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Real-World Study Reveals Biomarker Status Drives Survival and Cost Disparities in Advanced NSCLC

  • A large real-world study of 26,635 advanced NSCLC patients found significant survival differences based on biomarker status, with ALK-positive patients achieving nearly 40 months median survival compared to 12-16 months for those without driver mutations.
  • Medication costs varied substantially by biomarker group, with the average annual treatment cost reaching $120,000 and two-year costs approximately $183,000 across all patients.
  • Patients without driver alterations showed consistently higher "cost per survivor" ratios, requiring about $500,000 to keep one low PD-L1 patient alive for two years versus $363,000 for ALK-positive patients.
  • The findings highlight critical gaps in community biomarker testing, where only 37% of NSCLC patients receive all nine recommended biomarker tests despite 83% having at least one test performed.

Novel BTK Inhibitor Combination Shows Promise in Primary CNS Lymphoma Trial

  • A phase II trial of orelabrutinib combined with rituximab and high-dose methotrexate achieved a 71.4% overall response rate in newly diagnosed primary central nervous system lymphoma patients.
  • The combination demonstrated favorable safety with manageable toxicity, including 25% grade 3 adverse events and no treatment-related deaths in the 28-patient study.
  • At median follow-up of 21.6 months, median progression-free survival reached 35.3 months with 1-year survival rates of 64.3% for progression-free and 96.3% for overall survival.
NCT05600660RecruitingPhase 2
Second Affiliated Hospital, School of Medicine, Zhejiang University
Posted 8/1/2022
NCT05549284RecruitingPhase 2
Affiliated Hospital to Academy of Military Medical Sciences
Posted 6/1/2022
NCT05036577Active, Not RecruitingPhase 1
Huashan Hospital
Posted 10/10/2021

Zai Lab to Present Phase 1 Data on Novel DLL3-Targeted ADC for Small Cell Lung Cancer at ASCO 2025

  • Zai Lab will showcase updated results from its Phase 1a/1b trial of ZL-1310, a potentially best-in-class DLL3-targeted antibody-drug conjugate for extensive-stage small cell lung cancer at the 2025 ASCO Annual Meeting.
  • The novel ADC utilizes TMALIN® technology platform to overcome limitations of first-generation ADCs by leveraging the tumor microenvironment, with the FDA granting Orphan Drug Designation in January 2025.
  • ZL-1310 combines a humanized anti-DLL3 monoclonal antibody with a novel camptothecin derivative payload, targeting an antigen overexpressed in aggressive neuroendocrine tumors associated with poor outcomes.

Phase 3 MoonRISe-1 Trial Evaluates TAR-210 Erdafitinib System for Bladder Cancer

  • Johnson & Johnson launches Phase 3 MoonRISe-1 trial investigating TAR-210, a novel intravesical erdafitinib-releasing system, versus standard BCG therapy for non-muscle invasive bladder cancer.
  • TAR-210 represents an innovative targeted approach for FGFR-positive bladder cancer patients, potentially offering improved local drug delivery with reduced systemic side effects.
  • The study aims to assess efficacy and safety outcomes in patients with high-risk non-muscle invasive bladder cancer, addressing a significant unmet need in bladder cancer treatment.

Alberta Expands Public Access to Pluvicto Radioligand Therapy for Advanced Prostate Cancer

  • Alberta joins Ontario and Nova Scotia in providing public reimbursement for Pluvicto, a targeted radioligand therapy for PSMA-positive metastatic castration-resistant prostate cancer.
  • The therapy is now publicly funded in three Canadian provinces, marking significant progress in expanding access to this first-in-class treatment approved by Health Canada in August 2022.
  • Pluvicto combines a targeting compound with a therapeutic radioisotope to selectively bind to and destroy prostate cancer cells expressing PSMA, offering hope for patients who have exhausted other treatment options.

Robust Pipeline for Nasopharyngeal Cancer Treatment Emerges with 25+ Pharmaceutical Companies Developing Novel Therapies

• A comprehensive pipeline analysis reveals over 25 pharmaceutical companies actively developing approximately 30 drug candidates for nasopharyngeal cancer, signaling significant industry investment in this therapeutic area.
• BL-B01D1, a first-in-class bispecific antibody-drug conjugate targeting both EGFR and HER3, has advanced to Phase III clinical trials, showing promise for patients with recurrent or metastatic nasopharyngeal carcinoma.
• Novel approaches in development include Takeda's TAK-500, a STING agonist immunostimulatory antibody drug conjugate, and Ascentage Pharma's APG-5918, highlighting diverse therapeutic strategies targeting this challenging cancer.

