Efficacy and safety of antibody-drug conjugates in EGFR-mutant non-small cell lung cancer after tyrosine kinase inhibitor resistance: a systematic review and meta-analysis - Takeaways - MDSpire

Efficacy and safety of antibody-drug conjugates in EGFR-mutant non-small cell lung cancer after tyrosine kinase inhibitor resistance: a systematic review and meta-analysis

  • By

  • Xiao Ma

  • Gaofeng Li

  • Heng Li

  • July 16, 2026

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  • 1

    The systematic review included nine studies with 1,092 patients evaluating antibody-drug conjugates in EGFR-mutant NSCLC after TKI failure.

  • 2

    The pooled objective response rate for ADCs was 44.7%, with significant heterogeneity based on the target antigen.

  • 3

    TROP2-targeting ADCs showed a higher objective response rate of 50.6% compared to HER3-targeting ADCs at 34.2%.

  • 4

    Sacituzumab tirumotecan demonstrated improved progression-free survival and overall survival compared to chemotherapy.

  • 5

    The findings indicate that ADC efficacy is target- and drug-specific, highlighting the need for biomarker-guided patient selection.

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