A Phase III, Open-label, Randomised Study of Datopotamab Deruxtecan (Dato-DXd) With or Without Durvalumab Compared With Investigator's Choice of Chemotherapy (Paclitaxel, Nab-paclitaxel or Gemcitabine + Carboplatin) in Combination With Pembrolizumab in Patients With PD-L1 Positive Locally Recurrent Inoperable or Metastatic Triple-negative Breast Cancer (TROPION-Breast05)

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Investigational drug late phase More information Active drug More information Moderate burden on patient More information

Trial Details

Sponsor: AstraZeneca (industry)

Phase: 3

Start date: Nov. 23, 2023

Planned enrollment: 625

Trial ID: NCT06103864
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More trial details at ClinicalTrials.gov More info

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Goal: To determine whether datopotamab deruxtecan (Dato-DXd) plus durvalumab improves progression-free survival versus investigator’s choice chemotherapy plus pembrolizumab in PD-L1–positive locally recurrent inoperable or metastatic triple-negative breast cancer, and to assess overall survival, antitumor activity, safety, and impact on quality of life. The study also explores the contribution of Dato-DXd monotherapy.

Patients: Adults with histologically or cytologically confirmed locally recurrent inoperable or metastatic triple-negative breast cancer, PD-L1 positive by 22C3 CPS ≥10, no prior systemic therapy for advanced disease, ECOG 0–1, measurable disease by RECIST 1.1, and adequate organ function. Prior (neo)adjuvant therapy allowed if recurrence occurred ≥6 months after completion. Stable, treated, asymptomatic brain metastases may be eligible. Key exclusions include uncontrolled comorbidities, significant cardiac disease, active ILD/pneumonitis or history requiring steroids, uncontrolled infections including active HBV/HCV or poorly controlled HIV, clinically significant corneal disease, active autoimmune disease, and prior TROP2-directed or topoisomerase I–containing ADCs.

Design: International, multicenter, open-label, randomized Phase III, three-arm trial with approximately 625 participants. Randomization is stratified by geography, disease-free interval (de novo vs 6–12 months vs >12 months), and prior PD-1/PD-L1 therapy in early-stage TNBC. The primary comparison is Dato-DXd + durvalumab versus chemotherapy + pembrolizumab, with Dato-DXd monotherapy as an additional experimental arm.

Treatments: Arm 1: Dato-DXd plus durvalumab. Arm 2: Investigator’s choice chemotherapy (paclitaxel, nab-paclitaxel, or gemcitabine/carboplatin) plus pembrolizumab, a PD-1 inhibitor standard in PD-L1–positive metastatic TNBC. Arm 3: Dato-DXd monotherapy. Dato-DXd is an investigational TROP2-directed antibody-drug conjugate composed of a humanized anti-TROP2 IgG1 linked via a cleavable tetrapeptide to a membrane-permeable topoisomerase I inhibitor payload (DXd). After binding TROP2 and internalization, DXd is released to induce DNA damage; bystander killing can occur due to payload permeability. In prior Phase III studies, Dato-DXd improved PFS versus docetaxel in previously treated metastatic NSCLC and achieved PFS benefit in HR+/HER2− breast cancer, with a manageable safety profile; ILD/pneumonitis remains an adverse event of special interest.

Outcomes: Primary: Progression-free survival by BICR per RECIST 1.1. Key secondary endpoints include overall survival, objective response rate, duration of response, investigator-assessed PFS, 24-week clinical benefit rate, patient-reported outcomes (time to deterioration in breast/arm symptoms, pain, physical function, and global health status/quality of life), time to first and second subsequent therapy, PFS2, pharmacokinetics and immunogenicity of Dato-DXd with durvalumab, and safety/tolerability (adverse events).

Burden on patient: Moderate. Requirements include central confirmation of PD-L1 positivity and provision of a recent FFPE tumor sample, with potential need for a new biopsy if metastatic tissue is unavailable. Imaging for RECIST assessments will occur at regular intervals typical of Phase III metastatic studies. Patients on Dato-DXd±durvalumab will have infusion visits and additional safety monitoring for stomatitis, ocular symptoms, and pulmonary events; targeted assessments for ILD/pneumonitis may include baseline and symptom-triggered imaging and pulmonology evaluation. The trial includes PRO questionnaires and, for combination therapy, pharmacokinetic and immunogenicity blood draws over multiple cycles, adding visit time. Comparator arm involves standard chemo-immunotherapy infusions and routine laboratory and toxicity monitoring. Travel and visit frequency are in line with standard first-line metastatic TNBC trials, but added PK/ADA sampling and vigilant ILD monitoring increase procedural intensity compared with routine care.

