A caller antibody-drug conjugate (ADC), iza-bren (BL-B01D1), demonstrated encouraging information and efficacy results successful antecedently treated patients pinch EGFR-mutated non-small compartment lung crab (NSCLC), according to findings presented astatine nan International Association for nan Study of Lung Cancer (IASLC) 2025 World Conference connected Lung Cancer (WCLC).
Iza-bren is simply a first-in-class EGFR x HER3 bispecific ADC linked to a caller topoisomerase I inhibitor payload (Ed-04). The supplier was evaluated successful 2 Phase I/II studies successful patients pinch locally precocious aliases metastatic coagulated tumors, including EGFR-mutated NSCLC. Patients received a scope of doses connected different schedules, including time 1 and time 8 each 3-week rhythm (D1D8 Q3W) and time 1 each 3-week rhythm (D1 Q3W).
Among nan 171 EGFR-mutated NSCLC patients, 50 patients who received anterior TKI and chemo-naïve were treated astatine 2.5 mg/kg D1D8 Q3W. In this subgroup, nan nonsubjective consequence complaint (ORR) was 66.0%, nan confirmed ORR (cORR) was 56.0%, nan median progression-free endurance (mPFS) was 12.5 months, nan median long of consequence (mDOR) was 13.7 months, and nan median wide endurance (mOS) was not reached pinch a 12-mo OS complaint of 80.3%.
According to nan lead interrogator Dr. Wenfeng Fang from Sun Yat-sen University Cancer Center, Guangzhou, China, nan information floor plan was manageable. The astir predominant hematologic treatment-related adverse events (TRAEs) were anemia (90.6%), leukopenia (80.7%), neutropenia (78.4%), and thrombocytopenia (74.3%). The astir predominant non-hematologic TRAEs included nausea, alopecia, and asthenia. Only 1.2% of patients were discontinued owed to TRAEs, and nary treatment-related decease was observed.
This early information suggests iza-bren whitethorn connection a promising curen action for patients pinch EGFR-mutated NSCLC. Phase III registrational study of iza-bren arsenic monotherapy successful EGFR-mutated NSCLC aft progression connected a 3rd procreation TKI is ongoing successful China."
Dr. Wenfeng Fang, Sun Yat-sen University Cancer Center, Guangzhou, China