On July 20, 2022 Daiichi Sankyo (TSE: 4568) reported that the first patient has been dosed in a global phase 2 trial evaluating the efficacy and safety of DS-7300 in patients with pretreated extensive-stage small cell lung cancer (SCLC) (Press release, Daiichi Sankyo, JUL 20, 2022, View Source [SID1234616814]). DS-7300 is a specifically designed potential first-in-class B7-H3 directed antibody drug conjugate (ADC) discovered and being developed by Daiichi Sankyo.
Schedule your 30 min Free 1stOncology Demo!
Discover why more than 1,500 members use 1stOncology™ to excel in:
Early/Late Stage Pipeline Development - Target Scouting - Clinical Biomarkers - Indication Selection & Expansion - BD&L Contacts - Conference Reports - Combinatorial Drug Settings - Companion Diagnostics - Drug Repositioning - First-in-class Analysis - Competitive Analysis - Deals & Licensing
Schedule Your 30 min Free Demo!
Lung cancer is the second most common cancer and the leading cause of cancer-related deaths worldwide, with up to 14% being classified as SCLC in the U.S.1,2 Most patients with SCLC are diagnosed with extensive-stage disease and have a 5-year survival rate as low as 3%, highlighting the significant unmet need for more effective treatment options.3,4,5,6,7 B7-H3 is overexpressed in a wide range of cancer types, including SCLC, and its overexpression has been shown to correlate with poor prognosis in some cancers, making B7-H3 a promising therapeutic target.8,9,10,11,12,13
"Patients with pretreated extensive-stage small cell lung cancer have limited treatment options following disease progression," said Gilles Gallant, BPharm, PhD, FOPQ, Senior Vice President, Global Head, Oncology Clinical Development, Oncology R&D, Daiichi Sankyo. "Based on the encouraging results seen in the ongoing phase 1/2 trial, we have initiated this phase 2 trial of DS-7300 to further evaluate whether targeting B7-H3 with our DXd antibody drug conjugate technology may become a potential treatment option for patients with extensive-stage small cell lung cancer."
About the Phase 2 Trial
This global phase 2 trial is evaluating the efficacy and safety of two doses (8 mg/kg or 12 mg/kg) of DS-7300 in patients with histologically or cytologically confirmed extensive-stage SCLC that received at least one prior line of platinum-based chemotherapy.
Patients will be randomized 1:1 to receive either 8 mg/kg or 12 mg/kg of DS-7300. The primary endpoint of the trial is objective response rate (ORR) as assessed by blinded independent central review. Secondary endpoints include progression-free survival, duration of response, overall survival, time to response, disease control rate, investigator-assessed ORR, pharmacokinetics, immunogenicity and safety. The trial will enroll approximately 80 patients across Asia, Europe and North America. For more information about this trial, please visit ClinicalTrials.gov.
About B7-H3
B7-H3 is a transmembrane protein that belongs to the B7 family, which also includes PD-L1. B7-H3 is overexpressed in a wide range of cancer types, including SCLC, squamous non-small cell lung cancer and prostate cancer. B7-H3 overexpression has been shown to correlate with poor prognosis in some cancers, making B7-H3 a promising therapeutic target.8,9,10,11,12,13 Currently, no B7-H3 directed medicines are approved for the treatment of any cancer.
About Small Cell Lung Cancer
Lung cancer is the second most common cancer and the leading cause of cancer-related deaths worldwide, with up to 14% being classified as SCLC in the U.S.1,2 Extent of disease at initial diagnosis of SCLC is an important prognostic factor, as the 5-year survival rate is approximately 30% for patients with localized disease compared with only 3% of patients with extensive-stage disease.14
First-line standard of care for patients with extensive-stage SCLC consists of platinum-based chemotherapy with or without immunotherapy, depending on local availability.15 Treatment options beyond first-line have limited efficacy and are associated with rapid disease progression and high rates of hematologic toxicity, highlighting the unmet need for novel therapies.16
About DS-7300
DS-7300 is an investigational B7-H3 directed ADC and is one of five ADCs currently in clinical development in the oncology pipeline of Daiichi Sankyo. Designed using Daiichi Sankyo’s proprietary DXd ADC technology, DS-7300 is comprised of a humanized anti-B7-H3 IgG1 monoclonal antibody attached to a number of topoisomerase I inhibitor payloads (an exatecan derivative, DXd) via tetrapeptide-based cleavable linkers.
In addition to the phase 2 trial in extensive-stage SCLC, DS-7300 is being evaluated in a phase 1/2 trial in collaboration with the Sarah Cannon Research Institute in three cohorts of patients with metastatic squamous non-small cell lung cancer, esophageal squamous cell carcinoma and castration-resistant prostate cancer.
DS-7300 is an investigational medicine that has not been approved for any indication in any country. Safety and efficacy have not been established.