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DRUG:

raludotatug deruxtecan (DS-6000)

i
Other names: DS-6000, DS-6000a, R-DXd, MK-5909
Associations
Trials
Company:
Daiichi Sankyo, Merck (MSD)
Drug class:
Topoisomerase I inhibitor, CDH6-targeted antibody-drug conjugate
Related drugs:
Associations
Trials
1m
Enrollment open
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gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan • raludotatug deruxtecan (DS-6000)
4ms
Raludotatug Deruxtecan, a CDH6-Targeting Antibody-Drug Conjugate with a DNA Topoisomerase I Inhibitor DXd, is Efficacious in Human Ovarian and Kidney Cancer Models. (PubMed, Mol Cancer Ther)
R-DXd demonstrated potent antitumor activity against CDH6-expressing tumors in mice and an acceptable safety profile in monkeys. These findings indicate the potential of R-DXd as a new treatment option for patients with CDH6-expressing serous-type ovarian cancer and renal cell carcinoma in a clinical setting.
Preclinical • Journal
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CHEK1 (Checkpoint kinase 1) • CASP3 (Caspase 3) • CDH6 (Cadherin 6)
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CDH6 expression
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raludotatug deruxtecan (DS-6000)
5ms
New P2/3 trial
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gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan • raludotatug deruxtecan (DS-6000)
9ms
Targeting cadherin-6 in epithelial ovarian cancer: Clinical significance of its expression and efficacy of raludotatug deruxtecan (R-DXd) in patient-derived cell models (ESMO 2023)
DXd demonstrated cytotoxicity in all PDC models, regardless of CDH6 expression, whereas control ADC and anti-CDH6 naked antibody showed no growth inhibitory effects. Conclusions CDH6 is an attractive target for EOC and R-DXd is a promising agent for the treatment of CDH6-expressing EOC.
Clinical
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CDH6 (Cadherin 6)
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CDH6 expression
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raludotatug deruxtecan (DS-6000)
9ms
Raludotatug deruxtecan (R-DXd; DS-6000) monotherapy in patients with previously treated ovarian cancer (OVC): Subgroup analysis of a first-in-human phase I study (ESMO 2023)
Results As of 03 March 2023, 42 patients with OVC had received R-DXd at 4.8 (n = 7), 6.4 (n = 20), and 8.0 (n = 15) mg/kg: 40 (95%) had platinum-resistant disease, 29 (69%) had received prior bevacizumab, and 26 (62%) had received prior PARP inhibitors. Eleven of 21 GCIG-evaluable patients (52%) had a CA-125 response. Conclusions In heavily pretreated OVC patients without CDH6 preselection, R-DXd demonstrated acceptable safety and encouraging preliminary efficacy, which supports further clinical development in OVC.
Clinical • P1 data • PARP Biomarker
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MUC16 (Mucin 16, Cell Surface Associated) • CDH6 (Cadherin 6)
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Avastin (bevacizumab) • raludotatug deruxtecan (DS-6000)
10ms
A Study of DS-6000a in Subjects With Advanced Renal Cell Carcinoma and Ovarian Tumors (clinicaltrials.gov)
P1, N=140, Recruiting, Daiichi Sankyo, Inc. | Trial completion date: Jul 2023 --> Oct 2024 | Trial primary completion date: May 2023 --> Oct 2024
Trial completion date • Trial primary completion date • Metastases
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raludotatug deruxtecan (DS-6000)