Recent Updates
Recently added Catalysts

Datopotamab deruxtecan

Phase 3

NSCLC | Small molecule | Other |AstraZeneca PLC|Last Updated: Apr 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,350
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05687266Phase III, Open-label, First-line Study of Dato-DXd in Combination With Durvalumab and Carboplatin for Advanced NSCLC Without Actionable Genomic AlterationsPHASE3 ACTIVE NOT_RECRUITING 1,350Dec 29, 2022Nov 1, 2027Apr 22, 2026254 United States, Austria +21
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS) by blinded independent central review (BICR) in the non-squamous TROP2 biomarker positive population
Approximately 3 years

PFS is defined as time from randomisation until progression per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) as assessed by BICR, or death due to any cause.

Overall Survival (OS) in the non-squamous TROP2 biomarker positive population
Approximately 5 years

OS is defined as the time from randomisation until the date of death due to any cause.

PFS by BICR in the non-squamous population
Approximately 3 years

PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause.

OS in the non-squamous population
Approximately 5 years

OS is defined as the time from randomisation until the date of death due to any cause.

Secondary Endpoints
PFS by BICR in ITT and TROP2 biomarker-defined populations
Approximately 3 years
OS in ITT and TROP2 biomarker-defined populations
Approximately 5 years
Objective Response Rate (ORR) in ITT, non-squamous and TROP2 biomarker-defined populations
Approximately 5 years
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Dato-DXd + Durvalumab + CarboplatinEXPERIMENTALParticipants will be randomized to receive 6.0mg/kg Dato-DXd plus 1120 mg durvalumab plus carboplatin area under the curve \[AUC\] 5 mg/mL/minute.
Histologic-specific therapyACTIVE_COMPARATORNon-squamous NSCLC participants will be randomized to receive 200 mg pembrolizumab plus 500 mg/m2 pemetrexed plus either AUC 5 mg/mL/minute carboplatin or 75 mg/m2 cisplatin. Squamous NSCLC participants will be randomized to receive 200 mg of pembrolizumab plus 200 mg/m2 paclitaxel plus AUC 5 or 6 mg/mL/minute carboplatin.
Interventions
NameTypeDescription
Datopotamab deruxtecanDRUGIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
DurvalumabDRUGIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle.
CarboplatinDRUGIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
PembrolizumabDRUGIntravenous (IV) infusion every 3 weeks (Q3W) on Day 1 of each 21-day cycle for a maximum of 35 cycles or 2 years (whichever occurs first).
CisplatinDRUGIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
PemetrexedDRUGIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
PaclitaxelDRUGIntravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites254

Inclusion: * Participants ≥ 18 years at screening * Histologically or cytologically documented NSCLC that at the time of randomisation is Stage IIIB or IIIC disease not amenable to surgical resection or definitive chemoradiation or Stage IV metastatic disease * Lacks sensitising EGFR tumour tissue ...

Countries:United StatesAustriaBrazilBulgariaCanadaChinaFranceGermanyGreeceHungaryIndiaItalyJapanMexicoPeruPolandSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United KingdomVietnam
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05687266primaryCompletionDate: changed
LOWMay 24, 2026NCT05687266studyFirstPostDate: changed