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T-DXd

Phase 1

Locally Advanced or Metastatic Non-Small Cell Lung Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Apr 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment304
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04686305Phase Ib Study of the Safety of T-DXd and Immunotherapy Agents With and Without Chemotherapy in Advanced or Metastatic HER2+, Non-squamous NSCLCPHASE1 RECRUITING 304Mar 9, 2021Jun 30, 2027Apr 13, 202691 United States, Australia +17
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Study Endpoints
Primary Endpoints
Frequency of AEs and SAEs
Safety and tolerability (and to determine RP2D) will be assessed for approximately 20 months from informed consent

Occurrence of AEs and SAEs graded according to NCI CTCAE v5.0

Secondary Endpoints
Confirmed Objective Response Rate (ORR)
An average of approximately 12 months
Duration of Response (DoR)
An average of approximately 20 months
Disease Control Rate (DCR)
An average of approximately 12 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1A: T-DXd, Durvalumab and CisplatinEXPERIMENTALT-DXd, Durvalumab and Cisplatin
Arm 1B: T-DXd, Durvalumab and CarboplatinEXPERIMENTALT-DXd, Durvalumab and Carboplatin
Arm 1C: T-DXd, Durvalumab and PemetrexedEXPERIMENTALT-DXd, Durvalumab and Pemetrexed (Arm not initiated)
Arm 1D: T-DXdEXPERIMENTALT-DXd
Arm 3A: T-DXd and VolrustomigEXPERIMENTALDrug: T-DXd and Volrustomig T-DXd: administered as an IV infusion Other Name: DS-8201a, Trastuzumab deruxtecan Biological/Vaccine: Volrustomig Volrustomig: administered as an IV infusion Other Name: Volrustomig
Arm 3B: T-DXd, Volrustomig and CarboplatinEXPERIMENTALDrug: T-DXd, Volrustomig and Carboplatin T-DXd: administered as an IV infusion Other Name: DS-8201a, Trastuzumab deruxtecan Biological/Vaccine: Volrustomig Volrustomig: administered as an IV infusion Other Name: Volrustomig Drug: Carboplatin Carboplatin: administered as an IV infusion
Arm 4A: T-DXd and RilvegostomigEXPERIMENTALT-DXd and Rilvegostomig Drug: T-DXd, Rilvegostomig T-DXd: administered as an IV infusion Other Name: DS-8201a, Trastuzumab deruxtecan Biological/Vaccine: Rilvegostomig Rilvegostomig: administered as an IV infusion Other Name: Rilvegostomig, AZD2936
Arm 4B T-DXd and Rilvegostomig with CarboplatinEXPERIMENTALDrug: T-DXd, Rilvegostomig and Carboplatin T-DXd: administered as an IV infusion Other Name: DS-8201a, Trastuzumab deruxtecan Biological/Vaccine: Rilvegostomig Rilvegostomig: administered as an IV infusion Other Name: Rilvegostomig, AZD2936 Drug: Carboplatin Carboplatin: administered as an IV infusion
Arm 5A: T-DXd and VolrustomigEXPERIMENTALDrug: T-DXd and volrustomig T-DXd: administered as an IV infusion Other Name: DS-8201a, trastuzumab deruxtecan Biological/Vaccine: Volrustomig Volrustomig: administered as an IV infusion (priming dose in first cycle, fixed dose in subsequent cycles) Other Name: volrustomig
Arm 5B: T-DXd and VolrustomigEXPERIMENTALDrug: T-DXd and volrustomig T-DXd: administered as an IV infusion Other Name: DS-8201a, trastuzumab deruxtecan Biological/Vaccine: Volrustomig Volrustomig: administered as an IV infusion (fixed dose from first cycle onward) Other Name: volrustomig
Interventions
NameTypeDescription
T-DXdDRUGT-DXd: administered as an IV infusion
DurvalumabBIOLOGICALDurvalumab: administered as an IV infusion
CisplatinDRUGCisplatin: administered as an IV infusion
CarboplatinDRUGCarboplatin: administered as an IV infusion
PemetrexedDRUGPemetrexed: administered as an IV infusion (drug not used)
VolrustomigDRUGVolrustomig: administered as an IV infusion
RilvegostomigDRUGRilvegostomig: administered as an IV infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites91

Inclusion criteria: * Histologically documented unresectable locally advanced/metastatic non-squamous NSCLC * Part 1: Progression after 1 or 2 lines of systemic therapy for recurrent or metastatic setting. * Part 3, Part 4 and Part 5: Patients must have tumors that do not harbor known genomic alter...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaFranceIsraelItalyMalaysiaNetherlandsPhilippinesPolandSingaporeSouth KoreaSpainTaiwanThailandTurkey (Türkiye)
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04686305Enrollment: 244 → 304
LOWMay 24, 2026NCT04686305studyFirstPostDate: changed