Divarasib improved survival in advanced non-small cell lung cancer
The 7 cancer-care developments that matter from the last 36 hours, strongest evidence first.
- Divarasib improved survival in advanced non-small cell lung cancer
- Sacituzumab tirumotecan improved survival in advanced womb cancer
- Pembrolizumab added no benefit in early non-small cell lung cancer
- Lifileucel and pembrolizumab shrank advanced melanoma tumors
- Darovasertib and crizotinib shrank metastatic uveal melanoma
- Machine learning improved risk prediction for multiple cancers
- Expert review clarified diagnoses of ambiguous skin melanoma tumors
Divarasib improved survival in advanced non-small cell lung cancer
In a phase III trial, people with previously treated advanced non-small cell lung cancer lived 17.7 months with divarasib, compared with 12 months with sotorasib or adagrasib.
“These results establish divarasib as a new standard of care and offer hope for patients whose treatment options have been limited after their cancer progresses.”
What this means. A large, final-stage trial in lung cancer. This is the kind of result regulators use when deciding whether to approve a treatment.
The ASCO Post, 27 Oct 2026 · Phase III human clinical trialSacituzumab tirumotecan improved survival in advanced womb cancer
In a phase III trial of 776 people with advanced or recurrent womb cancer, sacituzumab tirumotecan kept cancer from growing longer and helped people live longer than standard chemotherapy.
What this means. A large, final-stage trial in womb cancer. This is the kind of result regulators use when deciding whether to approve a treatment.
The ASCO Post, 28 Oct 2026 · Phase III human clinical trialPembrolizumab added no benefit in early non-small cell lung cancer
In 448 adults with inoperable or surgery-refusing stage I or II non-small cell lung cancer, adding pembrolizumab to radiation did not improve time without an event: 31.2 months versus 28.3 with radiation alone. The trial stopped early.
“The addition of pembrolizumab to SBRT did not improve event-free survival and was associated with a higher incidence of treatment-related adverse events compared with SBRT alone in participants with inoperable stage I or II non-small cell lung cancer.”
What this means. A large, final-stage trial in lung cancer. This is the kind of result regulators use when deciding whether to approve a treatment.
Journal of Clinical Oncology, 28 Oct 2026 · Phase III human clinical trial | 448 participantsLifileucel and pembrolizumab shrank advanced melanoma tumors
In a phase II trial, 27 people with advanced melanoma received lifileucel and pembrolizumab as first treatment. Tumors shrank in 62.5% of the 24 people in the main analysis; the median time responses lasted had not yet been reached after 26.9 months.
“The findings suggest that introducing lifileucel earlier in the treatment pathway may improve outcomes for patients.”
What this means. A mid-stage trial in melanoma, a skin cancer. Good results at this stage usually still need a larger trial before approval.
The ASCO Post, 28 Oct 2026 · Phase II human clinical trial | 27 patientsDarovasertib and crizotinib shrank metastatic uveal melanoma
In a phase II study, 44 people with untreated metastatic uveal melanoma received darovasertib and crizotinib. Tumors shrank in 34.1% of patients.
“Results from OptimUM-01 suggest that the combination of darovasertib and crizotinib has encouraging effectiveness with a manageable safety profile and may represent a first-in-class targeted treatment option for patients with previously untreated mUM.”
What this means. A mid-stage trial in melanoma, a skin cancer. Good results at this stage usually still need a larger trial before approval.
Journal of Clinical Oncology, 28 Oct 2026 · Phase II human clinical trialMachine learning improved risk prediction for multiple cancers
Researchers developed models using routine health data from 463,620 people and tested them across 20 common cancers. The models beat traditional methods, but worked better for some cancers than others.
What this means. Based on data or samples from people with several cancer types. It is not a treatment trial.
The ASCO Post, 28 Oct 2026 · Human observational study | 463,620 individualsExpert review clarified diagnoses of ambiguous skin melanoma tumors
Among 994 people with unclear skin tumors that could be melanoma, expert review and additional tests when needed gave 97.2% a clear diagnosis.
What this means. Based on data or samples from people with melanoma, a skin cancer. It is not a treatment trial.
The ASCO Post, 28 Oct 2026 · Human observational study | 258,562 patientsDeals and stopped trials
- A Study of Poziotinib in Previously Treated Participants With Locally Advanced or Metastatic non-small cell lung cancer Harboring HER2 Exon 20 MutationsSuspended · Phase III · Spectrum Pharmaceuticals, Inc · Reason given: The study has not enrolled any patients. The study design is under discussion and will likely be redesigned in consultation with the FDA.
- TACTIVE-U: A Study to Learn About the Study Medicine (Vepdegestrant) When Given With Other Medicines in People With Advanced or Metastatic Breast Cancer. (Sub-Study C)Terminated · Phase I/II · Pfizer · Reason given: Enrollment was permanently closed for strategic business reasons after 11 participants enrolled in Ph1b. The decision was not related to safety, efficacy, benefit-risk, or participant welfare. The planned Ph2 and DDI components were not initiated.
- A Study of SRN-101 Gene Therapy in Adults With Recurrent High-Grade Glioma (ALERT-1)Phase I/II · Siren Biotechnology · earlier phase I: NCT07826949
India
New trials
- A Study of SRN-101 Gene Therapy in Adults With Recurrent High-Grade Glioma (ALERT-1)Cell and gene therapy · Phase I/II · 40 people · Siren Biotechnology
Worth watching
- Portable ultrasound cut referrals for women assessed for breast cancerIn a study of 319 women with abnormal breast exams, trained nonradiologist clinicians used portable ultrasound to triage them; it found 94.3% of cancers and reduced referrals by approximately 50%.
- Lupus research finds immune cells respond to new peptidesIn systemic lupus erythematosus, abnormal splicing in neutrophils creates new peptides that activate T cells and trigger antibody responses.
- Engineered T cells cleared diffuse midline glioma in animal modelsIn animal models of diffuse midline glioma, engineered T cells cleared tumors and extended survival. In one model, delivering the cells directly into the brain caused fatal brain toxicity.
- Multi-omics reveals evolution from CD7-negative T cell dysregulation to EBV-positive LPD after CD7 CAR-T therapyResearch finding, Blood, 28 Oct 2026
- Tumor-Immune Microenvironment of Early-Onset Colorectal Cancer: Implications for Immune-Based Prevention and TherapyResearch finding, Cancer Immunology Research, 28 Oct 2026
- Brain-sensing synNotch-CAR T cells enable precise targeting and clearance of diffuse midline glioma in multiple preclinical modelsPreclinical, laboratory or animal-stage, Science Translational Medicine, 28 Oct 2026