Last updated: Oct 2025

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Research Site

Roanoke, Virginia, 24014, United States

No email / No phone

Status: Recruiting

Research Site

Charlottesville, Virginia, 22903, United States

No email / No phone

Status: Recruiting

Research Site

Tacoma, Washington, 98405, United States

No email / No phone

Status: Recruiting

Research Site

Hồ Chí Minh, 700000, Vietnam

No email / No phone

Status: Recruiting

Research Site

Ho Chi Minh City, 700000, Vietnam

No email / No phone

Status: Recruiting

Research Site

Hanoi, 100000, Vietnam

No email / No phone

Status: Recruiting

Research Site

Vinh, 460000, Vietnam

No email / No phone

Status: Recruiting

Research Site

Zhanjiang, 524003, China

No email / No phone

Status: Not yet recruiting

Research Site

Anyang, 455000, China

No email / No phone

Status: Not yet recruiting

Research Site

Hong Kong, HKG, Hong Kong

No email / No phone

Status: Not yet recruiting

Research Site

Hong Kong, 999077, Hong Kong

No email / No phone

Status: Not yet recruiting

Research Site

Shatin, 00000, Hong Kong

No email / No phone

Status: Not yet recruiting

Research Site

Hong Kong, Hong Kong

No email / No phone

Status: Not yet recruiting

Research Site

Jaipur, 302004, India

No email / No phone

Status: Not yet recruiting

Research Site

Bergamo, 24127, Italy

No email / No phone

Status: Not yet recruiting

Research Site

CD Mexico, 04980, Mexico

No email / No phone

Status: Not yet recruiting

Research Site

Guadalajara, 44638, Mexico

No email / No phone

Status: Not yet recruiting

Research Site

Tuxtla Gutiérrez, 29090, Mexico

No email / No phone

Status: Not yet recruiting

Research Site

Gdansk, 80-952, Poland

No email / No phone

Status: Not yet recruiting

Research Site

Warsaw, 02-781, Poland

No email / No phone

Status: Not yet recruiting

Research Site

Lodz, 90-302, Poland

No email / No phone

Status: Not yet recruiting

Research Site

Singapore, 308433, Singapore

No email / No phone

Status: Not yet recruiting

Research Site

Singapore, 217562, Singapore

No email / No phone

Status: Not yet recruiting

Research Site

Việt Trì, 35000, Vietnam

No email / No phone

Status: Not yet recruiting

Research Site

Da Nang, 550000, Vietnam

No email / No phone

Status: Not yet recruiting

Research Site

Huế, 530000, Vietnam

No email / No phone

Status: Not yet recruiting

Research Site

Busan, 49241, South Korea

No email / No phone

Status: Completed

Research Site

CABA, C1425, Argentina

No email / No phone

Status: Withdrawn

Research Site

Chongqing, 400030, China

No email / No phone

Status: Withdrawn

Research Site

Georgsmarienhütte, 49124, Germany

No email / No phone

Status: Withdrawn

Research Site

Hamburg, 20357, Germany

No email / No phone

Status: Withdrawn

Research Site

Hanover, 30625, Germany

No email / No phone

Status: Withdrawn

Research Site

Heidelberg, 69120, Germany

No email / No phone

Status: Withdrawn

Research Site

Heilbronn, 74078, Germany

No email / No phone

Status: Withdrawn

Research Site

Leipzig, 04103, Germany

No email / No phone

Status: Withdrawn

Research Site

Düsseldorf, 40479, Germany

No email / No phone

Status: Withdrawn

Research Site

Essen, 45136, Germany

No email / No phone

Status: Withdrawn

Research Site

Visakhapatnam, 530053, India

No email / No phone

Status: Withdrawn

Research Site

Calicut, 673601, India

No email / No phone

Status: Withdrawn

Research Site

Kochi, 682027, India

No email / No phone

Status: Withdrawn

Research Site

Kolkata, 700160, India

No email / No phone

Status: Withdrawn

Research Site

Modena, 41124, Italy

No email / No phone

Status: Withdrawn

Research Site

Guadalajara, 44670, Mexico

No email / No phone

Status: Withdrawn

Research Site

Przemyśl, 37-700, Poland

No email / No phone

Status: Withdrawn

Research Site

Bialystok, 15-027, Poland

No email / No phone

Status: Withdrawn

Research Site

Bydgoszcz, 85-796, Poland

