I-DXd shows strong brain metastasis responses in extensive-stage small cell lung cancer with manageable safety

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Published: 6 Nov 2025
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Dr Pedro Rocha - Vall d'Hebron University Hospital, Barcelona, Spain

Dr Pedro Rocha speaks to ecancer about the phase II IDeate-Lung01 study.

The study investigates B7-H3–targeted antibody-drug conjugate I-DXd which demonstrated robust central nervous system (CNS) activity in patients with extensive-stage small cell lung cancer (ES-SCLC) and baseline brain metastases.

At the 12 mg/kg dose, I-DXd achieved a CNS objective response rate of 46% overall and 66% in patients with target brain lesions, including high responses in those without prior radiotherapy.

Dr Rocha highlights that safety was manageable and comparable between patients with and without brain metastases, supporting I-DXd’s potential as a promising treatment option for SCLC with CNS involvement.

 

ecancer's filming has been kindly supported by Amgen through the ecancer Global Foundation. ecancer is editorially independent and there is no influence over content.