FDA record · Cancer

Datroway (datopotamab deruxtecan-dlnk)

What FDA's own documents say about Datroway: what it is approved for, the trials FDA reviewed, the results it reported and the risks on the label.

Sponsor
Daiichi Sankyo Inc.
Application
BLA 761394
First approved
January 17, 2025
Status
Approved
Read from
13 FDA documents, 600 pages

What it is approved for

“DATROWAY is a Trop-2-directed antibody and topoisomerase inhibitor conjugate indicated for the treatment of:”

Prescribing information, supplement 003 · PDF p. 1 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
TROPION-Breast01D9268C00001NCT051048663699 of 13
TROPION-PanTumor01DS1062-A-J101NCT034013851214 of 13
TROPION-Lung01DS1062-A-U301NCT046566523163 of 13
TROPION-Breast02D926PC00001NCT053745123152 of 13
TROPION-Lung05DS1062-A-U202NCT044841422152 of 13
TROPIONBreast01not given65 of 13
TROPiCS-02not given41 of 13

Mentions: how many sentences across the FDA documents name the trial. NCT ids are read from the documents or, where they give none, matched on ClinicalTrials.gov by the trial's name or protocol code.

Results FDA reported

Sentences from FDA's reviews that give an endpoint's p-value, effect or confidence interval, those reporting a treatment effect first.

PFS

“The FDA agrees with the Applicant that TB01 demonstrated a statistically significant improvement in PFS, with a modest magnitude of effect [HR=0.63 (95% CI: 0.52, 0.76); median”

Multi-disciplinary Review · PDF p. 163 · fda.gov ↗

95%effect [HR=0.63

overall survival

“Median OS was 23.9 months in the T-DXd arm and 17.5 months in the chemotherapy arm (HR=0.64; 95% CI: 0.48, 0.86; p=0.0028).”

Multi-disciplinary Review · PDF p. 36 · fda.gov ↗

95%p=0.0028

PFS

“Median PFS was 5.5 months in the SG arm and 4 months in the chemotherapy arm (HR 0.661; 95% CI: 0.529, 0.826; p=0.0003); median OS was 14.4 months in the SG arm and”

Multi-disciplinary Review · PDF p. 36 · fda.gov ↗

95%p=0.0003

overall survival

“Overall, the observed final OS HR point estimate was close to 1 [HR=1.01 (95% CI: 0.83,”

Multi-disciplinary Review · PDF p. 154 · fda.gov ↗

estimate was close to 1 [HR=1.0195%

ORR

“There was an apparent positive exposure-ORR relationship, however, the logistic regression analysis indicated no significant exposure-ORR relationship (p > 0.001) with data from TB01.”

Multi-disciplinary Review · PDF p. 104 · fda.gov ↗

p > 0.001

Safety

Most common adverse reactions

“The most common adverse reactions (>=20%), including laboratory abnormalities, in patients with:”

Prescribing information, supplement 003 · PDF p. 1 · fda.gov ↗

Adverse events the documents discuss most

Dosing on the label

“The recommended dosage of DATROWAY is 6 mg/kg (up to a maximum of 540 mg for patients >=90 kg) given as an intravenous infusion once every 3 weeks (21-day cycle) until disease progression or unacceptable toxicity.”

Prescribing information, supplement 003 · PDF p. 1 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Prescribing information, original approval761394s000lbl.pdfJanuary 17, 20251782346274e789
Approval letter761394Orig1s000ltr.pdfFebruary 4, 2025714b2e71a546b
Administrative Correspondence761394Orig1s000AdminCorres.pdfFebruary 18, 202558archived copya7717b3f2d9a
Approval Letter761394Orig1s000Approv.pdfFebruary 18, 202510archived copy956dd02f1a0b
Chemistry Review761394Orig1s000ChemR.pdfFebruary 18, 202530archived copy6ec05b108db8
Prescribing Information (Label)761394Orig1s000Lbl.pdfFebruary 18, 202521689b81f9881e
Multi-disciplinary Review761394Orig1s000MultidisciplineR.pdfFebruary 18, 2025340e64424990624
Proprietary Name Review761394Orig1s000NameR.pdfFebruary 18, 202529a7eaad02f0b4
Officer/Employee List761394Orig1s000OEList.pdfFebruary 18, 202521fc4f85617d4
Other Reviews761394Orig1s000OtherR.pdfFebruary 18, 202542archived copy44cdddbcf774
Risk Assessment / REMS Review761394Orig1s000RiskR.pdfFebruary 18, 202513archived copyfbca953bb5ab
Approval letter, supplement 003761394Orig1s003ltr.pdfMay 27, 202642eb3104026a0
Prescribing information, supplement 003761394s003lbl.pdfJune 2, 20262775914ef39a10

Checked against FDA's copies on September 30, 2026. The sha256 is the fingerprint of the file that was read: download it from fda.gov and compare. Quotes come from the text of each file as read; pages FDA stored as images were read by OCR and are marked.

Generated automatically (auto): the trials, names and dates are drafted from the documents by rules, with no language model; see the method.

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