[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100534873":3},{"organization":4,"armGroups":7,"interventions":36,"overallOfficials":57,"centralContacts":61,"locations":68,"responsibleParty":424,"collaborators":66,"id":426,"slug":427,"hasResults":428,"nctId":429,"briefTitle":430,"officialTitle":431,"acronym":66,"eligibilityCriteria":432,"healthyVolunteers":428,"sex":433,"minAge":434,"maxAge":66,"enrollmentInfo":435,"targetDuration":66,"studyType":438,"phases":439,"briefSummary":441,"conditions":442,"keywords":444,"overallStatus":71,"whyStopped":66,"lastUpdateSubmitDate":446,"lastUpdatePostDateStruct":447,"startDateStruct":450,"completionDateStruct":452,"leadSponsor":454,"locationsCount":455},{"fullName":5,"class":6},"Daiichi Sankyo","INDUSTRY",[8,15,20,24,28,32],{"label":9,"type":10,"description":11,"interventionNames":12},"Part 1: Dose Escalation Phase (Sub-protocol B)","EXPERIMENTAL","Participants with previously treated, advanced, or metastatic HER2-positive gastric or gastro-esophageal junction (GEJ) adenocarcinoma will receive valemetostat in combination with T-DXd.",[13,14],"Drug: Valemetostat tosylate","Drug: T-DXd",{"label":16,"type":10,"description":17,"interventionNames":18},"Part 1: Dose Escalation Phase (Sub-protocol C)","Participants with previously treated, locally advanced, unresectable, or metastatic non-squamous non-small cell lung cancer (NSCLC) with or without actionable genomic alteration(s) will receive valemetostat in combination with datopotamab deruxtecan (Dato-DXd).",[13,19],"Drug: Dato-DXd",{"label":21,"type":10,"description":22,"interventionNames":23},"Part 1: Dose Escalation (Sub-protocol A)","Participants with unresectable or metastatic HER2-low IHC\\]1+ or IHC 2+\u002FISH-negative breast cancer will receive valemetostat in combination with T-DXd.",[13,14],{"label":25,"type":10,"description":26,"interventionNames":27},"Part 2: Dose Expansion (Sub-protocol B)","Participants with previously treated, advanced, or metastatic HER2-positive gastric or gastro-esophageal junction (GEJ) adenocarcinoma will receive valemetostat at the RDE in combination with T-DXd at RDE.",[13,14],{"label":29,"type":10,"description":30,"interventionNames":31},"Part 2: Dose Expansion (Sub-protocol C)","Participants with previously treated, locally advanced, unresectable, or metastatic non-squamous non-small cell lung cancer (NSCLC) with or without actionable genomic alteration(s) will receive valemetostat at the RDE in combination with datopotamab deruxtecan (Dato-DXd).",[13,19],{"label":33,"type":10,"description":34,"interventionNames":35},"Part 2: Dose Expansion (Sub-protocol A)","Participants with unresectable or metastatic HER2-low IHC\\]1+ or IHC 2+\u002FISH-negative breast cancer will receive valemetostat at the RDE in combination with T-DXd at RDE.",[13,14],[37,44,51],{"type":38,"name":39,"description":40,"armGroupLabels":41,"otherNames":42},"DRUG","Valemetostat tosylate","Administered orally once daily",[21,9,16,33,25,29],[43],"DS-3201b",{"type":38,"name":45,"description":46,"armGroupLabels":47,"otherNames":48},"T-DXd","One IV infusion Q3W on Day 1 of each 21-day cycle",[21,9,33,25],[49,50],"DS-8201a","ENHERTU",{"type":38,"name":52,"description":53,"armGroupLabels":54,"otherNames":55},"Dato-DXd","One IV infusion Q3W on Day 1 of each 21-day cycle.",[16,29],[56],"DS-1062a",[58],{"name":59,"affiliation":5,"role":60},"Global Clinical Leader","STUDY_DIRECTOR",[62],{"name":63,"role":64,"phone":65,"phoneExt":66,"email":67},"Daiichi Sankyo Contact for Clinical Trial Information","CONTACT","9089926400",null,"CTRinfo@dsi.com",[69,83,93,102,112,121,131,141,151,160,169,179,190,200,210,216,225,235,240,250,260,271,280,285,294,303,312,321,332,343,352,361,370,379,388,397,406,415],{"facility":70,"status":71,"city":72,"state":73,"zip":74,"country":75,"countryCode":76,"cosmosGeoPoint":77,"geoPoint":82,"contacts":66},"City of Hope At Orange County Lennar Foundation Cancer