Drug intelligence / Profile preview

DS-1103a + trastuzumab deruxtecan

Development stage
Unknown
Lead developer
Daiichi Sankyo
Modality
Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

**DS-1103a + trastuzumab deruxtecan** is an investigational combination therapy currently in early clinical evaluation for advanced solid tumors. DS-1103a is a recombinant humanized IgG4 monoclonal antibody targeting signal regulatory protein alpha (SIRPα), designed to block the SIRPα-CD47 immune checkpoint pathway and promote phagocytosis of tumor cells. Trastuzumab deruxtecan (T-DXd) is an antibody-drug conjugate (ADC) that combines a human monoclonal antibody against HER2 (human epidermal growth factor receptor 2) with a topoisomerase I inhibitor payload via a cleavable linker. This combination aims to maximize anti-tumor immune activity by unblocking macrophage phagocytosis (via SIRPα inhibition) and delivering targeted cytotoxicity to HER2-expressing or HER2-mutant cancer cells (via T-DXd’s ADC mechanism). The development is led by Daiichi Sankyo and involves collaborations with AstraZeneca.

Other names
trastuzumab deruxtecanDS-8201aDS8201aDS 8201a
02

Targets

ERBB2 (Erb-b2 receptor tyrosine kinase 2)TOP1 (DNA Topoisomerase I)SIRPA (Signal-regulatory protein alpha)

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