CClinicalTrials.gg
Active, not recruitingNCT06864169REJOICE-GI01Updated Apr 23, 2026

A Study of Raludotatug Deruxtecan (R-DXd) in People With Gastrointestinal Cancers (MK-5909-005)

A Phase 2 interventional study of Raludotatug Deruxtecan (R-DXd) in Gastrointestinal Cancer, sponsored by Merck Sharp & Dohme LLC. Active, not recruiting at 41 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-23.

Sponsored by Merck Sharp & Dohme LLC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
160
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Researchers are looking for new ways to treat certain types of advanced gastrointestinal (GI) cancers. The study medicine raludotatug deruxtecan (also called MK-5909, R-DXd, or DS-6000a) is a type of medicine called an antibody-drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells.

The main goal of this study is to learn if the cancer responds to treatment (gets smaller or goes away).

02

Conditions studied

  • Gastrointestinal Cancer
03

In context

Gastrointestinal Neoplasms

779 studies on the registry are indexed under Gastrointestinal Neoplasms; 231 are open to participants now.

This study's planned enrollment of 160 is above the median of 60 across 569 interventional studies indexed under Gastrointestinal Neoplasms.

Browse Gastrointestinal Neoplasms studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

The main inclusion criteria include but are not limited to the following:

  • Has one of the following cancers:

    • Unresectable or metastatic pancreatic ductal adenocarcinoma (PDAC)
    • Unresectable or metastatic adenocarcinoma of the biliary tract [intra- or extrahepatic holangiocarcinoma (CCA) or gallbladder cancer (GBC)]
    • Unresectable or metastatic colorectal adenocarcinoma
    • Unresectable or metastatic gastric adenocarcinoma
    • Gastroesophageal junction adenocarcinoma (GEJAC)
    • Esophageal adenocarcinoma (EAC)
  • Has received prior therapy for the cancer
  • Has a life expectancy of at least 3 months
  • If human immunodeficiency virus (HIV) infected, must have well controlled HIV on antiretroviral therapy (ART)

Exclusion criteria

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Has a history of (noninfectious) interstitial lung disease (ILD)/pneumonitis that required steroids or has current ILD/pneumonitis, and/or suspected ILD/pneumonitis
  • Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses
  • Has uncontrolled or significant cardiovascular disease
  • Has a known additional malignancy that is progressing or has required active treatment within the past 3 years
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
  • Active autoimmune disease that has required systemic treatment in the past 2 years
  • Has not adequately recovered from major surgery or has ongoing surgical complications
  • HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Raludotatug Deruxtecan (R-DXd)

    R-DXd will be administered via IV infusion.

    Biological: Raludotatug Deruxtecan (R-DXd)

Interventions

  • BiologicalRaludotatug Deruxtecan (R-DXd)

    Administered via intravenous (IV) infusion.

    Also known as: MK-5909, DS 6000a

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience CR or PR as assessed by BICR will be presented.

    Time frame: Approximately 15 months

Secondary outcomes

  1. Number of Participants who Experience One or More Adverse Events (AEs)

    An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experience an AE will be reported.

    Time frame: Up to approximately 14 months

  2. Number of Participants who Discontinue Study Treatment due to an AE

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinue study treatment due to an AE will be reported.

    Time frame: Up to approximately 12 months

  3. Duration of Response (DOR)

    For participants who demonstrate a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. DOR as assessed by BICR will be presented.

    Time frame: Up to approximately 49 months

  4. Progression Free Survival (PFS)

    PFS is defined as the time from first day of study intervention to the first documented progressive disease (PD) or death due to any cause, whichever occurs first as assessed by BICR. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. The appearance of one or more new lesions is also considered PD. PFS as assessed by BICR will be presented.

    Time frame: Up to approximately 49 months

  5. Overall Survival (OS)

    OS is defined as the time from the first dose to death due to any cause.