Center","RECRUITING","Irvine","California","92618","United States","US",{"type":78,"coordinates":79},"Point",[80,81],-117.82311,33.66946,{"lat":81,"lon":80},{"facility":84,"status":85,"city":86,"state":73,"zip":87,"country":75,"countryCode":76,"cosmosGeoPoint":88,"geoPoint":92,"contacts":66},"Valkyrie Clinical Trials","WITHDRAWN","Los Angeles","90067",{"type":78,"coordinates":89},[90,91],-118.24368,34.05223,{"lat":91,"lon":90},{"facility":94,"status":71,"city":95,"state":73,"zip":96,"country":75,"countryCode":76,"cosmosGeoPoint":97,"geoPoint":101,"contacts":66},"Sharp Memorial Hospital","San Diego","92123",{"type":78,"coordinates":98},[99,100],-117.16472,32.71571,{"lat":100,"lon":99},{"facility":103,"status":71,"city":104,"state":105,"zip":106,"country":75,"countryCode":76,"cosmosGeoPoint":107,"geoPoint":111,"contacts":66},"Brcr Medical Center, Inc Dba Boca Raton Clinical Research","Plantation","Florida","33322",{"type":78,"coordinates":108},[109,110],-80.23184,26.13421,{"lat":110,"lon":109},{"facility":113,"status":85,"city":114,"state":105,"zip":115,"country":75,"countryCode":76,"cosmosGeoPoint":116,"geoPoint":120,"contacts":66},"H. Lee Moffitt Cancer Center and Research Institute, Inc","Tampa","33612",{"type":78,"coordinates":117},[118,119],-82.45843,27.94752,{"lat":119,"lon":118},{"facility":122,"status":71,"city":123,"state":124,"zip":125,"country":75,"countryCode":76,"cosmosGeoPoint":126,"geoPoint":130,"contacts":66},"University of Hawaii At Manoa","Honolulu","Hawaii","96813",{"type":78,"coordinates":127},[128,129],-157.85833,21.30694,{"lat":129,"lon":128},{"facility":132,"status":71,"city":133,"state":134,"zip":135,"country":75,"countryCode":76,"cosmosGeoPoint":136,"geoPoint":140,"contacts":66},"University of Chicago Medical Center","Chicago","Illinois","60637",{"type":78,"coordinates":137},[138,139],-87.65005,41.85003,{"lat":139,"lon":138},{"facility":142,"status":71,"city":143,"state":144,"zip":145,"country":75,"countryCode":76,"cosmosGeoPoint":146,"geoPoint":150,"contacts":66},"Dana-Farber Cancer Institute","Boston","Massachusetts","02215",{"type":78,"coordinates":147},[148,149],-71.05977,42.35843,{"lat":149,"lon":148},{"facility":152,"status":71,"city":153,"state":153,"zip":154,"country":75,"countryCode":76,"cosmosGeoPoint":155,"geoPoint":159,"contacts":66},"Memorial Sloan-Kettering Cancer Center (Mskcc) - New York","New York","10065",{"type":78,"coordinates":156},[157,158],-74.00597,40.71427,{"lat":158,"lon":157},{"facility":161,"status":71,"city":162,"state":153,"zip":163,"country":75,"countryCode":76,"cosmosGeoPoint":164,"geoPoint":168,"contacts":66},"Clinical Research Alliance","Westbury","11590",{"type":78,"coordinates":165},[166,167],-73.58763,40.75566,{"lat":167,"lon":166},{"facility":170,"status":71,"city":171,"state":172,"zip":173,"country":75,"countryCode":76,"cosmosGeoPoint":174,"geoPoint":178,"contacts":66},"Unc Hospitals","Chapel Hill","North Carolina","27514",{"type":78,"coordinates":175},[176,177],-79.05584,35.9132,{"lat":177,"lon":176},{"facility":180,"status":181,"city":182,"state":183,"zip":184,"country":75,"countryCode":76,"cosmosGeoPoint":185,"geoPoint":189,"contacts":66},"The Cleveland Clinic Foundation","ACTIVE_NOT_RECRUITING","Cleveland","Ohio","44195",{"type":78,"coordinates":186},[187,188],-81.69541,41.4995,{"lat":188,"lon":187},{"facility":191,"status":71,"city":192,"state":193,"zip":194,"country":75,"countryCode":76,"cosmosGeoPoint":195,"geoPoint":199,"contacts":66},"Providence Portland Medical Center","Portland","Oregon","97213",{"type":78,"coordinates":196},[197,198],-122.67621,45.52345,{"lat":198,"lon":197},{"facility":201,"status":71,"city":202,"state":203,"zip":204,"country":75,"countryCode":76,"cosmosGeoPoint":205,"geoPoint":209,"contacts":66},"Mary Crowley Cancer Research Centers","Dallas","Texas","75230",{"type":78,"coordinates":206},[207,208],-96.80667,32.78306,{"lat":208,"lon":207},{"facility":211,"status":71,"city":202,"state":203,"zip":212,"country":75,"countryCode":76,"cosmosGeoPoint":213,"geoPoint":215,"contacts":66},"Ut