🚨 在尿路上皮癌中,下一个前沿可能是三联疗法——但只有能够安全实施,疗效才真正重要。
@OncoAlert @myESMO
在 #ESMO26 推出的全新 #OAOnTheGo 视频中,@scocmem 介绍了 TROPHY Cohort 7,该队列评估 sacituzumab govitecan + enfortumab vedotin + PD-1 阻断用于晚期 #UrothelialCancer 的疗效。
疗效十分显著:
🔹 全部 18 名患者的肿瘤均有缩小
🔹 缓解持久
🔹 无治疗相关死亡
🔹 但约 60% 的患者出现 3 级 AE
🔹 必须给予 G-CSF 支持治疗
🎯 为什么这很重要:将具有不同靶点和载荷的 ADC 组合起来,可能带来更深的缓解——但真正的挑战在于治疗窗。
对我来说,关键问题已不再只是:
“三联疗法能奏效吗?”
而是:
“我们能否识别出需要这种强化程度的患者,选择互补的作用机制,并主动管理毒性,从而充分保留获益?”
随着其他一线三联策略不断涌现——包括 FORAGER 中 FGFR3 抑制等生物标志物驱动的方案——如何在缓解深度与治疗负担之间取得平衡将是关键。
感谢 @scocmem 分享的精彩见解。
@PGrivasMDPhD @tompowles1 @AndreaNecchi @apolo_andrea @niklas_kluemper @Markuseckstein3 @shilpaonc @DrYukselUrun @crisbergerot @nataliagandur
#OncoAlert #ESMO26 #BladderCancer #ADC #EV #SacituzumabGovitecan #PrecisionOncology
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Sacituzumab tirumotecan (Sac-TMT) + pembrolizumab (Pembro) in post-platinum advanced mismatch repair proficient (pMMR) endometrial cancer (EC)
https://esmocongress.esmo.orgComparative effectiveness of trastuzumab deruxtecan versus sacituzumab govitecan in HER2-negative metastatic breast cancer: A real-world analysis with propensity score matching
https://esmocongress.esmo.orgSacituzumab Tirumotecan (Sac-TMT) + Pembrolizumab (Pembro) for Locally Advanced or Metastatic Urothelial Carcinoma (la/mUC): Results From a Phase 2 Study (2870-002/SKB264-II-06)
https://esmocongress.esmo.orgSacituzumab Govitecan (SG) Combined With Enfortumab Vedotin (EV) and Zimberelimab (ZIM) in Treatment-Naive Metastatic Urothelial Cancer (mUC): Interim Results From Phase 1b TROPHY-U-01 Cohort 7
https://esmocongress.esmo.org🧬 Can triplet combinations improve outcomes in advanced urothelial cancer? And how do we manage their toxicity? #OAOnTheGo Series In this new OncoAlert video live from the floor at #ESMO26, Dr. Sara Coca Membribes, @scocmem medical oncologist and genitourinary (GU) clinical research fellow at the Barts Cancer Institute🇬🇧 , discusses the results of TROPHY Cohort 7, evaluating sacituzumab govitecan (SG), enfortumab vedotin (EV), and a PD-1 inhibitor. 🔬 Key takeaways: ▪️ All 18 patients achieved tumor shrinkage, with durable responses. ▪️ No treatment-related deaths were reported. ▪️ Approximately 60% of patients experienced Grade 3 adverse events. ▪️ G-CSF support was mandatory in the study. With several trials exploring frontline triplet combinations using different ADCs, payloads, and targeted therapies—including FGFR3 inhibition in the FORAGER trial—the challenge is not only achieving efficacy, but also managing toxicity without compromising treatment outcomes. 🎥 Watch Dr. Sara Coca Membribes' video for her insights into these promising strategies and why toxicity management is essential for the future of combination therapy. #UrothelialCancer #BladderCancer Pinging Our Faculty @DrChoueiri, @tompowles1, @apolo_andrea, @neerajaiims, @montypal, @Silke_Gillessen, @AOmlin, @brian_rini, @PGrivasMDPhD, @TiansterZhang, @amerseburger, @DrDanielHeng, @HHammersMD, @scocmem, @AndreaNecchi, @AmandaNizamMD, @drenriquegrande, @nataliagandur, @AlbigesL, @cdanicas, @declangmurphy, @seanmmcbride, @shilpaonc, @DrRanaMcKay, @scserendipity1, @DrYukselUrun, @ravikanesvaran, @BraunMDPhD, @EfstathiouEleni, @mzugman, @crisbergerot, @niklas_kluemper @Markuseckstein3在 X 查看被引用的帖子
来源:Dra. María Natalia Gandur Quiroga · x.com
