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Renal Cell CarcinomaPhase 1NCT04707248

A Study of DS-6000a in Subjects With Advanced Renal Cell Carcinoma and Ovarian Tumors

A Phase 1 study testing DS-6000a in people with Renal Cell Carcinoma and Ovarian Tumor, run by Daiichi Sankyo at 13 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This clinical trial will evaluate raludotatug deruxtecan (R-DXd; DS-6000a) in participants with advanced renal cell carcinoma (RCC) and ovarian cancer (OVC). The main goals of this study will be to investigate the recommended dose of R-DXd that can be given safely to participants, assess the adverse events of R-DXd… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Renal Cell Carcinoma, Ovarian Tumor
What is being tested?
DS-6000a
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
179 participants
Where
13 sitesin 2 countries
Study dates
22 Dec 2020to 30 Dec 2026
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent
  • At least 18 years of age
  • Eastern Cooperative Oncology Group Performance Status score of 0 or 1
  • Availability of archived tumor tissue samples
  • Has a left ventricular ejection fraction (LVEF) ≥50% by either an echocardiogram (ECHO) or multigated acquisition scan (MUGA) within 28 days before start of study treatment
  • Has adequate organ function within 7 days before the start of study treatment
  • Has an adequate treatment washout period prior to start of study treatment
  • Male participants with female partners of childbearing potential and female participants of child-bearing potential must agree to use a highly effective form of contraception or avoid intercourse during and upon completion of the study and for at least 4 months (for males) and for at least 7 months (for females) after the last dose of study drug.

Who cannot join

  • Has had prior treatment with other CDH6-targeted agents
  • Has had prior treatment with an ADC that consists of an exatecan derivative that is a topoisomerase I inhibitor (e.g., trastuzumab deruxtecan, datopotamab deruxtecan, ifinatamab deruxtecan, DS-3939)
  • Has history or current presence of CNS metastases except for participants who have completed radiotherapy or surgery ≥2 weeks before the start of study treatment and have no evidence of disease progression in the CNS and no requirement for chronic corticosteroid therapy within 2 weeks before the start of study treatment
  • 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 myocardial infarction or unstable angina within 6 months before start of study treatment
  • Has a medical history of symptomatic congestive heart failure (New York Heart Association classes II-IV) or a cardiac arrhythmia requiring treatment
  • Lung-specific intercurrent clinically significant illnesses
  • Has an uncontrolled infection requiring systemic therapy

Trial locations and contacts

13 sites in 2 countries.

13 sites in 2 countries

Japan7 sites
  • National Cancer Center Hospital

    Chuo Ku, Tokyo, 104-0045

  • National Hospital Organization Kyusyu Cancer Center

    Fukuoka, 811-1395

  • National Cancer Center Hospital East

    Kashiwa-shi, Tokyo, 277-8577

  • The Cancer Institute Hospital of Japanese Foundation for Cancer Research

    Kōtoku, 135-0063

  • National Hospital Organization Shikoku Cancer Center

    Matsuyama, 791-0280

  • Shizuoka Cancer Center

    Nakatogari, 411-8777

  • Saitama Medical University International Medical Center

    Saitama, 350-1298

Other trials in Japan

United States6 sites
  • Rocky Mountain Cancer Center

    Denver, Colorado, 80218

  • Florida Cancer Lake Mary

    Lake Mary, Florida, 32746

  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

  • Vanderbilt-Ingram Cancer Center

    Nashville, Tennessee, 37232

  • Oklahoma University

    Oklahoma City, Oklahoma, 73104

  • Arizona Oncology Associates, PC HOPE (A)A HOPE)

    Tucson, Arizona, 85711

Other trials in United States

About this study

Official title: Phase I, Two-Part, Multi-Center, First-in-Human Study of DS-6000a in Subjects With Advanced Renal Cell Carcinoma and Ovarian Tumors

This clinical trial will evaluate raludotatug deruxtecan (R-DXd; DS-6000a) in participants with advanced renal cell carcinoma (RCC) and ovarian cancer (OVC). The main goals of this study will be to investigate the recommended dose of R-DXd that can be given safely to participants, assess the adverse events of R-DXd, and evaluate the effectiveness of R-DXd.