Southwestern Medical Center","75390",{"type":78,"coordinates":214},[207,208],{"lat":208,"lon":207},{"facility":217,"status":71,"city":218,"state":203,"zip":219,"country":75,"countryCode":76,"cosmosGeoPoint":220,"geoPoint":224,"contacts":66},"University of Texas M. D. Anderson Cancer Center","Houston","77030",{"type":78,"coordinates":221},[222,223],-95.36327,29.76328,{"lat":223,"lon":222},{"facility":226,"status":85,"city":227,"state":228,"zip":229,"country":75,"countryCode":76,"cosmosGeoPoint":230,"geoPoint":234,"contacts":66},"Inova Schar Cancer Institute","Fairfax","Virginia","22031",{"type":78,"coordinates":231},[232,233],-77.30637,38.84622,{"lat":233,"lon":232},{"facility":236,"status":71,"city":227,"state":228,"zip":229,"country":75,"countryCode":76,"cosmosGeoPoint":237,"geoPoint":239,"contacts":66},"Next Virginia",{"type":78,"coordinates":238},[232,233],{"lat":233,"lon":232},{"facility":241,"status":71,"city":242,"state":243,"zip":244,"country":75,"countryCode":76,"cosmosGeoPoint":245,"geoPoint":249,"contacts":66},"Fred Hutchinson Cancer Center","Seattle","Washington","98109",{"type":78,"coordinates":246},[247,248],-122.33207,47.60621,{"lat":248,"lon":247},{"facility":251,"status":71,"city":252,"state":253,"zip":254,"country":75,"countryCode":76,"cosmosGeoPoint":255,"geoPoint":259,"contacts":66},"Medical College of Wisconsin","Milwaukee","Wisconsin","53226",{"type":78,"coordinates":256},[257,258],-87.90647,43.0389,{"lat":258,"lon":257},{"facility":261,"status":71,"city":262,"state":66,"zip":263,"country":264,"countryCode":265,"cosmosGeoPoint":266,"geoPoint":270,"contacts":66},"Peking University Third Hospital","Beijing","100191","China","CN",{"type":78,"coordinates":267},[268,269],116.39723,39.9075,{"lat":269,"lon":268},{"facility":272,"status":71,"city":273,"state":66,"zip":274,"country":264,"countryCode":265,"cosmosGeoPoint":275,"geoPoint":279,"contacts":66},"Sun Yat-Sen University, Cancer Center","Guangzhou","510060",{"type":78,"coordinates":276},[277,278],113.25,23.11667,{"lat":278,"lon":277},{"facility":281,"status":71,"city":273,"state":66,"zip":274,"country":264,"countryCode":265,"cosmosGeoPoint":282,"geoPoint":284,"contacts":66},"SunYat-Sen University Cancer Center",{"type":78,"coordinates":283},[277,278],{"lat":278,"lon":277},{"facility":286,"status":71,"city":287,"state":66,"zip":288,"country":264,"countryCode":265,"cosmosGeoPoint":289,"geoPoint":293,"contacts":66},"Harbin Medical Univeristy Cancer Hospital","Heilongjiang","150081",{"type":78,"coordinates":290},[291,292],103.50288,27.60412,{"lat":292,"lon":291},{"facility":295,"status":71,"city":296,"state":66,"zip":297,"country":264,"countryCode":265,"cosmosGeoPoint":298,"geoPoint":302,"contacts":66},"Hunan Cancer Hospital","Hunan","410013",{"type":78,"coordinates":299},[300,301],120.18021,32.92741,{"lat":301,"lon":300},{"facility":304,"status":71,"city":305,"state":66,"zip":306,"country":264,"countryCode":265,"cosmosGeoPoint":307,"geoPoint":311,"contacts":66},"Jilin Cancer Hospital","Jilin City","130000",{"type":78,"coordinates":308},[309,310],126.5608,43.84652,{"lat":310,"lon":309},{"facility":313,"status":71,"city":314,"state":66,"zip":315,"country":264,"countryCode":265,"cosmosGeoPoint":316,"geoPoint":320,"contacts":66},"Jinana Center Hosptial","Shandong","240013",{"type":78,"coordinates":317},[318,319],120.48412,40.28464,{"lat":319,"lon":318},{"facility":322,"status":71,"city":323,"state":66,"zip":324,"country":325,"countryCode":326,"cosmosGeoPoint":327,"geoPoint":331,"contacts":66},"IRCCS Istituto Scientifico Romagnolo Per","Cesena","47014","Italy","IT",{"type":78,"coordinates":328},[329,330],12.24315,44.1391,{"lat":330,"lon":329},{"facility":333,"status":71,"city":334,"state":66,"zip":335,"country":336,"countryCode":337,"cosmosGeoPoint":338,"geoPoint":342,"contacts":66},"National Cancer