Hemic and Lymphatic Diseases

Results from the dose-escalation portion of the Phase 1 clinical study of ISB 2001 in patients with heavily pretreated multiple myeloma to be presented at the 2025 ASCO Annual Meeting NEW YORK, May 5, 2025 /PRNewswire/ -- IGI, a global, fully integrated clinical-stage biotechnology company focused on developing multispecifics™ in oncology, today announced that the U.S. Food and Drug Administration (FDA) has granted Fast Track designation for ISB 2001. This important designation was granted for the treatment of adult patients with relapsed or refractory multiple myeloma (RRMM) who have received at least three prior lines of therapy including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody. ISB 2001 is an investigational trispecific antibody therapeutic that targets BCMA and CD38 on myeloma cells and CD3 on T cells. ISB 2001 is currently being evaluated in a Phase 1 dose-expansion study. "A growing number of patients with multiple myeloma have been heavily pretreated, have exhausted currently approved therapies, and continue to face disease progression," said Cyril Konto, M.D., President and CEO of IGI. "At IGI, we have long recognized the urgent need for novel treatment options – particularly for patients who have already received first-generation bispecifics or CAR T-cell therapies. Our trispecific candidate is designed to enhance tumor targeting while reducing on-target, off-tumor toxicity. We are honored to receive this Fast Track designation and look forward to working closely with the FDA to advance our Multispecific™ T-cell engager, with the goal of delivering a first-in-class therapy for patients with relapsed or refractory multiple myeloma." IGI recently completed the dose-escalation portion of its Phase 1 clinical study in patients with heavily pretreated multiple myeloma. Initial study results, presented in an oral session at the American Society of Hematology (ASH) Annual Meeting in December 2024, demonstrated a high overall response rate (ORR) with durable responses and a favorable safety profile. Complete results from the dose-escalation portion will be presented in a rapid oral session at the 2025 American Society of Clinical Oncology (ASCO) Annual Meeting on Monday, June 2, 2025. The FDA's Fast Track designation is designed to enable the development and expedite the review of drugs that treat serious conditions and address unmet medical needs, with the ultimate goal of getting important new drugs to patients earlier. A drug that receives Fast Track designation may be eligible for more frequent meetings and communications with the FDA and rolling review of any application for marketing approval. A drug receiving Fast Track designation also may be eligible for Priority Review if relevant criteria are met. ISB 2001 was previously granted Orphan Drug Designation by the FDA in July 2023. ASCO Rapid Oral Presentation Details: Session title: Phase 1, first-in-human study of ISB 2001: A BCMAxCD38xCD3-targeting trispecific antibody for patients with relapsed/refractory multiple myeloma (RRMM)—Dose escalation results. (Abstract # 7514) Session Name: Hematologic Malignancies—Plasma Cell Dyscrasia Date & Time: June 2, 2025, 8 AM – 9:30 AM CDT About ISB 2001 and Relapsed/Refractory Multiple Myeloma ISB 2001 is a first-in-class trispecific T-cell engager that targets BCMA and