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Datopotamab Deruxtecan

Phase 3

Metastatic Non Small Cell Lung Cancer | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: May 15, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,170

FDA Designations

No designations recorded

Clinical trial landscape

Datopotamab Deruxtecan · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT05555732Datopotamab Deruxtecan (Dato-DXd) and Pembrolizumab With or Without Platinum Chemotherapy in 1L Non-Small Cell Lung Cancer (TROPION-Lung07)Metastatic Non Small Cell Lung Cancer
ACTIVE NOT_RECRUITING1,170 Analytics
PHASE3ACTIVE NOT_RECRUITING
Datopotamab Deruxtecan (Dato-DXd) and Pembrolizumab With or Without Platinum Chemotherapy in 1L Non-Small Cell Lung Cancer (TROPION-Lung07)
Metastatic Non Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival Based on Blinded Independent Central Review in All Randomized Participants
From randomization until disease progression or death (whichever occurs first), up to approximately 43 months

Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1.

Progression-free Survival Based on Blinded Independent Central Review in All Randomized Participants who are TROP2 NMR positive
From randomization until disease progression or death (whichever occurs first), up to approximately 43 months

Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1.

Overall Survival in All Randomized Participants
From randomization until disease progression or death (whichever occurs first), up to approximately 76 months

Overall Survival (OS) is defined as the time from randomization to death due to any cause.

Overall Survival in All Randomized Participants who are TROP2 NMR positive
From randomization until disease progression or death (whichever occurs first), up to approximately 76 months

Overall Survival (OS) is defined as the time from randomization to death due to any cause.

Number of Participants with Dose-limiting Toxicities (DLTs) and Treatment-emergent Adverse Events (TEAEs)
Baseline up to Cycle 1 (Days 1 to 21) for DLTs and up to 28 days after last dose for TEAEs, up to approximately 30 months post-dose

Secondary Endpoints

Objective Response Rate by Blinded Independent Central Review in All Randomized Participants
From randomization until disease progression or death (whichever occurs first), up to approximately 43 months
Objective Response Rate by Blinded Independent Central Review in All Randomized Participants who are TROP2 NMR positive
From randomization until disease progression or death (whichever occurs first), up to approximately 43 months
Progression-free Survival by Investigator in Both All Randomized Participants and Randomized Participants who are TROP2 NMR positive
From randomization until disease progression or death (whichever occurs first), up to approximately 43 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dato-DXd + Pembrolizumab + Platinum ChemotherapyEXPERIMENTALParticipants will be randomized to receive 6.0mg/kg Dato-DXd plus 200 mg pembrolizumab plus platinum chemotherapy (cisplatin 75 mg/m\^2 or carboplatin area under the curve \[AUC) 5\]).
Dato-DXd + PembrolizumabEXPERIMENTALParticipants will be randomized to receive 6.0mg/kg Dato-DXd plus 200 mg pembrolizumab.
Pembrolizumab + Pemetrexed + Platinum ChemotherapyACTIVE_COMPARATORParticipants will be randomized to receive 200 mg pembrolizumab plus 500 mg/m\^2 pemetrexed plus platinum chemotherapy (cisplatin 75 mg/m\^2 or carboplatin area under the curve \[AUC) 5\]).
Datopotamab deruxtecan (Dato-DXd)EXPERIMENTALDose Escalation and Dose Expansion: Datopotamab deruxtecan (Dato-DXd) in combination with pembrolizumab with or without platinum chemotherapy in participants with advanced or metastatic NSCLC

Interventions

NameTypeDescription
Datopotamab DeruxtecanDRUGDato-DXd will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
PembrolizumabDRUGPembrolizumab will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
PemetrexedDRUGPemetrexed will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
CarboplatinDRUGCarboplatin will be administered an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
CisplatinDRUGCisplatin will be administered an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle for up to 4 cycles.
KEYTRUDA®DRUGIntravenous infusion Q3W on Day 1 of each 21-day cycle (fixed pembrolizumab dose 200 mg Q3W)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites254

Key Inclusion Criteria: 1. Sign and date the Main ICF, prior to the start of any study- specific qualification procedures. Is willing and able to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions. 2. Adults ≥18 at the time the M...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileChinaCzechiaFranceGermanyGreeceHong KongHungaryItalyJapanMexicoNetherlandsPolandPortugalRomaniaSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United Kingdom
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Competitive Landscape -Non-Small Cell Lung Cancer 389 trials (matched to "Metastatic Non Small Cell Lung Cancer")

Frequently asked questions about Datopotamab Deruxtecan

What is Datopotamab Deruxtecan used for?

Datopotamab Deruxtecan is an investigational antibody-drug conjugate being studied for the treatment of advanced or metastatic non-small cell lung cancer (NSCLC). It is being evaluated in combination with pembrolizumab, with or without platinum chemotherapy, in patients with metastatic NSCLC. The drug is currently in Phase 3 clinical development.

What does Datopotamab Deruxtecan target?

Datopotamab Deruxtecan is a monoclonal antibody-based therapy, classified as a -mab (antibody). It is designed to target cancer cells in non-small cell lung cancer. The specific molecular target is not disclosed in the available information, but the drug is being studied in biomarker-selected patient populations.

Who makes Datopotamab Deruxtecan?

Datopotamab Deruxtecan is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with advanced or metastatic non-small cell lung cancer.

What phase is Datopotamab Deruxtecan in?

Datopotamab Deruxtecan is in Phase 3 clinical development for the treatment of metastatic non-small cell lung cancer. It is being studied in combination with pembrolizumab, with or without platinum chemotherapy, as a first-line treatment. The drug is investigational and has not yet been approved by regulatory authorities.

What clinical trials is Datopotamab Deruxtecan in?

Datopotamab Deruxtecan is being evaluated in two clinical trials. NCT05555732 is a Phase 3 study in 1,170 patients with metastatic non-small cell lung cancer, testing the drug with pembrolizumab plus or minus platinum chemotherapy. NCT04526691 is a Phase 1 study in 145 patients with advanced or metastatic NSCLC, testing the drug in combination with pembrolizumab.

Is Datopotamab Deruxtecan the same as Dato-DXd?

Yes, Datopotamab Deruxtecan is also known as Dato-DXd. Clinical trials such as TROPION-Lung02 and TROPION-Lung07 refer to the drug by this alternative name. Both names refer to the same investigational antibody-drug conjugate being developed for non-small cell lung cancer.