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ESMO 2026

2026 年 10 月 23–27 日 · Madrid · 共 2840 条

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#NSCLC

6 人 · 6 条 · 8 篇摘要

本事件热度走势

当前热度 1·可比范围峰值 2(10月24日 04:00)·近 24 小时可比范围变化 –·当前参与者 3

参与者计数3
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热度走势
00.511.5210月23日17:0010月24日00:0010月24日08:0010月24日15:00
深度解读

在无可作用基因组改变(AGA阴性)的晚期非小细胞肺癌(NSCLC)中,以免疫检查点抑制为基础的系统治疗已经由III期证据坐镇一线:PD-L1≥50%且无EGFR敏感突变或ALK易位的患者中,帕博利珠单抗单药对比研究者选择的含铂化疗,中位PFS为10.3对6.0个月[2];无敏感EGFR/ALK突变的转移性非鳞患者中,帕博利珠单抗加入化疗此前已在II期试验中显著提高缓解率并延长PFS,随后在616例的双盲III期中以OS和PFS为主要终点做了检验[6];经治的非鳞与鳞状患者中,纳武利尤单抗对比多西他赛也分别把中位OS提高到12.2对9.4个月[3]和9.2对6.0个月[5]。而EGFR突变与吉非替尼疗效相关的发现[4]让驱动基因阳性人群走上另一条治疗路径,这正解释了SARON为何把入组限定在AGA阴性——它要回答的是在免疫为基础的系统治疗之上,巩固放疗还能不能再加分。

本届ESMO26(马德里)现场另有几条日程性消息:Passaro医生与同行共同主持了一场聚焦NSCLC未来的专题研讨会,@Lung_Cancers预告了与@LeXiuning的访谈;但真正的新数据读数是随机II期SARON试验(报告人@fifimcdrmh)。该研究纳入同步寡转移、AGA阴性的NSCLC患者(n=140),在一线系统治疗基础上加用巩固放疗:中位PFS为13.9对8.9个月,HR 0.64,p=0.03;12个月局部失败率13.0%对39.5%,p<0.01;但中位OS为31.0对28.0个月,HR 0.99,p=0.95;≥3级不良事件两臂均为28.6%。

这一读数的推进之处在于把局部控制与生存获益拆开来看:巩固放疗明确改善了疾病控制,把12个月局部失败率从39.5%压到13.0%,PFS延长且有统计学意义,却完全没有换来OS上的差异(HR 0.99)。发帖解读的肿瘤医生据此强调,寡转移不是一个单一的生物学状态,局部治疗的价值可能取决于患者选择、疾病生物学、时机,以及控制可见病灶能否真正改变疾病的系统病程。≥3级毒性在两臂完全相同,也提示安全性负担主要来自一线系统治疗,而非放疗的叠加。

局限同样清晰:这是II期、n=140的试验,OS未显示差异;放疗的具体方案、随访时长、局部失败的定义等细节在会议帖中未披露,结果能否外推到AGA阳性或其他寡转移情境也有待确认。

证据
2631RO

First-line BAT8008 (TROP2-ADC) plus BAT1308 (anti-PD-1) for advanced NSCLC: Results from a multicenter phase 2 study

https://esmocongress.esmo.org
2636RO

Characterizing resistance mechanisms and predictors of early progression and long-term response to lorlatinib: Circulating tumor DNA (ctDNA) analyses from the CROWN study

https://esmocongress.esmo.org
2658RO

Overall survival (OS) analysis of telisotuzumab adizutecan in patients (pts) with nonsquamous non-small cell lung cancer (NSQ NSCLC): Phase 1 first-in-human study

https://esmocongress.esmo.org
2660P

Phase 2 trial of the PD-1/VEGF bispecific antibody, PF-08634404 (SSGJ-707), plus chemotherapy (chemo) in advanced NSCLC: Updated results

https://esmocongress.esmo.org
2683P

First-line (1L) olomorasib + pembrolizumab in KRAS G12C-mutant NSCLC: Updated results from LOXO-RAS-20001 and SUNRAY-01

https://esmocongress.esmo.org
2700RO

Improving prevention of moderate to severe dermatologic adverse events in EGFR-mutant advanced NSCLC treated with first-line (1L) subcutaneous (SC) amivantamab + lazertinib: First results from a new COCOON cohort

https://esmocongress.esmo.org
2719RO

FLAURA2: Analysis of on-treatment plasma EGFRm dynamics and associated clinical outcomes in patients (pts) with EGFRm advanced NSCLC treated with first-line (1L) osimertinib (osi) ± platinum–pemetrexed (plat–pem)

https://esmocongress.esmo.org
现场
  1. Dra. María Natalia Gandur Quiroga

    🫁 更好的局部控制并不总是意味着更长的生存期。 @OncoAlert 在 #ESMO26 上,随机二期 SARON 试验测试了在同步寡转移、AGA 阴性 #NSCLC 中,将巩固放疗添加到一线系统治疗中是否能改善预后。 📊 n=140 ➡️ 中位 PFS:13.9 对 8.9 个月 HR 0.64,p=0.03 ➡️ 12 个月局部失败:13.0% 对 39.5% p<0.01 ➡️ 中位 OS:31.0 对 28.0 个月 HR 0.99,p=0.95 ⚠️ ≥3 级不良事件:两组均为 28.6% 🎯 为什么这很重要:巩固放疗明显改善了疾病控制并降低了局部失败率,但这并未转化为 OS 获益。 对我来说,这提醒我们寡转移疾病并非单一的生物学状态。局部治疗的价值可能取决于患者选择、疾病生物学、时机,以及对可见病灶的控制能否在实质上改变全身病程。 由 @fifimcdrmh 展示的优秀工作。 提及 @christine_lovly @GlopesMd @DrSanjayPopat @StephenVLiu @jillfeldman4 @UOzkerim @DrMirallas @MartinReck2 @CharuAggarwalMD @peters_solange #OncoAlert #ESMO26 #LungCancer #OligometastaticDisease #Radiotherapy #PrecisionOncology

