First-in-Human Study of DS-3939a in Participants With Advanced Solid Tumors

NCT ID: NCT05875168

Last Updated: 2026-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

540 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-18

Study Completion Date

2027-02-15

Brief Summary

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This study will evaluate the safety, tolerability, and efficacy of DS-3939a in participants with advanced solid tumors.

Detailed Description

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DS-3939a is an antibody drug conjugate (ADC) being developed for the treatment of malignant tumors. This is a first-in-human, dose-escalating clinical study divided into 2 parts: the Dose Escalation Part (Part 1) and the Dose Expansion Part (Part 2).

Conditions

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Advanced Solid Tumor Metastatic Solid Tumor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation (Part 1)

Participants with locally advanced, metastatic, or unresectable tumors who will receive an intravenous (IV) infusion of DS-3939a.

Group Type EXPERIMENTAL

DS-3939a

Intervention Type DRUG

One IV infusion Q3W on Day 1 of each 21-day cycle

Dose Expansion (Part 2)

Multiple expansion cohorts targeting various advanced solid tumors.

Group Type EXPERIMENTAL

DS-3939a

Intervention Type DRUG

One IV infusion Q3W on Day 1 of each 21-day cycle

Interventions

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DS-3939a

One IV infusion Q3W on Day 1 of each 21-day cycle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Sign and date the main Informed Consent Form (ICF).
* Has a left ventricular ejection fraction ≥50% by either an echocardiogram or multigated acquisition within 28 days of enrollment.
* Has adequate organ function.
* Measurable disease based on RECIST V1.1.
* Eastern Cooperative Oncology Group performance status score of 0 or 1.


* Has a histologically or cytologically documented locally advanced, metastatic, or unresectable solid malignant tumors.


* Has a histologically or cytologically documented locally advanced, metastatic, or unresectable cancer meeting the protocol criteria and documented radiographic disease progression during or after the most recent anticancer therapy.
* Is able to provide either of the following baseline tumor samples:

* Fresh tumor biopsy samples meeting either of the following requirements that were obtained during the Main Screening or Tissue Screening Period, or
* Fresh core needle biopsy sample
* Biopsy samples obtained with forceps or cryobiopsy, such as bronchoscopic or transbronchial lung biopsy (if the sample amount is equivalent to core needle biopsy and processing after sample collection follows the procedure described in the Study Laboratory Manual)
* FFPE tumor tissue samples obtained by biopsy or surgery performed within 6 months before signing the main ICF. If samples were obtained prior to the start of the most recent anticancer therapy, the Sponsor Medical Monitor should be consulted regarding the adequacy of the sample.

Exclusion Criteria

* Has had prior treatment targeting mucin 1 (MUC1) or TA-MUC1.
* Has spinal cord compression or clinically active central nervous system metastases.
* Has multiple primary malignancies, except adequately resected non-melanoma skin cancer, curatively treated in situ disease, or other solid tumors curatively treated, with no evidence of disease for ≥3 years.
* Has a history of noninfectious interstitial lung disease (ILD)/pneumonitis (including suspected one), has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
* Has active or uncontrolled human immunodeficiency virus (HIV) infection.
* Has evidence of active or uncontrolled hepatitis B virus or hepatitis C virus infection.
* Any of the following within the past 6 months: cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event.
* Has an active, known, or suspected autoimmune disease.
* Current participation in other therapeutic investigational procedures, except for participation in Long Term Follow-Up without any investigational treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Leader

Role: STUDY_DIRECTOR

Daiichi Sankyo

Locations

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Florida Cancer Specialists

Sarasota, Florida, United States

Site Status RECRUITING

Oregon Health & Science University

Portland, Oregon, United States

Site Status RECRUITING

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status RECRUITING

University of Texas M.D. Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Huntsman Cancer Institute, University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

The Medical College of Wisconsin, INC

Milwaukee, Wisconsin, United States

Site Status RECRUITING

UZ Leuven

Leuven, , Belgium

Site Status RECRUITING

McGill University Health Center

Montreal, , Canada

Site Status NOT_YET_RECRUITING

Princess Margaret Cancer Center

Toronto, , Canada

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, , China

Site Status NOT_YET_RECRUITING

Shandong Cancer Hospital

Jinan, , China

Site Status RECRUITING

The Second Peoples Hospital of Neijiang

Neijiang, , China

Site Status RECRUITING

Shanghai East Hospital

Shanghai, , China

Site Status RECRUITING

Centre Léon Bérard

Lyon, , France

Site Status RECRUITING

Assistance Publique- de Marseille

Marseille, , France

Site Status RECRUITING

Chu Strasbourg

Strasbourg, , France

Site Status RECRUITING

Institut Claudius Regaud

Toulouse, , France

Site Status RECRUITING

Institut Gustave Roussy

Villejuif, , France

Site Status RECRUITING

National Cancer Center Hospital

Chūōku, , Japan

Site Status RECRUITING

Kansai Medical University Hospital

Hirakata-shi, , Japan

Site Status RECRUITING

National Cancer Center Hospital East

Kashiwa, , Japan

Site Status RECRUITING

Cancer Institute Hospital of Jfcr

Kōtoku, , Japan

Site Status RECRUITING

Kindai University Hospital

Ōsaka-sayama, , Japan

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Hospital Universitari Vall D'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Ramon Y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Next Madrid

Pozuelo de Alarcón, , Spain

Site Status RECRUITING

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status RECRUITING

Countries

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United States Belgium Canada China France Japan South Korea Spain

Central Contacts

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(US Sites) Daiichi Sankyo Contact for Clinical Trial Information

Role: CONTACT

908-992-6400

(Asia Sites) Daiichi Sankyo Contact for Clinical Trial Information

Role: CONTACT

+81-3-6225-1111 (M-F 9-5 JST)

Facility Contacts

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Principal Investigator

Role: primary

Principal Investigator

Role: primary

Principal Investigator

Role: primary

See Central Contact

Role: primary

Principal Investigator

Role: primary

See Central Contact

Role: primary

References

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Takano K, Yukiura M, Takahashi K, Kitamura M, Okuno H, Shiose Y, Honda K, Oyama K, Yamada M, Obuchi W, Kumagai K, Sakurai K, Goto R, Zembutsu A, Kagari T, Abe Y, Agatsuma T. DS-3939a: A TA-MUC1-Directed Antibody-Drug Conjugate with Broad Antitumor Activity. Mol Cancer Ther. 2026 Jan 2;25(1):7-20. doi: 10.1158/1535-7163.MCT-24-0666.

Reference Type DERIVED
PMID: 40635151 (View on PubMed)

Other Identifiers

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DS3939-077

Identifier Type: -

Identifier Source: org_study_id

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