Center Hospital","Chūōku","104-0045","Japan","JP",{"type":78,"coordinates":339},[340,341],130.67068,33.63867,{"lat":341,"lon":340},{"facility":344,"status":71,"city":345,"state":66,"zip":346,"country":336,"countryCode":337,"cosmosGeoPoint":347,"geoPoint":351,"contacts":66},"National Hospital Org-Kyushu Cancer Center","Fukuoka","811-1395",{"type":78,"coordinates":348},[349,350],130.41667,33.6,{"lat":350,"lon":349},{"facility":353,"status":71,"city":354,"state":66,"zip":355,"country":336,"countryCode":337,"cosmosGeoPoint":356,"geoPoint":360,"contacts":66},"National Cancer Center Hospital East","Kashiwa","277-8577",{"type":78,"coordinates":357},[358,359],139.97732,35.86224,{"lat":359,"lon":358},{"facility":362,"status":71,"city":363,"state":66,"zip":364,"country":336,"countryCode":337,"cosmosGeoPoint":365,"geoPoint":369,"contacts":66},"The Cancer Institute Hospital of Jfcr","Kōtoku","135-8550",{"type":78,"coordinates":366},[367,368],143.14297,42.50417,{"lat":368,"lon":367},{"facility":371,"status":71,"city":372,"state":66,"zip":373,"country":336,"countryCode":337,"cosmosGeoPoint":374,"geoPoint":378,"contacts":66},"Aichi Cancer Center Hospital","Nagoya","464-8681",{"type":78,"coordinates":375},[376,377],136.90641,35.18147,{"lat":377,"lon":376},{"facility":380,"status":71,"city":381,"state":66,"zip":382,"country":336,"countryCode":337,"cosmosGeoPoint":383,"geoPoint":387,"contacts":66},"Osaka International Cancer Institute","Osaka","540-0008",{"type":78,"coordinates":384},[385,386],135.50107,34.69379,{"lat":386,"lon":385},{"facility":389,"status":71,"city":390,"state":66,"zip":391,"country":336,"countryCode":337,"cosmosGeoPoint":392,"geoPoint":396,"contacts":66},"Kindai University Hospital","Ōsaka-sayama","589-8511",{"type":78,"coordinates":393},[394,395],135.55069,34.49524,{"lat":395,"lon":394},{"facility":398,"status":71,"city":399,"state":66,"zip":400,"country":336,"countryCode":337,"cosmosGeoPoint":401,"geoPoint":405,"contacts":66},"Shizuoka Cancer Center","Shizuoka","411-8777",{"type":78,"coordinates":402},[403,404],138.38333,34.98333,{"lat":404,"lon":403},{"facility":407,"status":71,"city":408,"state":66,"zip":409,"country":336,"countryCode":337,"cosmosGeoPoint":410,"geoPoint":414,"contacts":66},"Osaka University Hospital","Suita","565-0871",{"type":78,"coordinates":411},[412,413],135.51567,34.76143,{"lat":413,"lon":412},{"facility":416,"status":71,"city":417,"state":66,"zip":418,"country":336,"countryCode":337,"cosmosGeoPoint":419,"geoPoint":423,"contacts":66},"Kanagawa Cancer Center","Yokohama","241-8515",{"type":78,"coordinates":420},[421,422],139.65,35.43333,{"lat":422,"lon":421},{"type":425,"investigatorFullName":66,"investigatorTitle":66,"investigatorAffiliation":66,"oldNameTitle":66,"oldOrganization":66},"SPONSOR","100534873","phase-1-a-study-of-valemetostat-tosylate-in-combination-with-dxd-adcs-in-subjects-with-solid-tumors-100534873",false,"NCT06244485","A Study of Valemetostat Tosylate in Combination With DXd ADCs in Subjects With Solid Tumors","A Phase 1b, Multicenter, Open-Label Study of Valemetostat Tosylate in Combination With DXd ADCs in Subjects With Solid Tumors","Key Inclusion Criteria\n\nAll participants must meet all of the following criteria, as well as all criteria from the relevant sub-protocol to be eligible for enrollment:\n\n* At least 18 years or the minimum legal adult age (whichever is greater) at the time the ICF is signed.\n* Has at least 1 measurable lesion based on investigator imaging assessment (computed tomography or magnetic resonance imaging) using RECIST v 1.1 at Screening.\n* Is willing to provide an adequate tumor sample.\n* Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1 at Screening.\n\nAdditional Key Inclusion for Sub-Protocol A:\n\n* Diagnosed with pathologically documented breast cancer that:\n\n  1. Is unresectable or metastatic.\n  2. Has progressed on and would no longer benefit from endocrine therapy in hormone receptor-positive subjects in the opinion of the investigator.