No email / No phone

Status: Withdrawn

Research Site

Gdynia, 81-519, Poland

No email / No phone

Status: Withdrawn

Research Site

Konin, 62-500, Poland

No email / No phone

Status: Withdrawn

Research Site

Krakow, 31-115, Poland

No email / No phone

Status: Withdrawn

Research Site

Legnica, 59-220, Poland

No email / No phone

Status: Withdrawn

Research Site

Wroclaw, 53-413, Poland

No email / No phone

Status: Withdrawn

Research Site

Lublin, 20-090, Poland

No email / No phone

Status: Withdrawn

Research Site

Singapore, 119228, Singapore

No email / No phone

Status: Withdrawn

Research Site

Barcelona, 08028, Spain

No email / No phone

Status: Withdrawn

Research Site

Madrid, 28034, Spain

No email / No phone

Status: Withdrawn

Research Site

Izmir, 35575, Turkey (Türkiye)

No email / No phone

Status: Withdrawn

Research Site

London, SW17 0QT, United Kingdom

No email / No phone

Status: Withdrawn

Research Site

Santa Rosa, California, 95403, United States

No email / No phone

Status: Withdrawn

Research Site

Duarte, California, 91010, United States

No email / No phone

Status: Withdrawn

Research Site

Palm Bay, Florida, 32909, United States

No email / No phone

Status: Withdrawn

Research Site

Honolulu, Hawaii, 96819, United States

No email / No phone

Status: Withdrawn

Research Site

Naperville, Illinois, 60540, United States

No email / No phone

Status: Withdrawn

Research Site

Elmhurst, Illinois, 60126, United States

No email / No phone

Status: Withdrawn

Research Site

Decatur, Illinois, 62526, United States

No email / No phone

Status: Withdrawn

Research Site

New Albany, Indiana, 47150, United States

No email / No phone

Status: Withdrawn

Research Site

Lexington, Kentucky, 40503, United States

No email / No phone

Status: Withdrawn

Research Site

Louisville, Kentucky, 40202, United States

No email / No phone

Status: Withdrawn

Research Site

Louisville, Kentucky, 40207, United States

No email / No phone

Status: Withdrawn

Research Site

Baton Rouge, Louisiana, 70808, United States

No email / No phone

Status: Withdrawn

Research Site

Baltimore, Maryland, 21215, United States

No email / No phone

Status: Withdrawn

Research Site

Worcester, Massachusetts, 01655, United States

No email / No phone

Status: Withdrawn

Research Site

Boston, Massachusetts, 02111, United States

No email / No phone

Status: Withdrawn

Research Site

Grand Rapids, Michigan, 49503, United States

No email / No phone

Status: Withdrawn

Research Site

Hattiesburg, Mississippi, 39401, United States

No email / No phone

Status: Withdrawn

Research Site

Albany, New York, 12206, United States

No email / No phone

Status: Withdrawn

Research Site

York, Pennsylvania, 17403, United States

No email / No phone

Status: Withdrawn

Research Site

McKinney, Texas, 75071, United States

No email / No phone

Status: Withdrawn

Research Site

Flower Mound, Texas, 75028, United States

No email / No phone

Status: Withdrawn

Research Site

Fort Worth, Texas, 76104, United States

No email / No phone

Status: Withdrawn

Research Site

Houston, Texas, 77054, United States

No email / No phone

Status: Withdrawn

Research Site

Houston, Texas, 77090, United States

No email / No phone

Status: Withdrawn

Research Site

Houston, Texas, 77098, United States

No email / No phone

Status: Withdrawn

Research Site

Kingwood, Texas, 77339, United States

No email / No phone

Status: Withdrawn

Research Site

Dallas, Texas, 75230, United States

No email / No phone

Status: Withdrawn

Research Site

Dallas, Texas, 75246, United States

No email / No phone

Status: Withdrawn

Research Site

Madison, Wisconsin, 53792, United States

No email / No phone

Status: Withdrawn

Research Site

Surrey, GU2 7XX, United Kingdom

No email / No phone

Status: SUSPENDED

Research Site

Atlanta, Georgia, 30318, United States

No email / No phone

Status: SUSPENDED

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