dose-limiting toxicities (DLTs) during Cycle 1 (Days 1-21) in dose escalation, monitors adverse events (AEs) through 8 treatment cycles (21 days each until progression), and evaluates the antitumor activity of ifinatamab deruxtecan (I-DXd) over the same 8-cycle period.
Other Endpoint
Pharmacokinetic analyses focus on AUClast, AUCtau, Cmax, Tmax, and Ctrough parameters during 8 treatment cycles (21-day cycles until progression), alongside anti-drug antibody (ADA) incidence tracking over the same timeframe to evaluate immunogenicity and drug exposure dynamics.
Experiment 14 Reporting the Activity Date of This ADC [12]
Patients Enrolled
Eligibility requires ECOG 0-1, measurable lesions (RECIST v1.1), progression after standard therapy, and tumor-specific criteria (e.g., prior ICI/platinum for HNSCC; &le;3 lines for endometrial cancer; HER2-low status for breast cancer). Key exclusions: prior B7-H3/I-DXd treatment, ADC-related toxicities, untreated brain metastases, inadequate washout periods. Disease-specific mandates include biopsy availability (archival/tfresh), Child-Pugh A for HCC, and targeted therapy for actionable mutations.

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Administration Dosage
Participants with recurrent or metastatic endometrial cancer who were previously treated with 1 or more systemic therapy who received an intravenous infusion of I-DXd 12 mg/kg.
Related Clinical Trial
NCT Number NCT06330064  Clinical Status PHASE2
Clinical Description A Phase 1B/2 Pan-Tumor, Open-Label Study To Evaluate The Efficacy And Safety Of Ifinatamab Deruxtecan (I-DXd) In Subjects With Recurrent Or Metastatic Solid Tumors (IDeate-PanTumor02)
Primary Endpoint
The primary efficacy endpoint is Objective Response Rate (ORR) assessed by investigator per RECIST v1.1 (complete/partial response confirmed) until progression/death (up to 57 months). Safety outcomes include dose-limiting toxicities (Grade ≥3 non-disease-related events in Cycle 1) and treatment-emergent adverse events (TEAEs) monitored from consent until 47 days post-treatment, graded via NCI-CTCAE v5.0 in the HCC cohort.

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Other Endpoint
Secondary endpoints encompass incidence of TEAEs, serious AEs (SAEs), and adverse events of special interest (AESIs) through follow-up, alongside efficacy measures: Duration of Response (DoR), Progression-Free Survival (PFS), Disease Control Rate (DCR), and Overall Survival (OS). Pharmacokinetics (Cmax, Tmax, t1/2, Ctrough, AUC) and immunogenicity (ADA incidence) are evaluated via noncompartmental analysis during 21-day cycles up to 57 months.

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Experiment 15 Reporting the Activity Date of This ADC [13]
Related Clinical Trial
NCT Number NCT05280470  Clinical Status Phase 2
Clinical Description A phase 2, multicenter, randomized, open-label study of DS-7300a, a B7-H3 antibody drug conjugate (ADC), in subjects with pretreated extensive-stage small cell lung cancer (ES-SCLC).
Experiment 16 Reporting the Activity Date of This ADC [14]
Related Clinical Trial
NCT Number NCT04145622  Clinical Status Phase 1/2
Clinical Description Phase 1/2, two-part, multicenter first-in-human study of DS-7300a in subjects with advanced solid malignant tumors.
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [15]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100% High CD276 expression (CD276+++)
Method Description
PDX studies CTG-2093, CTG-0166, CTG-0820, and CTG-1061 studies were performed by Champions Oncology, Inc. Models were established by inoculating tumor fragments derived from patients with small cell lung cancer (SCLC), nonsmall cell lung cancer (NSCLC), head and neck cancer, and bladder cancer, respectively, which were maintained in host mice, subcutaneously into female Hsd: Athymic Nude-Foxn1nu mice.Group assignment was carried out when the tumor volume reached approximately 100 to 300 mm3. The tumor-bearing mice were treated with DS-7300a or relevant controls intravenously on days 0 and 14.

