RecruitingPhase 2NCT06822543

A Single Arm, Phase 2 Study of Datopotamab Deruxtecan, Carboplatin, and Pembrolizumab for Treatment-naive Brain Metastases From NSCLC (Non-small Cell Lung Cancer)


Sponsor

Latin American Cooperative Oncology Group

Enrollment

46 participants

Start Date

Sep 12, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase II, single-arm, multicenter trial for patients with metastatic non-small cell lung cancer who have brain metastases and no known actionable mutations. Eligible patients will receive a combination of Datopotamab-deruxtecan, Carboplatin, and Pembrolizumab every three weeks for four cycles, followed by maintenance therapy with Datopotamab-deruxtecan and Pembrolizumab until disease progression or intolerable toxicity. Patients with intracranial progression but no systemic progression may receive stereotactic radiosurgery and continue treatment based on the investigator's decision.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a three-drug combination — datopotamab deruxtecan (an antibody-drug), carboplatin (chemotherapy), and pembrolizumab (immunotherapy) — as a first treatment option for patients with non-small cell lung cancer (NSCLC) that has spread to the brain. **You may be eligible if...** - You are 18 or older - You have been diagnosed with non-squamous NSCLC that has spread to the brain - Your cancer's PD-L1 score is below 50% - Your tumor does not have EGFR or ALK mutations (common 'targetable' mutations) - You have not previously received systemic therapy for advanced/metastatic NSCLC **You may NOT be eligible if...** - You have EGFR, ALK, ROS1, NTRK, RET, HER2, or MET mutations (these are targeted with other drugs) - You have received prior immunotherapy or chemotherapy within 6 months before progression - You have serious lung disease or uncontrolled pleural effusion - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGPembrolizumab

Pembrolizumab is a potent humanized immunoglobulin G4 (IgG4) monoclonal antibody (mAb) with high specificity of binding to the programmed cell death 1 (PD-1) receptor, thus inhibiting its interaction with programmed cell death ligand 1 (PD-L1) and programmed cell death ligand 2 (PD-L2).

DRUGDatopotamab deruxtecan

Datopotamab deruxtecan (Dato-DXd) is a novel antibody-drug conjugate (ADC) composed of a humanized anti-TROP2 IgG1 monoclonal antibody linked to a topoisomerase I inhibitor payload and a cleavable linker.

DRUGCarboplatin

Carboplatin is a platinum compound chemotherapy used to treat lung cancer with a known safety profile. For more details on specific indications refer to the approved product label.


Locations(13)

CRIO - Centro Regional Integrado de Oncologia

Fortaleza, Ceará, Brazil

Santa Casa de Misericórdia da Bahia - Hospital Santa Izabel (Oncoclínicas)

Salvador, Estado de Bahia, Brazil

Oncocentro de Minas Gerais (Oncoclínicas)

Belo Horizonte, Minas Gerais, Brazil

IMIP - Instituto de Medicina Integral Professor Fernando Figueira

Recife, Pernambuco, Brazil

CTTB - Centro de Tratamento de Tumores Botafogo (Oncoclínicas)

Rio de Janeiro, Rio de Janeiro, Brazil

Liga Norte Riograndense Contra o Câncer

Natal, Rio Grande do Norte, Brazil

ISCMPA - Santa Casa de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

CPO - Centro de Pesquisa em Oncologia do Hospital São Lucas da PUCRS

Porto Alegre, Rio Grande do Sul, Brazil

Catarina Pesquisa Clínica - Clínica de Neoplasias Litoral

Itajaí, Santa Catarina, Brazil

Hospital de Amor de Barretos

Barretos, São Paulo, Brazil

FUNFARME - Hospital de Base de São José do Rio Preto

São José do Rio Preto, São Paulo, Brazil

A.C. Camargo Cancer Center

São Paulo, São Paulo, Brazil

CPO - Centro Paulista de Oncologia (Oncoclínicas)

São Paulo, São Paulo, Brazil

View Full Details on ClinicalTrials.gov

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NCT06822543


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