Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06244485

A Study of Valemetostat Tosylate in Combination With DXd ADCs in Subjects With Solid Tumors

Led by Daiichi Sankyo · Updated on 2026-02-04

210

Participants Needed

38

Research Sites

245 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will evaluate the safety, tolerability, and efficacy of valemetostat tosylate in combination with DXd ADC in patients with advanced solid tumors.

CONDITIONS

Official Title

A Study of Valemetostat Tosylate in Combination With DXd ADCs in Subjects With Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old or the legal adult age at consent
  • At least one measurable tumor lesion by imaging using RECIST v1.1 at screening
  • Willing to provide an adequate tumor sample
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • For breast cancer: unresectable or metastatic, progressed on endocrine therapy if hormone receptor-positive, treated with 1-2 prior lines of chemotherapy in metastatic setting, low HER2 expression, never previously HER2-positive
  • For gastric or gastroesophageal junction adenocarcinoma: unresectable or metastatic, or progressed on trastuzumab or biosimilar regimen
  • For non-squamous NSCLC: stage IIIB, IIIC, or IV with or without actionable genomic alterations; prior therapy as specified including platinum-based chemotherapy and PD-1/PD-L1 inhibitors
Not Eligible

You will not qualify if you...

  • Previous treatment with any enhancer of zeste homolog inhibitors
  • Uncontrolled or significant cardiovascular disease
  • Spinal cord compression or symptomatic untreated central nervous system metastases
  • Leptomeningeal carcinomatosis or metastasis
  • Severe lung problems from other illnesses
  • Current use of moderate or strong CYP3A inducers
  • Systemic corticosteroid treatment exceeding 10 mg prednisone daily
  • History of severe allergic reactions to monoclonal antibodies
  • Active uncontrolled infections requiring intravenous treatment
  • Female who is pregnant, breastfeeding, or planning pregnancy during the study
  • Psychological, social, family, or geographic issues preventing regular follow-up
  • Breast cancer sub-protocol: prior anti-HER2 therapy in metastatic setting, prior antibody-drug conjugate with exatecan derivative
  • Gastric cancer sub-protocol: prior treatment with antibody-drug conjugate containing exatecan derivative
  • NSCLC sub-protocol: prior treatment with agents targeting topoisomerase I or TROP2 including Dato-DXd

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 38 locations

1

City of Hope At Orange County Lennar Foundation Cancer Center

Irvine, California, United States, 92618

Actively Recruiting

2

Valkyrie Clinical Trials

Los Angeles, California, United States, 90067

Withdrawn

3

Sharp Memorial Hospital

San Diego, California, United States, 92123

Actively Recruiting

4

Brcr Medical Center, Inc Dba Boca Raton Clinical Research

Plantation, Florida, United States, 33322

Actively Recruiting

5

H. Lee Moffitt Cancer Center and Research Institute, Inc

Tampa, Florida, United States, 33612

Withdrawn

6

University of Hawaii At Manoa

Honolulu, Hawaii, United States, 96813

Actively Recruiting

7

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Actively Recruiting

8

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

9

Memorial Sloan-Kettering Cancer Center (Mskcc) - New York

New York, New York, United States, 10065

Actively Recruiting

10

Clinical Research Alliance

Westbury, New York, United States, 11590

Actively Recruiting

11

Unc Hospitals

Chapel Hill, North Carolina, United States, 27514

Actively Recruiting

12

The Cleveland Clinic Foundation

Cleveland, Ohio, United States, 44195

Active, Not Recruiting

13

Providence Portland Medical Center

Portland, Oregon, United States, 97213

Actively Recruiting

14

Mary Crowley Cancer Research Centers

Dallas, Texas, United States, 75230

Actively Recruiting

15

Ut Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

16

University of Texas M. D. Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

17

Inova Schar Cancer Institute

Fairfax, Virginia, United States, 22031

Withdrawn

18

Next Virginia

Fairfax, Virginia, United States, 22031

Actively Recruiting

19

Fred Hutchinson Cancer Center

Seattle, Washington, United States, 98109

Actively Recruiting

20

Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

21

Peking University Third Hospital

Beijing, China, 100191

Actively Recruiting

22

Sun Yat-Sen University, Cancer Center

Guangzhou, China, 510060

Actively Recruiting

23

SunYat-Sen University Cancer Center

Guangzhou, China, 510060

Actively Recruiting

24

Harbin Medical Univeristy Cancer Hospital

Heilongjiang, China, 150081

Actively Recruiting

25

Hunan Cancer Hospital

Hunan, China, 410013

Actively Recruiting

26

Jilin Cancer Hospital

Jilin, China, 130000

Actively Recruiting

27

Jinana Center Hosptial

Shandong, China, 240013

Actively Recruiting

28

IRCCS Istituto Scientifico Romagnolo Per

Cesena, Italy, 47014

Actively Recruiting

29

National Cancer Center Hospital

Chūōku, Japan, 104-0045

Actively Recruiting

30

National Hospital Org-Kyushu Cancer Center

Fukuoka, Japan, 811-1395

Actively Recruiting

31

National Cancer Center Hospital East

Kashiwa, Japan, 277-8577

Actively Recruiting

32

The Cancer Institute Hospital of Jfcr

Kōtoku, Japan, 135-8550

Actively Recruiting

33

Aichi Cancer Center Hospital

Nagoya, Japan, 464-8681

Actively Recruiting

34

Osaka International Cancer Institute

Osaka, Japan, 540-0008

Actively Recruiting

35

Kindai University Hospital

Ōsaka-sayama, Japan, 589-8511

Actively Recruiting

36

Shizuoka Cancer Center

Shizuoka, Japan, 411-8777

Actively Recruiting

37

Osaka University Hospital

Suita, Japan, 565-0871

Actively Recruiting

38

Kanagawa Cancer Center

Yokohama, Japan, 241-8515

Actively Recruiting

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Research Team

D

Daiichi Sankyo Contact for Clinical Trial Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

6

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