Panelists discuss how emerging therapies like patritumab (a HER3-directed antibody-drug conjugate [ADC]), datopotamab (a TROP2 ADC), and ivonescimab (a PD-1/VEGF bispecific) show distinct toxicity profiles compared with existing treatments, potentially influencing earlier use. Balancing efficacy gains against toxicity risks remains critical in optimizing EGFR-mutated non–small cell lung cancer (NSCLC) treatment.
There are several medications in the late stages of development, including the HER3-targeted ADC, patritumab, the TROP2 datopotamab, and the bispecific antibody ivonescimab, which targets both PD-1 and VEGF. How do their toxicity profiles differ from existing therapies, and do you anticipate them being used earlier in therapy?
Recently approved treatment options in EGFR-mutated NSCLC have modestly improved progression-free survival but are associated with high toxicity rates. As new treatments continue to be introduced, how do you weigh the potential increased efficacy against the risk of increased toxicity?