    引用@

    OncoAlert 4Sight Abstracts to be Presented at #ESMO26 Primary Results of SARON: A Randomised-Controlled Trial of Consolidation Radiotherapy for Synchronous Oligometastatic Non-Small Cell Lung Cancer @fifimcdrmh 🫁 Randomized phase II (n=140): first-line SACT ± consolidation radiotherapy in synchronous oligometastatic AGA-negative NSCLC. Endpoints: OS and PFS. ➡️ Median OS 31.0 vs 28.0 mo; HR 0.99 (0.63–1.55); p=0.95 ➡️ Median PFS 13.9 vs 8.9 mo; HR 0.64 (0.43–0.95); p=0.03 ➡️ 12-month local failure 13.0% vs 39.5% (p<0.01); grade ≥3 AEs 28.6% in both arms ✅ SACT + RT achieved better local disease control and longer PFS with acceptable side effects, but this did not translate into survival benefit. 🎙️ Fiona McDonald (4Sight Made from Abstracts publicly available at the ESMO website) Pinging our OncoAlert Lung Cancer Faculty @christine_lovly, @GlopesMd, @DrSanjayPopat, @StephenVLiu, @jillfeldman4, @UOzkerim, @DrMirallas, @MartinReck2 , @bmassutis @UmbertoMalapel1 , @CharuAggarwalMD @peters_solange, @HenningWillers, @HHorinouchi, @BRicciutiMD, @PercyLeeMD, @bensolomon1, @Latinamd, @DrJNaidoo, @barlesi, @VanitaNoronha, @ChristianRolfo @Tony_Calles @s_couraud @marinagarassino @g_mountzios @BairdAM @barlesi @JFreemanDaily @Piuchagarrido @PercyLeeMD @bensolomon1 @VanitaNoronha @alexdrilon @JordiRemon @JulienMazieres @TerriConneran @HenningWillers

  2. MedChemExpress-US

    #ESMO26 展现了不断演变的肺癌研究格局。哪些 III 期研究结果可能塑造 #NSCLC 和 #SCLC 下一波治疗进展? 🧪MedChemExpress #LungCancer 研究工具:https://www.medchemexpress.com/disease-areas/lung-cancer.html

    引用@

    🔬ESMO 2026 Lung Cancer Abstract Highlights | How are emerging therapies reshaping the lung cancer treatment landscape? These 10 selected phase III studies explore new strategies across #SCLC and #NSCLC, including immunotherapy, next-generation #ADCs and targeted approaches to treatment resistance. 🔹DeLLphi-305 (LBA3): Tarlatamab + durvalumab vs. durvalumab alone as first-line maintenance for ES-SCLC, testing DLL3-directed T-cell engagement earlier in treatment. 🔹OptiTROP-Lung06 (LBA66): Sacituzumab tirumotecan (TROP2 ADC) + pembrolizumab vs. chemotherapy + pembrolizumab in first-line PD-L1-negative advanced nonsquamous NSCLC. 🔹OptiTROP-Lung04 (LBA67): Final overall survival analysis of sacituzumab tirumotecan vs. platinum-based chemotherapy after EGFR-TKI progression in EGFR-mutated NSCLC. 🔹Sigvotatug Vedotin (LBA68): A phase III comparison with docetaxel in previously treated nonsquamous NSCLC, examining efficacy and safety. 🔹KRASCENDO 1 (LBA5): Divarasib vs. sotorasib or adagrasib in previously treated KRAS G12C-mutated NSCLC, offering a direct comparison within the targeted therapy class. 🔹SAFFRON (LBA6): Osimertinib + savolitinib vs. platinum-pemetrexed after osimertinib progression in EGFR-mutated NSCLC with MET overexpression and/or amplification. 🔹SANOVO (LBA69): Savolitinib + osimertinib vs. osimertinib alone in treatment-naïve EGFR-mutated NSCLC with MET overexpression, exploring upfront dual-target inhibition. 🔹PANKU-Lung01 (LBA71): Izalontamab brengitecan, a bispecific ADC, in EGFR-mutated nonsquamous NSCLC after progression on a third-generation EGFR-TKI. 🔹HERON-Lung01 (LBA72): Ruzaltatug rezetecan, a HER3-directed ADC, vs. platinum-based chemotherapy after EGFR-TKI progression in EGFR-mutated advanced NSCLC. 🔹Neotorch (LBA64): Final analysis of perioperative toripalimab + chemotherapy in resectable stage II-III NSCLC, focusing on long-term outcomes. 🔗Read more: https://oncodaily.com/oncolibrary/lung-oncology/esmo-2026-lung 💡MedChemExpress offers 3900+ tools for lung cancer research: https://www.medchemexpress.com/disease-areas/lung-cancer.html #ESMO26 #ESMO2026 #ESMO #LungCancer #CancerResearch #Oncology

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