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ASCO 2025 | ASCO 2025 lung cancer updates: DeLLphi-304 & cost-effective IO infusions

Marcelo Corassa, MD, A.C. Camargo Cancer Center, São Paulo, Brazil, highlights the unmet needs in lung cancer, citing the promising results of the DeLLphi-304 trial (NCT05740566) with tarlatamab, which demonstrated a promising overall survival in second-line small cell lung cancer (SCLC). Dr Corassa also notes the significant and cost-effective findings from a study on the optimal time of day for infusions of immunotherapies (IO), which showed a major difference in patient outcomes with morning infusions compared to afternoon infusions. This interview took place during the 2025 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

What is the plenary for lung cancer? We don’t have a plenary for lung cancer this year, which is unusual because we’re getting plenaries every year. But I do think that we are fulfilling some unmet needs right here at ASCO. I think for me the highlight in lung cancer, of course, is the small cell trial with tarlatamab. We got the DeLLphi-304 , it’s going to be presented this afternoon, but we got the publication online in the New England Journal already...

What is the plenary for lung cancer? We don’t have a plenary for lung cancer this year, which is unusual because we’re getting plenaries every year. But I do think that we are fulfilling some unmet needs right here at ASCO. I think for me the highlight in lung cancer, of course, is the small cell trial with tarlatamab. We got the DeLLphi-304 , it’s going to be presented this afternoon, but we got the publication online in the New England Journal already. The trial that provided overall survival of over 12 months and second line and we know that in first line right now the overall survival with chemo-immune therapy with Atezolizumab or tarlatamabit’s about 12 months so a second line trial outperforming the first line trial it’s an unmet need for the patients and this for me it’s quite interesting so we’re also talking about some very interesting data this afternoon I think the best is yet to come we’re recording this at this today’s Monday right so at Monday afternoon is going to be, I think, the best day for us, but we got the data from the new oral trial, osimertinib plus chemotherapy for patients that could be resectable. And I think this is also, and I met need, a very controversial study with the data we have published on JCO. Not as good as we wanted to, but I think basically it’s this. But for me, the largest highlight was hidden into a session, a rapid oral abstract session that was presented this morning actually talking about time of day for infusions of immune therapy. Patients who were receiving infusions before 3 p.m. had a better result. And it’s huge, like huge, major difference. And it costs like nothing. You just have to change your patient for the morning. The patient doesn’t have to wake up at 5 a.m. It can be like noon for having infusions. There’s a major, major difference. and both PFS and overall survival. So I think this should be this would be my plenary for the for the ASCO. Just changing the hour of infusion they showed like the lymphocyte profiles they change over time with with the infusion early in the morning maybe because of circadian rhythm and this for me would be the greatest thing in ASCO because it’s it’s cheap and you can have a great impact in your patients.

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Disclosures

Employment – No Relationships to Disclose
Leadership – No Relationships to Disclose
Stock and Other Ownership Interests – No Relationships to Disclose
Honoraria – Amgen; AstraZeneca; Bristol-Myers Squibb Brazil; Janssen; Lilly; MSD; Novartis; Pfizer; Sanofi/Regeneron; Takeda
Consulting or Advisory Role – AstraZeneca; Bristol-Myers Squibb; Takeda
Speakers’ Bureau – AstraZeneca; Bristol-Myers Squibb; Janssen; MSD; Takeda
Research Funding – No Relationships to Disclose
Patents, Royalties, Other Intellectual Property – No Relationships to Disclose
Expert Testimony – No Relationships to Disclose
Travel, Accommodations, Expenses – MSD