    Time frame: Up to approximately 49 months

07

Study locations

41 sites
  • Yale New Haven Hospital ( Site 0375)
    New Haven, Connecticut 06510, United States
  • Sibley Memorial Hospital ( Site 0372)
    Washington D.C., District of Columbia 20016, United States
  • Mt Sinai Comprehensive Cancer Center ( Site 0345)
    Miami Beach, Florida 33140, United States
  • St. Vincent Healthcare Frontier Cancer Center ( Site 0347)
    Billings, Montana 59102, United States
  • Morristown Medical Center ( Site 0349)
    Morristown, New Jersey 07960, United States
  • University Hospitals Cleveland Medical Center ( Site 0369)
    Cleveland, Ohio 44106, United States
  • University of Virginia Cancer Center ( Site 0365)
    Charlottesville, Virginia 22903, United States
  • University of Wisconsin Carbone Cancer Center ( Site 0348)
    Madison, Wisconsin 53792, United States
  • Instituto de Investigaciones Clinicas Mar del Plata ( Site 0001)
    Mar del Plata, Buenos Aires B7600FZO, Argentina
  • Nefra Medical Care - CEMIC Saavedra ( Site 0008)
    Buenos Aires, Buenos Aires F.D. C1431FWO, Argentina
  • Instituto Medico de la Fundacion Estudios Clinicos ( Site 0007)
    Rosario, Santa Fe Province S2000CEJ, Argentina
  • Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0006)
    La Rioja, F5300COE, Argentina
  • Sunnybrook Research Institute ( Site 0044)
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Centre ( Site 0041)
    Toronto, Ontario M5G 1X6, Canada
  • Centre Hospitalier de l'Université de Montréal ( Site 0042)
    Montreal, Quebec H2X 3E4, Canada
  • FALP ( Site 0062)
    Santiago, Region M. de Santiago 7500921, Chile
  • Centro de Estudios Clínicos SAGA ( Site 0064)
    Santiago, Region M. de Santiago 7501010, Chile
  • Clínica UC San Carlos de Apoquindo ( Site 0066)
    Santiago, Region M. de Santiago 7620002, Chile
  • Bradfordhill ( Site 0069)
    Santiago, Region M. de Santiago 8420383, Chile
  • Centre François Baclesse ( Site 0085)
    Caen, Calvados 14076, France
  • Institut Regional du Cancer Montpellier ( Site 0084)
    Montpellier, Herault 34298, France
  • Gustave Roussy ( Site 0081)
    Villejuif, Val-de-Marne 94800, France
  • Pitie Salpetriere University Hospital ( Site 0082)
    Paris, 75013, France
  • Prince of Wales Hospital ( Site 0122)
    Hksar, Hong Kong
  • Queen Mary Hospital ( Site 0121)
    Hksar, Hong Kong
  • Institut Català d'Oncologia (ICO) - Badalona ( Site 0222)
    Badalona, Barcelona 08916, Spain
  • Hospital Universitario Marqués de Valdecilla ( Site 0221)
    Santander, Cantabria 39008, Spain
  • Hospital Clinic de Barcelona ( Site 0223)
    Barcelona, 08036, Spain
  • Hospital General Universitario Gregorio Marañón ( Site 0225)
    Madrid, 28007, Spain
  • Hospital Universitario Fundacion Jimenez Diaz ( Site 0224)
    Madrid, 28040, Spain
  • Universitaetsspital Basel ( Site 0241)
    Basel, Canton of Basel-City 4031, Switzerland
  • Hôpitaux Universitaires de Genève (HUG) ( Site 0245)
    Geneva, Canton of Geneva 1211, Switzerland
  • Universitaetsspital Zuerich ( Site 0242)
    Zurich, 8091, Switzerland
  • China Medical University Hospital ( Site 0267)
    Taichung, 40447, Taiwan
  • Taichung Veterans General Hospital ( Site 0265)
    Taichung, 407, Taiwan
  • National Cheng Kung University Hospital ( Site 0263)
    Tainan, 70403, Taiwan
  • National Taiwan University Hospital ( Site 0261)
    Taipei, 10002, Taiwan
  • Mackay Memorial Hospital ( Site 0266)
    Taipei, 104, Taiwan
  • Taipei Veterans General Hospital ( Site 0262)
    Taipei, 112, Taiwan
  • Ramathibodi Hospital. ( Site 0282)
    Bangkok, Bangkok 10400, Thailand
  • Faculty of Medicine Siriraj Hospital ( Site 0281)
    Bangkok, Bangkok 10700, Thailand
08

References and documents

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06864169
Lead sponsor
Merck Sharp & Dohme LLC
Collaborators
Daiichi Sankyo
Responsible party
Sponsor
First posted
Mar 7, 2025
Start date
Apr 1, 2025
Primary completion
Aug 18, 2026 (estimated)
Completion
Jan 4, 2029 (estimated)
Last update
Apr 23, 2026

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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