Read the detailed description

R-DXd is an antibody drug conjugate that specifically binds to CDH6 on the cell surface of target cells, which leads to the internalization of R-DXd into the cells. MAAA-1181a that is released from R-DXd in the target cells inhibits cell replication and induces cell apoptosis.

This study will evaluate R-DXd given as a single agent once every 21 days. The dose escalation phase will enroll participants with OVC and RCC, and is designed to assess the safety and tolerability of R-DXd and to determine the maximum tolerated dose (MTD)/recommended dose for expansion (RDE). Following the selection of the RDE, the dose expansion phase will be initiated to evaluate clinical activity of R-DXd.

Being tested
DS-6000a
Keywords
Renal Cell Carcinoma, Ovarian Tumor, Raludotatug deruxtecan (R-DXd; DS-6000a)
Medical subject headings
Carcinoma, Renal Cell, Ovarian Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DS-6000aDrug

    Also called R-DXd

    Intravenous administration at doses starting at 1.6 mg/kg on Day 1 of Cycle 1

  • DS-6000aDrug

    Also called R-DXd

    Intravenous administration at RDE on Day 1 of Cycle 1

Study groups in NCT04707248
Study groupRoleWhat they receive
Dose EscalationExperimentalParticipants with ovarian cancer (OVC) or renal cell carcinoma (RCC) will receive an intravenous infusion of R-DXd (starting dose 1.6 mg/kg).
Receives: Drug: DS-6000a
Dose Expansion: Cohort B-1ExperimentalParticipants with RCC will receive an intravenous infusion of R-DXd at the RDE. Enrollment has ended for this cohort.
Receives: Drug: DS-6000a
Dose Expansion: Cohort B-2ExperimentalParticipants with OVC will receive an intravenous infusion of R-DXd at the RDE.
Receives: Drug: DS-6000a

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Dose-limiting toxicities (DLTs)

    Measured: Day 1 to Day 21 in Cycle 1 (each cycle is 21 days)

  2. Number of Participants Reporting Treatment-emergent Adverse Events, Serious Adverse Events, and Adverse Events of Special Interest

    Measured: From start of treatment up to 40 days after last dose, up to approximately 52 months

  3. Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) (Dose Expansion)

    ORR is defined as the proportion of participants with best overall response (BOR) of complete response (CR) or partial response (PR).

    Measured: From start of treatment (Cycle 1, Day 1) up to disease progression, up to approximately 52 months (each cycle is 21 days)

Secondary outcomes (12)
  1. Pharmacokinetic Analysis Area Under the Plasma Concentration-Time Curve from Time Zero to 21 Days (AUC 21d) for R-DXd and its Metabolites

    Measured: Cycles 1 and 3, Day 1: Predose, 3 hours, 5 hours, 8 hours postdose, end of infusion (EOI); Cycles 1 and 3, Day 2; Cycles 1 and 3, Days 4, 8, and 15; Cycle 2, Day 1: predose and EOI; Cycle 4, Day 1 and every then 2 cycles: predose (each cycle is 21 days)

  2. Pharmacokinetic Analysis Area Under the Plasma Concentration-Time Curve Up to the Last Quantifiable Time (AUClast) for R-DXd and its Metabolites

    Measured: Cycles 1 and 3, Day 1: Predose, 3 hours, 5 hours, 8 hours postdose, end of infusion (EOI); Cycles 1 and 3, Day 2; Cycles 1 and 3, Days 4, 8, and 15; Cycle 2, Day 1: predose and EOI; Cycle 4, Day 1 and every then 2 cycles: predose (each cycle is 21 days)

  3. Pharmacokinetic Analysis Maximum Plasma Concentration (Cmax) for R-DXd and its Metabolites

    Measured: Cycles 1 and 3, Day 1: Predose, 3 hours, 5 hours, 8 hours postdose, end of infusion (EOI); Cycles 1 and 3, Day 2; Cycles 1 and 3, Days 4, 8, and 15; Cycle 2, Day 1: predose and EOI; Cycle 4, Day 1 and then every 2 cycles: predose (each cycle is 21 days)

