TheraRadar

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Data updated: Mar 10, 2026

DATROWAY

DATOPOTAMAB DERUXTECAN-DLNK
Oncology Approved 2025-01-17

DATROWAY is a Trop-2-directed antibody-drug conjugate indicated for the treatment of specific advanced lung and breast cancers. It is used in adult patients with locally advanced or metastatic EGFR-mutated non-small cell lung cancer who have previously undergone EGFR-directed therapy and platinum-based chemotherapy. Additionally, it is approved for adult patients with unresectable or metastatic HR-positive, HER2-negative breast cancer following prior endocrine-based therapy and chemotherapy. The lung cancer indication is granted under accelerated approval, with continued approval dependent on the verification of clinical benefit in confirmatory trials.

Source: FDA Label • DAIICHI SANKYO INC

How DATROWAY Works

Datopotamab deruxtecan-dlnk consists of a humanized anti-Trop2 antibody linked to a topoisomerase I inhibitor payload called DXd. The drug binds to Trop-2 receptors on the surface of tumor cells and is internalized into the cell, where lysosomal enzymes cleave the linker to release the payload. Once released, the membrane-permeable DXd causes DNA damage and triggers apoptotic cell death. This targeted delivery system allows for anti-tumor activity specifically in cells expressing Trop-2.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2025-01-17
Routes
IV (INFUSION), INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: DATOPOTAMAB DERUXTECAN-DLNK

DATROWAY Approval History

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What DATROWAY Treats

2 indications

DATROWAY is approved for 2 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Non-Small Cell Lung Cancer
  • Breast Cancer
Source: FDA Label

DATROWAY Target & Pathway

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Target

EGFR (Epidermal Growth Factor Receptor) Growth Factor Receptor

A receptor that triggers cell growth, proliferation, and survival when activated. Mutations or overexpression of EGFR drive many cancers, particularly lung cancer. Blocking EGFR stops the growth signals that fuel tumor progression.

DATROWAY Competitors

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Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (EGFR). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

DATROWAY FDA Label Details

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Indications & Usage

FDA Label (PDF)

DATROWAY is a Trop-2-directed antibody and topoisomerase inhibitor conjugate indicated for the treatment of: adult patients with locally advanced or metastatic epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) who have received prior EGFR-directed therapy and platinum-based chemotherapy. This indication is approved under accelerated approval based on objective response rate and duration of response [see Clinical Studies ] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in the confirmatory trial. a...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.