Targeted Therapies and Immunotherapy Advances in Non-Small Cell Lung Cancer: A Comprehensive Review

  • Targeted therapies for NSCLC have revolutionized treatment for patients with specific genetic alterations, with EGFR, ALK, and ROS1 inhibitors showing significant improvements in progression-free survival compared to traditional chemotherapy.
  • Immunotherapy, particularly immune checkpoint inhibitors targeting PD-1/PD-L1 and CTLA-4, has become a cornerstone in NSCLC treatment, with newer targets like LAG-3, TIM-3, and TIGIT showing promise in ongoing clinical trials.
  • Advanced cellular therapies including adoptive cell transfer, CAR-T cells, and cancer vaccines represent the next frontier in NSCLC treatment, particularly for patients with "cold tumors" who don't respond to standard immunotherapies.
NCT03789604Active, Not RecruitingPhase 3
CStone Pharmaceuticals
Posted 12/13/2018
NCT02576574CompletedPhase 3
EMD Serono Research & Development Institute, Inc.
Posted 10/29/2015
NCT03525782Unknown StatusPhase 1
The First Affiliated Hospital of Guangdong Pharmaceutical University
Posted 2/1/2018
NCT03182816Unknown StatusPhase 1
Shanghai Cell Therapy Research Institute
Posted 6/7/2017
NCT04348643Unknown StatusPhase 1
Chongqing Precision Biotech Co., Ltd
Posted 2/20/2020
NCT04908111SuspendedPhase 1
Cancer Research UK
Posted 10/15/2021
NCT02349724Unknown StatusPhase 1
Southwest Hospital, China
Posted 12/1/2014
NCT03729596TerminatedPhase 1
MacroGenics
Posted 11/21/2018
NCT01935154CompletedPhase 2
Vaxon Biotech
Posted 8/1/2012
NCT02587689Unknown StatusPhase 1
PersonGen BioTherapeutics (Suzhou) Co., Ltd.
Posted 10/1/2015
NCT05202561Unknown StatusPhase 1
First Affiliated Hospital Bengbu Medical College
Posted 3/10/2022
NCT04646330Active, Not RecruitingPhase 1
Akeso
Posted 11/18/2020
NCT05060796RecruitingEarly Phase 1
Second Affiliated Hospital of Guangzhou Medical University
Posted 9/1/2019

Non-Histone Lactylation Emerges as Key Regulator in Cancer Progression and Therapeutic Target

  • Non-histone lactylation, a novel post-translational modification, plays critical roles in cancer progression by modulating protein stability, enzyme activity, and cellular signaling pathways beyond traditional histone modifications.
  • Research reveals that lactylation affects diverse biological processes including cardiovascular diseases, neurological disorders, immune responses, and particularly cancer development through mechanisms like DNA damage repair and tumor microenvironment modulation.
  • Multiple enzymes including P300, KAT8, AARS1, and AARS2 function as lactylation "writers," while HDACs and sirtuins serve as "erasers," creating a dynamic regulatory system that influences disease pathogenesis.
  • Therapeutic strategies targeting lactylation pathways show promise, with small molecule inhibitors and specific blockers demonstrating potential to overcome drug resistance and enhance cancer treatment efficacy.

Yuhan's Lung Cancer Drug Leclaza Secures European Approval in Combination Therapy

  • Yuhan Corporation's third-generation EGFR-TKI lazertinib (Leclaza) has received European Commission approval in combination with J&J's Rybrevant for first-line treatment of EGFR-mutated non-small cell lung cancer.
  • The Phase 3 MARIPOSA study demonstrated the combination therapy reduced disease progression risk by 30% compared to osimertinib, with median progression-free survival of 23.7 months versus 16.6 months.
  • This milestone marks the first Korean anticancer drug approved in both the U.S. and Europe, triggering a $30 million payment to Yuhan as part of their $1.255 billion licensing deal with Johnson & Johnson.

Aktis Oncology's First-in-Class Nectin-4 Radiopharmaceutical AKY-1189 Shows Promising Tumor Uptake Across Multiple Cancer Types

  • Aktis Oncology's AKY-1189, the industry's only Nectin-4-directed radioligand therapy, demonstrated significant tumor uptake across multiple solid tumor types in first human data from 15 evaluable patients.
  • The novel miniprotein radiopharmaceutical showed excellent uptake in ER-positive breast cancer and bladder cancer, with potential applications beyond current Nectin-4 therapy Padcev.
  • Dosimetry analysis in eight patients revealed a wide therapeutic index with transient kidney uptake and no treatment-emergent adverse events, supporting progression to formal clinical trials.
  • The company is preparing to initiate phase 1 studies in South Africa and the US in 2025, following a recent $60 million deal with Lilly and $175 million Series B financing.
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