Recruiting
Phase 1

DS5361b & Pembrolizumab

Sponsor:

Daiichi Sankyo

Code:

NCT07182591

Conditions

Advanced Solid Tumor

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

DS5361b

Pembrolizumab

Study Details

Brief summary:

This study aims to assess the safety, tolerability, and preliminary efficacy and to determine the MTD of DS5361b in monotherapy and combination with pembrolizumab in participants with advanced or metastatic solid tumors.

Conditions

Advanced Solid Tumor

Study ID

NCT07182591

Start date

Oct 2, 2025

Status verified date

Sep, 2026

Completion date

Dec 3, 2030

Anticipated

Primary completion date

Mar 18, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

The clinical site will screen for the full inclusion criteria per protocol.

1. Adults ≥18 years of age at the time the ICF is signed (Please follow local regulatory requirements if the legal age of consent for trial participation is >18 years old).
2. Has histologically- or cytologically documented recurrent, metastatic, or unresectable solid tumors that are refractory to or intolerable with standard treatment or for which no standard treatment is available (For Part 1 and Part 2 only).
3. Participants need to have documented TMB or MSI status using a validated or approved genomic test as per applicable regulations prior to Cycle 1 Day 1. In Part 1 and Part 2, participants need to have documented TMB-H and/or MSI-H status. In Part 3, participants need to have documented TMB-H status.
4. Has measurable disease based on local CT/MRI imaging as assessment by the investigator using RECIST v1.1.
5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1.
6. Has adequate organ and bone marrow function as assessed by local laboratory within 14 days prior to initiation of trial intervention.
7. For HNSCC participants only: have documented results from local testing of HPV for oropharyngeal cancer. If HPV status has previously been tested using this procedure, no retesting is required.

Dose Expansion (Part 3) Only:
8. Has histologically or cytologically confirmed, Stage IV NSCLC without actionable gene alteration.

  • No prior systemic therapy.
  • Participants with PD-L1 TPS ≥1%.
9. Has histologically or cytologically confirmed recurrent or metastatic HNSCC that is considered incurable by local therapies.

  • No prior systemic therapy administered in the recurrent or metastatic setting.
  • Participants with PD-L1 CPS ≥1.

Key Exclusion Criteria:

1. Has spinal cord compression or clinically active central nervous system metastases.
2. Has a history of leptomeningeal carcinomatosis.
3. Uncontrolled or significant cardiovascular disease.
4. Any of the following within the past 6 months prior to enrollment: cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event.
5. Has a history of (noninfectious) interstitial lung disease (ILD)/pneumonitis that required corticosteroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out.
6. Clinically severe pulmonary compromise (ie, requiring any supplemental oxygen).
7. Has any evidence of severe or uncontrolled systemic diseases.
8. Has active or uncontrolled HBV infection. Hepatitis B SCR testing is required.
9. Has active or uncontrolled HCV infection. Hepatitis C SCR testing is required.
10. For the dose escalation phase (Part 1 and Part 2), has HIV infection. For the dose expansion part (Part 3), has active or uncontrolled HIV infection.
11. Prior organ transplantation, including allogeneic stem cell transplantation.
12. Has an active, known, or suspected autoimmune disease.
13. Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 14 days prior to the trial intervention.

Study Design

Enrollment

192 participants

Anticipated

Allocation

Non randomized

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Part 1: Monotherapy (Dose Escalation)

Participants will receive DS5361b at escalating doses.

experimental: Part 2: Combination Therapy (Dose Escalation)

Participants will receive DS5361b at escalating doses in combination with Pembrolizumab.

experimental: Part 3: Combination Therapy (Dose Expansion)

Participants will receive DS5361b in combination with Pembrolizumab at the recommended dose for expansion (RDE).

Interventions

DS5361b

Dose Escalation Part: DS5361b will be administered at escalating doses to determine the RDE.

Dose Expansion Part: DS5361b will be administered at RDE.

Pembrolizumab

Dose Escalation Part: Pembrolizumab will be administered at a standard dose.

Dose Expansion Part: Pembrolizumab will be administered at a standard dose.

Primary outcome measure

  • Part 1 and 2: Number of participants with Dose-Limiting Toxicities (DLTs) [ Time Frame: Cycle 1: Day 1 up to Day 21 (each cycle is 21 days) ]
  • Part 1, 2, and 3: Number of Participants Experiencing a Treatment Emergent Adverse Event (TEAE) [ Time Frame: From Screening up to approximately 5 years ]
  • Part 3 Only: Objective Response Rate (ORR) Following the Administration of DS5361b at RDE(s) in Combination with Pembrolizumab [ Time Frame: From first dose up to approximately 5 years ]

Central Contacts and Locations

Central contacts

Contact for Trial Information

908-992-6400CTRinfo_us@daiichisankyo.com

Locations

Research Site

Recruiting

Sarasota, Florida, United States, 34232

Research Site

Recruiting

Providence, Rhode Island, United States, 02903

Research Site

Recruiting

Irving, Texas, United States, 75039

Research Site

Recruiting

San Antonio, Texas, United States, 78229

Research Site

Recruiting

Fairfax, Virginia, United States, 22031

More Information

Sponsor

Daiichi Sankyo

Last update posted

Sep 2, 2026

Last verified

Sep, 2026

Keywords

  • First-in-Human
  • Advanced Solid Tumors

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Daiichi Sankyo on 2026-09-02.