Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
ID04145622

Phase I/II First-in-Human Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Advanced Solid Malignant Tumors Multicenter, Two-Part Study (IDeate-PanTumor01)

Led by Daiichi Sankyo · Updated on 2026-05-29

250

Participants Needed

28

Research Sites

130 weeks

Total Duration

On this page

Sponsors

D

Daiichi Sankyo

Lead Sponsor

M

Merck Sharp & Dohme LLC

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating ifinatamab deruxtecan (I-DXd), a drug given for the first time to humans, in people with advanced solid tumors that have not been cured by other treatments. The study has two parts: the first part aims to find the safest dose and the best dose for further study, while the second part focuses on assessing the drug's safety and its effect on tumors when used alone. This research is expected to last about five years from the first enrollment to the last participant finishing the study. Participants receive I-DXd through an intravenous (IV) infusion every three weeks. In the dose escalation part, participants received increasing doses to find the maximum tolerated dose; this phase is now closed. The dose expansion part currently enrolls participants who receive the recommended dose determined earlier. Treatment cycles continue as long as participants benefit, do not withdraw, do not experience worsening disease, or unacceptable side effects. During the study, participants have regular evaluations including scans to measure tumor size, blood tests, and monitoring for side effects and immune reactions. Researchers track adverse events and study how the drug behaves in the body over several treatment cycles, each lasting 21 days. Safety and tumor response are closely observed until disease progression or after up to eight cycles. Participants may continue treatment beyond eight cycles if benefiting from the drug.

CONDITIONS

Brief Title

Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Participants With Advanced Solid Malignant Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1
  • At least one measurable lesion by RECIST Version 1.1 on CT or MRI, not from a previously irradiated site unless showing progression
  • Adequate cardiac, hematopoietic, renal, and hepatic function
  • Adequate treatment washout period before starting study treatment
  • Pathologically confirmed advanced or metastatic solid tumors such as head and neck squamous cell carcinoma, esophageal squamous cell carcinoma, non-small cell lung cancer, small cell lung cancer, bladder cancer, sarcoma, endometrial cancer, melanoma, adenocarcinoma CRPC, or breast cancer refractory to standard treatment or without standard treatment options
  • For Expansion Cohort 4 2L ESCC only: disease progression after platinum-based and immune checkpoint inhibitor treatment, with a maximum of one prior systemic therapy line for unresectable advanced or metastatic ESCC
Not Eligible

You will not qualify if you...

  • Prior treatment with B7-H3 targeted agents, including I-DXd
  • Prior discontinuation of antibody drug conjugates containing an exatecan derivative due to treatment-related toxicities
  • Multiple primary malignancies within 3 years except certain adequately treated cancers
  • Uncontrolled significant cardiovascular disease
  • Severe pulmonary compromise from illnesses or conditions requiring supplemental oxygen
  • Uncontrolled infection needing systemic therapy
  • Substance abuse or medical conditions that increase safety risk or interfere with study participation or evaluation as judged by the Investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 8 cycles, each cycle lasting 21 days, until disease progression or discontinuation

Participants receive intravenous infusions of Ifinatamab Deruxtecan (I-DXd) every 3 weeks as monotherapy to treat advanced solid tumors.

Infusions every 3 weeks with assessments during each cycle

Trial Site Locations

Total: 28 locations

1

Cedars-Sinai Medical Center- Samuel Oschin Comprehensive Cancer Institute

Los Angeles, California, United States, 90048

Withdrawn

2

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, United States, 80218

Actively Recruiting

3

Florida Cancer Specialists

Orlando, Florida, United States, 32804

Withdrawn

4

Florida Cancer Specialists

Sarasota, Florida, United States, 34232

Actively Recruiting

5

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Active, Not Recruiting

6

Henry Ford Hospital

Detroit, Michigan, United States, 48202

Active, Not Recruiting

7

Washington University

St Louis, Missouri, United States, 63110

Active, Not Recruiting

8

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States, 07601

Actively Recruiting

9

Columbia University Medical Center

New York, New York, United States, 10032

Withdrawn

10

Memorial Sloan-Kettering Cancer Center

New York, New York, United States, 10065

Active, Not Recruiting

11

The Ohio State University

Columbus, Ohio, United States, 43210

Withdrawn

12

Sidney Kimmel Cancer Center - Thomas Jefferson

Philadelphia, Pennsylvania, United States, 19107

Withdrawn

13

SCRI Oncology Partners

Nashville, Tennessee, United States, 37203

Active, Not Recruiting

14

Tennessee Oncology

Nashville, Tennessee, United States, 37203

Active, Not Recruiting

15

MDACC (MD Anderson Cancer Center)

Houston, Texas, United States, 77030

Active, Not Recruiting

16

Aichi Cancer Center Hospital

Aichi, Japan, 464-8681

Actively Recruiting

17

National Cancer Center Hospital East

Chiba, Japan, 277-8577

Actively Recruiting

18

Hokkaido University Hospital

Hokkaido, Japan, 060-8648

Actively Recruiting

19

Kobe City Medical Center General Hospital

Hyōgo, Japan, 650-0047

Actively Recruiting

20

Kagawa University Hospital

Kagawa, Japan, 761-0793

Actively Recruiting

21

The University of Osaka Hospital

Osaka, Japan, 565-0871

Actively Recruiting

22

Kindai University Hospital

Ōsaka-sayama, Japan, 589-8511

Actively Recruiting

23

Saitama Cancer Center

Saitama, Japan, 362-0806

Actively Recruiting

24

Shizuoka Cancer Center

Shizuoka, Japan, 411-8777

Actively Recruiting

25

National Cancer Center Hospital

Tokyo, Japan, 104-0045

Actively Recruiting

26

Cancer Institute Hospital of JFCR

Tokyo, Japan, 135-8550

Actively Recruiting

27

Showa Medical University Hospital

Tokyo, Japan, 142-8666

Actively Recruiting

28

Keio University Hospital

Tokyo, Japan, 160-8582

Actively Recruiting

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Research Team

(

(Japan sites) Daiichi Sankyo Contact for Clinical Trial Information

(

(US sites) Daiichi Sankyo Contact for Clinical Trial Information

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Ifinatamab deruxtecan, a B7-H3-directed antibody-drug conjugate, in patients with advanced solid tumours (IDeate-PanTumor01): dose-escalation results from a phase 1/2 trial.

Melissa L Johnson, Manish R Patel, Gerald S Falchook...

https://pubmed.ncbi.nlm.nih.gov/41926962