Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT07182591

A Study of DS5361b in Participants With Advanced Solid Tumors

Led by Daiichi Sankyo · Updated on 2026-05-14

192

Participants Needed

7

Research Sites

269 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study aims to assess the safety, tolerability, and preliminary efficacy and to determine the MTD of DS5361b in monotherapy and combination with pembrolizumab in participants with advanced or metastatic solid tumors.

CONDITIONS

Official Title

A Study of DS5361b in Participants With Advanced Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years of age or older at the time of consent
  • Histologically or cytologically confirmed recurrent, metastatic, or unresectable solid tumors that are refractory or intolerable to standard treatments or have no standard treatment available (Parts 1 and 2)
  • Documented tumor mutational burden-high (TMB-H) and/or microsatellite instability-high (MSI-H) status prior to treatment (Parts 1 and 2 require TMB-H and/or MSI-H; Part 3 requires TMB-H)
  • Measurable disease based on local CT or MRI imaging assessed by RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Adequate organ and bone marrow function based on local laboratory tests within 14 days before starting treatment
  • For head and neck squamous cell carcinoma (HNSCC) participants: documented HPV testing results for oropharyngeal cancer
  • For dose expansion (Part 3) only: confirmed Stage IV non-small cell lung cancer (NSCLC) without actionable gene alterations, no prior systemic therapy, and PD-L1 tumor proportion score (TPS) of 1% or higher
  • For dose expansion (Part 3) only: confirmed recurrent or metastatic HNSCC considered incurable by local therapies, no prior systemic therapy in the recurrent or metastatic setting, and PD-L1 combined positive score (CPS) of 1 or higher
Not Eligible

You will not qualify if you...

  • Spinal cord compression or active central nervous system metastases
  • History of leptomeningeal carcinomatosis
  • Uncontrolled or significant cardiovascular disease
  • Cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event within 6 months prior to enrollment
  • History of noninfectious interstitial lung disease (ILD) or pneumonitis requiring corticosteroids, current ILD/pneumonitis, or suspected ILD/pneumonitis that cannot be ruled out
  • Severe pulmonary compromise requiring supplemental oxygen
  • Severe or uncontrolled systemic diseases
  • Active or uncontrolled hepatitis B infection
  • Active or uncontrolled hepatitis C infection
  • HIV infection for dose escalation phases (Parts 1 and 2) or active/uncontrolled HIV infection for dose expansion (Part 3)
  • Prior organ transplantation including allogeneic stem cell transplantation
  • Active, known, or suspected autoimmune disease
  • Diagnosis of immunodeficiency or receiving systemic steroids or other immunosuppressive therapy within 14 days before treatment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

Research Site

Sarasota, Florida, United States, 34232

Actively Recruiting

2

Research Site

Providence, Rhode Island, United States, 02903

Actively Recruiting

3

Research Site

Irving, Texas, United States, 75039

Actively Recruiting

4

Research Site

San Antonio, Texas, United States, 78229

Actively Recruiting

5

Research Site

Fairfax, Virginia, United States, 22031

Actively Recruiting

6

Research Site

Kashiwa, Japan, 277-8577

Actively Recruiting

7

Research Site

Kōtoku, Japan, 135-8550

Actively Recruiting

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Research Team

C

Contact for Trial Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

3

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A Study of DS5361b in Participants With Advanced Solid Tumors | DecenTrialz