• Datopotamab deruxtecan (Dato-DXd) demonstrated promising outcomes in recurrent endometrial and ovarian cancers after platinum-based chemotherapy, with manageable safety profiles.
• In endometrial cancer, Dato-DXd showed an ORR of 27.5% and a DCR of 85%, while in ovarian cancer, the ORR was 42.9% and the DCR was 91.4%.
• Sacituzumab govitecan (Sac-TMT), another TROP2-directed ADC, showed comparable efficacy, with TROP2 expression potentially influencing treatment outcomes, particularly in ovarian cancer.
• Both Dato-DXd and Sac-TMT offer hope for patients with recurrent gynecological cancers, with Dato-DXd projected to reach $6.1 billion in global annual sales by 2030.