\n  3. Has been treated with at least 1 and at most 2 prior lines of chemotherapy in the recurrent or metastatic setting.\n  4. Has a history of low HER2 expression, defined as IHC 2+ \u002FISH-negative or IHC 1+ (ISH-negative or untested). ), as classified by the American Society of Clinical Oncology\u002FCollege of American Pathologists 2018 HER2 testing guidelines.\n  5. Was never previously HER2-positive (IHC 3+ or IHC 2+\u002FISH+) on prior pathology testing (per American Society of Clinical Oncology\u002FCollege of American Pathologists guidelines\n\n     Additional Key Inclusion for Sub-Protocol B:\n\n     • Gastric or GEJ adenocarcinoma that is (a) unresectable or metastatic or (b) has progressed on trastuzumab or approved trastuzumab biosimilar-containing regimen.\n\n     Additional Key Inclusion for Sub-Protocol C:\n* Pathologically documented Stage IIIB, IIIC, or IV non-squamous NSCLC with or without AGA at the time of enrollment.\n* Must meet prior therapy requirements:\n\n  * Participants without AGA: (a) received platinum-based chemotherapy in combination with α-PD-1\u002Fα -PD-L1 mAb as a prior line of therapy or (b) received platinum-based chemotherapy and α -PD-1\u002F α -PD-L1 mAb (in either order) sequentially as 2 prior lines of therapy.\n  * Participants with AGA: (a) has been treated with at least 1 or 2 prior lines of applicable targeted therapy that is locally approved for participant's genomic alteration at the time of Screening, (b) participants who have received platinum-based chemotherapy as a prior line of cytotoxic therapy, (c) may have received α -PD-1\u002Fα -PD-L1 mAb alone or in combination with a cytotoxic agent\n\nKey Exclusion Criteria\n\n* Has previously been treated with any enhancer of zeste homolog inhibitors.\n* Uncontrolled or significant cardiovascular disease.\n* Has spinal cord compression or clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms.\n* Has leptomeningeal carcinomatosis or metastasis.\n* Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses.\n* Current use of moderate or strong cytochrome P450 (CYP)3A inducers.\n* Systemic treatment with corticosteroids (\\>10 mg daily prednisone equivalents).\n* History of severe hypersensitivity reactions to other monoclonal antibodies (mAbs).\n* Evidence of ongoing uncontrolled systemic bacterial, fungal, or viral infection requiring treatment with intravenous (IV) antibiotics, antivirals, or antifungals.\n* Female who is pregnant or breastfeeding or intends to become pregnant during the study.\n* Psychological, social, familial, or geographical factors that would prevent regular follow-up.\n\nAdditional Key Exclusion for Sub-Protocol A:\n\n* Has previously received any anti-HER2 therapy in the metastatic setting.\n* Has received prior treatment with an antibody-drug conjugate that consists of an exatecan derivative that is a topoisomerase I inhibitor, including either as part of prior treatment history or within prior participation in a clinical study.\n\nAdditional Key Exclusion for Sub-Protocol B:\n\n\\* Participants who have received an antibody-drug conjugate consisting of an exatecan derivative that is a topoisomerase I inhibitor.\n\nAdditional Key Exclusion for Sub-Protocol C:\n\n\\* Has received any agent, including an ADC, containing a chemotherapeutic agent targeting topoisomerase I or TROP2-targeted therapy including Dato-DXD","ALL","18 Years",{"count":436,"type":437},210,"ESTIMATED","INTERVENTIONAL",[440],"PHASE1","This study will evaluate the safety, tolerability, and efficacy of valemetostat tosylate in combination with DXd ADC in patients with advanced solid tumors.",[443],"Advanced Solid Tumor",[443,39,445],"DXD Antibody-drug Conjugates","2026-02-02",{"date":448,"type":449},"2026-02-04","ACTUAL",{"date":451,"type":449},"2024-02-16",{"date":453,"type":437},"2028-11-01",{"name":5,"class":6},38]