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Domvanalimab

Phase 3

Advanced Non-Small Cell Lung Cancer | Monoclonal antibody | Oncology |Gilead Sciences, Inc.|Trials Updated: Sep 3, 2026

Domvanalimab development status

Highest phase Phase 3 (NCT05502237)
Phase scored for GILDPhase 2
Registered trials 16 across 9 sponsors since Jun 2018

Domvanalimab target and mechanism

Molecular targetTIGIT
Target classInhibitor
ModalityMonoclonal antibody

Also known as Domvanalimab (DOM)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials2
Total Enrollment439

FDA Designations

No designations recorded

Domvanalimab clinical trials

Domvanalimab · 2 trials · 2 indications

Phase 2 2
NCT06727565Study of Novel Treatment Combination Therapies in Participants With Head and Neck Squamous Cell Carcinoma Regardless of PD-L1 Expression Status; Substudy-01Head and Neck Squamous Cell Carcinoma
ACTIVE NOT_RECRUITING39 Analytics
NCT05676931Study With Various Immunotherapy Treatments in Participants With Lung CancerAdvanced Non-Small Cell Lung Cancer
ACTIVE NOT_RECRUITING400 Analytics
PHASE2ACTIVE NOT_RECRUITING
Study of Novel Treatment Combination Therapies in Participants With Head and Neck Squamous Cell Carcinoma Regardless of PD-L1 Expression Status; Substudy-01
Head and Neck Squamous Cell CarcinomaUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Study With Various Immunotherapy Treatments in Participants With Lung Cancer
Advanced Non-Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective response rate (ORR)
Up to 36 months

ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) as measured by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 using investigator assessments.

Progression-free survival (PFS)
Up to 36 months

PFS is defined as the time from the date of randomization until the first date of documented progressive disease (PD) or death from any cause, whichever occurs first, as measured by RECIST v1.1 using investigator assessments.

Objective response rate (ORR) as measured by Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
Up to 58 months
The incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Up to 58 months

Secondary Endpoints

Duration of Response (DOR)
Up to 36 months
Progression-Free Survival at 6 Months (PFS6)
Up to 6 months
Overall Survival (OS)
Up to 36 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment Group A: Domvanalimab (DOM) + Zimberelimab (ZIM) + Platinum-based ChemotherapyEXPERIMENTALParticipants will receive DOM + ZIM + platinum-based chemotherapy (paclitaxel + carboplatin).
Treatment Group B: Zimberelimab (ZIM) + Platinum-based ChemotherapyEXPERIMENTALParticipants will receive ZIM + platinum-based chemotherapy (paclitaxel + carboplatin).
A1: Domvanalimab + ZimberelimabEXPERIMENTALDomvanalimab and Zimberelimab, both administered by IV infusion
A2: Domvanalimab + ZimberelimabEXPERIMENTALDomvanalimab and Zimberelimab, both administered by IV infusion
A3: Quemliclustat + ZimberelimabEXPERIMENTALQuemliclustat and Zimberelimab, both administered by IV infusion
B1: Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyEXPERIMENTALQuemliclustat, zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion
B2: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyEXPERIMENTALDomvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion
B3: Domvanalimab + Quemliclustat + Zimberelimab + Platinum Doublet ChemotherapyEXPERIMENTALDomvanalimab, Quemliclustat, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion
B4: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyEXPERIMENTALDomvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion
B5: Domvanalimab + Zimberelimab + Platinum Doublet ChemotherapyEXPERIMENTALDomvanalimab, Zimberelimab, and platinum doublet chemotherapy, all administered by IV infusion
C1: Quemliclustat + Zimberelimab + DocetaxelEXPERIMENTALQuemliclustat, Zimberelimab, and Docetaxel, all administered by IV infusion
C2: Domvanalimab + Zimberelimab + DocetaxelEXPERIMENTALDomvanalimab, Zimberelimab, and Docetaxel, all administered by IV infusion

Interventions

NameTypeDescription
DomvanalimabDRUGAdministered intravenously
ZimberelimabDRUGAdministered intravenously
PaclitaxelDRUGAdministered intravenously
CarboplatinDRUGAdministered intravenously
QuemliclustatDRUGAdministered as specified in the treatment arm
DocetaxelDRUGAdministered as specified in the treatment arm
Platinum-Based DoubletDRUGAdministered as specified in the treatment arm
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites23

Key Inclusion Criteria: * Histologically or cytologically confirmed r/m squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx that is considered incurable by local therapies. * No prior systemic therapy for r/m HNSCC. Individuals who had disease progression or recurrence m...

