Ivonescimab showed superior PFS, ORR, and DCR vs. pembrolizumab in 1L PD-L1+ advanced NSCLC, with a PFS HR of 0.51 (P<0.0001) and mPFS of 11.14 months. Ivonescimab demonstrated significant benefits across PD-L1 expression, histology, and refractory subgroups, with an acceptable safety profile. HARMONi-7, a phase III trial, is planned for 2025.