Phase 1b Study of Dato-DXd in Combination With Immunotherapy With or Without Carboplatin in Advanced or Metastatic Non-Small Cell Lung Cancer (TROPION-Lung04)
Advanced or Metastatic NSCLC

About this trial
This is an interventional treatment trial for Advanced or Metastatic NSCLC focused on measuring Advanced or Metastatic NSCLC, Datopotamab deruxtecan (Dato-DXd), DS-1062a, Durvalumab, AZD2936, MEDI5752
Eligibility Criteria
Inclusion Criteria:
- Participant ≥18 years old on the day of signing the ICF (local regulatory requirement to consent should be followed).
- Histologically or cytologically confirmed diagnosis of advanced or metastatic NSCLC, without EGFR or ALK genomic alterations and no known genomic alterations in other actionable driver kinases with approved therapies
- For Cohorts 1 to 4, participants must be treatment-naïve or have received and radiologically progressed after only 1 prior line of systemic chemotherapy, without concomitant immune checkpoint inhibitors for advanced or metastatic NSCLC. For Cohorts 5 to 11, participants must be treatment-naïve for advanced or metastatic NSCLC.
- Willing and able to undergo a mandatory tumor biopsy
- Has measurable disease per RECIST1.1 within 28 days prior to Cycle 1 Day 1
- Eastern Co-operative Oncology Group (ECOG) performance status of 0 or 1 at screening
- Has adequate bone marrow reserve and organ function at baseline within 7 days prior to Cycle 1 day 1
- For Cohorts 5 to 11 only: Documented IHC PD-L1 expression per analytically validated Ventana PD-L1 (SP263) IHC assay, 22C3 PharmDx assay, or 28-8 PharmDx assay
Exclusion Criteria:
- Active or prior documented autoimmune or inflammatory disorders
- Uncontrolled or significant cardiac disease
- History of another primary malignancy
- active or uncontrolled hepatitis B or C virus or uncontrolled HIV infection
- spinal cord compression or clinically active CNS metastases
- History of (non-infectious) ILD/pneumonitis that required steroids
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illness
- Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals
- Clinically significant corneal disease
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
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Cohort 1
Cohort 2
Cohort 3
Cohort 4
Cohort 5
Cohort 6
Cohort 7
Cohort 8
Cohort 9
Cohort 10
Cohort 11
Datopotamab deruxtecan (Dato-DXd) + Durvalumab
Datopotamab deruxtecan (Dato-DXd) + Durvalumab
Datopotamab deruxtecan (Dato-DXd) + Durvalumab + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + Durvalumab + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + AZD2936
Datopotamab deruxtecan (Dato-DXd) + AZD2936
Datopotamab deruxtecan (Dato-DXd) + AZD2936 + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + AZD2936 + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + MEDI5752 + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + MEDI5752 + Carboplatin
Datopotamab deruxtecan (Dato-DXd) + MEDI5752