Countries:United StatesAustraliaChinaFranceItalyMalaysiaSpainTaiwanUnited KingdomGeorgiaPolandSouth Korea
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Competitive Landscape -Non-Small Cell Lung Cancer 541 trials (matched to "Advanced Non-Small Cell Lung Cancer")

Top 20 of 90 competitors

CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK37PHASE3Pembrolizumab, Olaparib, Sacituzumab tirumotecan, Intismeran autogene, Pembrolizumab Berahyaluronidase alfa
Revolution Medicines, Inc.RVMD9PHASE3Daraxonrasib, Zoldonrasib, Elironrasib, RMC-5127
Eli Lilly and CompanyLLY18PHASE3Selpercatinib, Pemetrexed, Abemaciclib, Olomorasib, LY3537982
AbbVie, Inc.ABBV12PHASE3ABBV-1480, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab, Budigalimab
AstraZeneca PLCAZN68PHASE3Datopotamab deruxtecan, Durvalumab, Oleclumab, Monalizumab, Tremelimumab
Gilead Sciences, Inc.GILD7PHASE3Sacituzumab govitecan, Zimberelimab, Domvanalimab, Etrumadenant, TUB-040- Dose escalation
Bristol-Myers Squibb CompanyBMY24PHASE3Repotrectinib, Nivolumab, Pumitamig, Relatlimab, Adagrasib
Johnson & JohnsonJNJ19PHASE3Lazertinib, Amivantamab, JNJ-90301900, JNJ-86974680, Cetrelimab
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Pumitamig, BNT326, BNT116, BNT324
Pfizer Inc.PFE20PHASE3Lorlatinib, Crizotinib, Avelumab, Talazoparib, Axitinib
Amgen Inc.AMGN4PHASE3ABP 234, Sotorasib, Anvumetostat
Novartis AG Sponsored ADRNVS12PHASE3Opnurasib, TNO155, DKY709, Spartalizumab, trametinib
GSK plc Sponsored ADRGSK3PHASE3Dostarlimab, Belrestotug, Nelistotug, Cobolimab
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib
Summit Therapeutics IncSMMT2PHASE3Ivonescimab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Rina-S, GEN1042
Regeneron Pharmaceuticals, Inc.REGN7PHASE2Cemiplimab, Marlotamig, Fianlimab, REGN5093
Nuvalent, Inc. Class ANUVL1PHASE3Neladalkib
BeOne Medicines Ltd. Sponsored ADRONC7PHASE3Tislelizumab, BGB-A445, LBL-007, BGB-15025, BGB-43395
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Recent Changes (Last 90 Days)

HIGHSep 3, 2026NCT06727565Enrollment: 100 → 39
HIGHSep 3, 2026NCT06727565Enrollment: 100 → 39

Frequently asked questions about Domvanalimab

What is Domvanalimab used for?

Domvanalimab is an investigational monoclonal antibody being studied in oncology for advanced non-small cell lung cancer and head and neck squamous cell carcinoma. It is being developed by Gilead Sciences, Inc. as part of combination immunotherapy treatment regimens. It is not yet approved for any indication and remains in clinical development.

What does Domvanalimab target?

Domvanalimab targets TIGIT, an immune checkpoint receptor. It is classified as a TIGIT inhibitor. By binding TIGIT, the antibody is designed to interfere with a checkpoint pathway that suppresses immune responses, thereby supporting anti-tumor immune activity. It is being evaluated in combination with other immunotherapies rather than as a single agent.

Who makes Domvanalimab?

Domvanalimab is being developed by Gilead Sciences, Inc., which trades on the Nasdaq under the ticker GILD. Gilead is the sponsor of the clinical program evaluating the antibody in lung cancer and head and neck cancer. The asset is identified in chemical databases under the ChEMBL ID CHEMBL4650392.

What phase is Domvanalimab in?

Domvanalimab is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA or any other regulatory authority for any indication. The ongoing studies are randomized, controlled Phase 2 trials in advanced non-small cell lung cancer and head and neck squamous cell carcinoma.

What clinical trials is Domvanalimab in?

Domvanalimab is being evaluated in two Phase 2 studies. NCT05676931 is a 400-participant trial in advanced non-small cell lung cancer across the United States, Europe, and Asia. NCT06727565 is a 39-participant substudy in head and neck squamous cell carcinoma regardless of PD-L1 expression status. Both trials are currently active but not recruiting.

Is Domvanalimab the same as DOM?

Yes, Domvanalimab is also referred to as Domvanalimab (DOM). DOM is simply an abbreviated form of the drug's name used in study documentation and scientific literature. Both names refer to the same investigational anti-TIGIT monoclonal antibody developed by Gilead Sciences, Inc. for advanced non-small cell lung cancer and head and neck squamous cell carcinoma.