Zidesamtinib shows promising efficacy in TKI-naïve ROS1-positive advanced NSCLC

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Published: 8 Oct 2026
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Dr Alexander Drilon - Memorial Sloan Kettering Cancer Center and Weill Cornell Medical Center, New York, USA

Dr Alexander Drilon speak to ecancer about results from the phase I/II ARROS-1 trial evaluating zidesamtinib in patients with ROS1-positive advanced non-small cell lung cancer (NSCLC) who had not previously received tyrosine kinase inhibitor (TKI) therapy.

He reports that zidesamtinib demonstrated promising antitumour activity, achieving an objective response rate of 93%, with 86% of responses ongoing at 12 months.

Dr Drilon highlights particularly encouraging intracranial activity, with a 100% response rate among 10 evaluable patients with measurable brain metastases, including a 70% complete response rate.

He also reports a manageable safety profile, with low rates of dose reductions and treatment discontinuations.

These findings support further investigation of zidesamtinib as an earlier-line treatment option for patients with ROS1-positive advanced NSCLC.

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.

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