A Phase 1 Study of DS-3201b in Subjects With Acute Myelogenous Leukemia (AML) or Acute Lymphocytic Leukemia (ALL)
Phase: PHASE1
Conditions: Leukemia, Myeloid, Acute, Leukemia, Lymphocytic, Acute
Sponsor: Daiichi Sankyo

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Protocol DS3201-A-U102 
Version 6.0, 29 Jun 2020 
Proprietary and Confidential 
Page 2 
INVESTIGATOR AGREEMENT 
A Phase I Study of DS-3201b in Subjects with Acute Myelogenous Leukemia 
(AML) or Acute Lymphocytic Leukemia (ALL) 
Sponsor Approval: 
This clinical study protocol has been reviewed and approved by the Daiichi Sankyo Inc. 
representative listed below. 
 
 
 
Print Name 
Signature
 
Senior Director, Global Oncology R&D
29-June-2020
 
Title 
 
Date (DD MMM YYYY) 
 
 
Investigator’s Signature: 
I have fully discussed the objectives of this study and the contents of this protocol with the 
Sponsor’s representative. 
I understand that information contained in or pertaining to this protocol is confidential and 
should not be disclosed, other than to those directly involved in the execution or the ethical 
review of the study, without written authorization from the Sponsor.  It is, however, permissible 
to provide information to a subject in order to obtain consent. 
I agree to conduct this study according to this protocol and to comply with its requirements, 
subject to ethical and safety considerations and guidelines, and to conduct the study in 
accordance with the Declaration of Helsinki, International Council for Harmonisation guidelines 
on Good Clinical Practice (ICH E6), and applicable regional regulatory requirements. 
I agree to make available to Sponsor personnel, their representatives and relevant regulatory 
authorities, my subjects’ study records in order to verify the data that I have entered into the case 
report forms.  I am aware of my responsibilities as a Principal Investigator as provided by the 
Sponsor. 
I understand that the Sponsor may decide to suspend or prematurely terminate the study at any 
time for whatever reason; such a decision will be communicated to me in writing.  Conversely, 
should I decide to withdraw from execution of the study, I will communicate my intention 
immediately in writing to the Sponsor. 
 
 
 
 
Print Name 
 
Signature 
 
 
 
Title 
 
Date (DD MMM YYYY) 
 
PPD
PPD

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