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In Vivo Model Small cell lung cancer PDX model (PDX: CTG-2093)
Revealed Based on the Cell Line Data
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [15]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.36 nM
Method Description
In vivo The target specificity and species cross-reactivity of DS-7304a were assessed. Its pharmacologic activities were evaluated in several human cancer cell lines in vitro and xenograft mouse models, including patient-derived xenograft (PDX) mouse models.
In Vitro Model Endometrial adenocarcinoma MFE-280 cells CVCL_1405
Experiment 2 Reporting the Activity Date of This ADC [15]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.37 nM
Method Description
In vivo The target specificity and species cross-reactivity of DS-7303a were assessed. Its pharmacologic activities were evaluated in several human cancer cell lines in vitro and xenograft mouse models, including patient-derived xenograft (PDX) mouse models.
In Vitro Model Alveolar rhabdomyosarcoma Rh41 cells CVCL_2176
Experiment 3 Reporting the Activity Date of This ADC [15]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.55 nM
Method Description
In vivo The target specificity and species cross-reactivity of DS-7302a were assessed. Its pharmacologic activities were evaluated in several human cancer cell lines in vitro and xenograft mouse models, including patient-derived xenograft (PDX) mouse models.
In Vitro Model T acute lymphoblastic leukemia CCRF-CEM cells CVCL_0207
Experiment 4 Reporting the Activity Date of This ADC [15]
Method Description
In vivo The target specificity and species cross-reactivity of DS-7300a were assessed. Its pharmacologic activities were evaluated in several human cancer cell lines in vitro and xenograft mouse models, including patient-derived xenograft (PDX) mouse models.
In Vitro Model T acute lymphoblastic leukemia CCRF-CEM cells CVCL_0207
References
Ref 1 DS-7300a, a DNA Topoisomerase I Inhibitor, DXd-Based Antibody-Drug Conjugate Targeting B7-H3, Exerts Potent Antitumor Activities in Preclinical Models
Ref 2 Ifinatamab Deruxtecan (I-DXd) in Subjects With Pretreated Extensive-Stage Small Cell Lung Cancer (ES-SCLC)
Ref 3 Substudy 06E: Umbrella Study of Combination Therapies in Esophageal Cancer (MK-3475-06E/KEYMAKER-U06)
Ref 4 A Study of Ifinatamab Deruxtecan in Subjects With Pretreated Advanced or Metastatic Esophageal Squamous Cell Carcinoma (ESCC) (IDeate-Esophageal01)
Ref 5 Substudy 01I: A Study of Investigational Agents in Participants With Previously Treated Stage IV Squamous Non-small Cell Lung Cancer (NSCLC) (MK-3475-01I/KEYMAKER-U01I)
Ref 6 KEYMAKER-U01 Substudy 01A: Efficacy and Safety Study of Pembrolizumab (MK-3475) With or Without Chemotherapy When Used With Investigational Agents in Treatment-na&iuml;ve Participants With Stage IV Non-small Cell Lung Cancer (NSCLC) (MK-3475-01A/KEYMAKER-U01A)
Ref 7 A Study of Investigational Agents in Participants With Previously Treated Stage IV Nonsquamous Non-small Cell Lung Cancer (NSCLC) (MK-3475-01H/KEYMAKER-U01)
Ref 8 A Study to Evaluate the Safety and Efficacy of Gocatamig (MK-6070) and Ifinatamab Deruxtecan (I-DXd) in Participants With Relapsed/Refractory Extensive-Stage Small Cell Lung Cancer (MK-6070-002)
Ref 9 A Study in Participants With Advanced Cancers Associated With Expression of DLL3 (MK-6070-001/HPN328-4001)
Ref 10 A Clinical Study of Ifinatamab Deruxtecan Based Treatment Combinations or as Monotherapy to Treat Metastatic Castrate Resistant Prostate Cancer (mCRPC) (MK-2400-01A/IDeate-Prostate02)
Ref 11 Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Participants With Advanced Solid Malignant Tumors
Ref 12 A Study To Evaluate The Efficacy And Safety Of Ifinatamab Deruxtecan (I-DXd) In Subjects With Recurrent Or Metastatic Solid Tumors (IDeate-PanTumor02)
Ref 13 A Phase 2, Multicenter, Randomized, Open-label Study of DS-7300a, a B7-H3 Antibody Drug Conjugate (ADC), in Subjects With Pretreated Extensive-stage Small Cell Lung Cancer (ES-SCLC), NCT05280470
Ref 14 Phase I/II, Two-Part, Multicenter First-in-Human Study of DS-7300a in Subjects With Advanced Solid Malignant Tumors, NCT04145622
Ref 15 DS-7300a, a DNA Topoisomerase I Inhibitor, DXd-Based Antibody-Drug Conjugate Targeting B7-H3, Exerts Potent Antitumor Activities in Preclinical Models. Mol Cancer Ther. 2022 Apr 1;21(4):635-646.