  4. Pharmacokinetic Analysis Lowest Plasma Concentration (Ctrough) for R-DXd and its Metabolites

    Measured: Cycles 1 and 3, Day 1: Predose, 3 hours, 5 hours, 8 hours postdose, end of infusion (EOI); Cycles 1 and 3, Day 2; Cycles 1 and 3, Days 4, 8, and 15; Cycle 2, Day 1: predose and EOI; Cycle 4, Day 1 and then every 2 cycles: predose (each cycle is 21 days)

  5. Pharmacokinetic Analysis Time to Maximum Plasma Concentration (Tmax) for R-DXd and its Metabolites

    Measured: Cycles 1 and 3, Day 1: Predose, 3 hours, 5 hours, 8 hours postdose, end of infusion (EOI); Cycles 1 and 3, Day 2; Cycles 1 and 3, Days 4, 8, and 15; Cycle 2, Day 1: predose and EOI; Cycle 4, Day 1 and then every 2 cycles: predose (each cycle is 21 days)

  6. Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) Per Investigator and Blinded Independent Central Review (Dose Escalation)

    ORR is defined as the proportion of participants with best overall response (BOR) of complete response (CR) or partial response (PR).

    Measured: From start of treatment (Cycle 1, Day 1) up to disease progression, up to approximately 52 months (each cycle is 21 days)

  7. Duration of Response (DoR) Based on RECIST v1.1 Per Investigator and Blinded Independent Central Review

    DoR is defined as the duration from the first documented response to the date of progression or death due to any cause.

    Measured: From date of first documented response to date of progression or death due to any cause (whichever occurs first), up to approximately 52 months

  8. Disease Control Rate (DCR) Based on RECIST v1.1 Per Investigator and Blinded Independent Central Review

    DCR is defined as the proportion of participants with BOR of CR, PR, or SD.

    Measured: From start of treatment up to first documented response (CR, PR, or SD), disease progression, or death (due to any cause), up to approximately 52 months

  9. Clinical Benefit Rate (CBR) Based on RECIST v1.1 Per Investigator and Blinded Independent Central Review

    CBR is defined as the proportion of participants with BOR of CR or PR, or participants with stable disease (SD) lasting at least 180 days.

    Measured: From date of first documented response (CR, PR) whichever occurs first or SD lasting at least 180 days to disease progression or death (due to any cause), up to approximately 52 months

  10. Time to Response (TTR) Based on RECIST v1.1 Per Investigator and Blinded Independent Central Review

    Measured: From start of treatment up to first documented response (CR, PR, or SD), disease progression, or death (due to any cause), up to approximately 52 months

  11. Progression-free Survival Based on RECIST v1.1 Per Investigator and Blinded Independent Central Review

    Measured: From start of treatment up to disease progression or death (due to any cause), up to approximately 52 months

  12. Percentage of Participants Who Are Anti-Drug Antibody (ADA)-Positive (Baseline and Post-Baseline) and Percentage of Participants Who Have Treatment-emergent ADA

    Measured: Cycle 1 Day 1, Cycle 1 Day 15, and pre-dose on Day 1 of Cycle 2 through Cycle 4; then every 2 cycles from Cycle 4 through the end of treatment visit (each cycle is 21 days), and 40-day safety follow up visit, up to approximately 52 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2021
  2. Study start22 Dec 2020
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
179 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04707248
Sponsor's protocol ID
DS6000-A-U101
Status last verified
Sep 2026
First submitted
16 Dec 2020
Last updated
4 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DS-6000a in people with Renal Cell Carcinoma and Ovarian Tumor, run by Daiichi Sankyo at 13 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 4 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Japan, United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Dose-limiting toxicities (DLTs) (time frame: Day 1 to Day 21 in Cycle 1 (each cycle is 21 days)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2026.

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