CD38 on myeloma cells and CD3 on T cells. Developed using IGI's proprietary BEAT® protein platform, ISB 2001 was engineered with two distinct binders against myeloma-associated antigens to enhance avidity, even at low target expression levels, while aiming to improve safety over first-generation bispecific antibodies. The dose-expansion portion of the ongoing Phase 1 trial in patients with RRMM (NCT05862012) is currently enrolling patients across 9 sites in the United States and Australia. Nearly all patients with relapsed or refractory multiple myeloma (RRMM) ultimately experience disease progression. With no cure currently available and limited treatment options once approved therapies are exhausted, there remains a significant unmet need. IGI is developing ISB 2001 to address this gap, specifically for patients who have previously received T-cell–directed therapies, including CAR T-cell treatments and bispecific antibodies. About IGI IGI is a global, fully integrated clinical-stage biotechnology company focused on developing innovative biologics in oncology. Headquartered in New York, NY, IGI is advancing a robust pipeline of novel, first-in-class multispecifics™ aimed at addressing complex diseases and treating patients holistically. Powered by its proprietary BEAT technology platform, IGI is committed to delivering breakthrough, curative therapies to improve and extend the lives of patients battling hematological malignancies and solid tumors. For more information, visit . SOURCE Ichnos Glenmark Innovation WANT YOUR COMPANY'S NEWS FEATURED ON PRNEWSWIRE.COM? 440k+ Newsrooms & Influencers 9k+ Digital Media Outlets 270k+ Journalists Opted In GET STARTED

当大西洋两岸的德国与美国几乎同时为CGT疗法支付开创新模式，又将为中国的医保支付改革带来怎样的借鉴与启示？撰文| 杨景雄 孔凡懿 石洣珏在各国医疗费用持续攀升与技术迭代加速的双重挑战下，医疗支付体系的改革已成为全球性挑战。因此，针对全球公认的昂贵创新疗法CGT，各国都进行了不同的尝试。近期，CSL公司就和德国医保机构达成了一个创新付费协议：天价基因药Hemgenix不用提前全款买单，而是“治好了再付钱”，开创了一种全新的“风险分担”模式。具体来说，医保每年会根据实际治疗效果支付药费，如果治疗失败（比如患者又需要打原来的凝血针），药企就得自己承担损失，医保不用付钱。远在大西洋另一边的美国，即使作为世界最大的医疗市场，也未能避开昂贵CGT疗法给传统医保支付模式带来的严峻挑战。面对这一压力，美国医疗保险和医疗补助服务中心（Centers for Medicare & Medicaid Services, CMS）决定对既有支付体系框架进行改革，在2024年12月启动了CGT医保支付创新试点。简单来说就是启动了 “集中谈判+按疗效支付”的新模式，针对罕见病基因疗法，联邦政府直接和药企谈全国统一价，接受治疗的患者越多，药企返利越多，还派技术团队盯疗效，治不好药企还得退钱。无论是德国的“治好了再付钱”，还是美国的“治不好退钱”的CGT疗法支付新模式，其实都暗示出一个不约而同的全球性变革趋势：面对医疗技术迭代加速带来的成本压力，其定价机制逐步从市场导向转向政府主导按价值付费。当然，这也为中国探索贵价创新疗法支付机制提供了参考，在基本医保支付能力有限的情况下，如何平衡创新激励与医保可持续性？如何通过支付机制设计提升医疗公平？美国CGT医保支付试点：“治不好就退钱”美国公共医疗保障体系由联邦医疗保险计划（Medicare）与医疗补助计划（Medicaid）两大支柱构成。二者分别聚焦老年与低收入群体，共同构成基础保障网络。Medicare由联邦政府统一管理，覆盖65岁以上老年人及特定残障群体。Medicaid由联邦与州政府联合运作，侧重低收入人群（包括儿童、孕妇等弱势群体），各州可在联邦框架下自主制定具体覆盖范围与服务内容，资金由联邦和州政府按比例分担。长期以来，美国Medicaid以州为单位对部分药品开展价格谈判，以此控制支出。尽管2022年拜登政府出台的《通货膨胀削减法案》（Inflation Reduction Act, IRA）强制药企返利（如超出通胀的涨价）等措施对传统药品价格提供了一定约束，但公共医保项目医疗费用仍呈持续攀升势态，尤其在细胞与基因疗法（Cell & Gene Therapy, CGT）等昂贵创新疗法领域，支付挑战严峻。为了应对挑战，美国医疗保险和医疗补助服务中心（Centers for Medicare & Medicaid Services, CMS）于2024年12月4日正式启动了CGT医保支付创新试点。该试点打破传统支付模式，以联邦层面的集中谈判为基础，结合按疗效支付协议（Outcome-Based Agreement）与条件返利（rebate）机制，旨在为可从根本上治愈罕见病和严重遗传疾病的昂贵创新疗法建立可持续的支付解决方案。根据CMS规划，该试点初期将聚焦镰状细胞病（Sickle Cell Disease, SCD）的两种基因疗法——Vertex Pharmaceuticals开发的Casgevy与Bluebird Bio研发的Lyfgenia。此类疗法费用高达220万至310万美元，是史上最昂贵的精准治疗药物之一。然而根据美国疾病控制与预防中心（CDC）的数据显示，SCD患者人均寿命较美国平均水平短20余年，且其中约50%为Medicaid参保者。对于这一低收入及弱势群体而言，若无公共医保支持，患者将无法获得挽救生命的治疗方案。SCD若未得到有效治疗，会产生一系列并发症并造成患者反复住院，进一步加剧医疗负担。CMS希望通过此次试点解决昂贵创新疗法的可及性问题，确保低收入群体及时获得此类天价救命药。根据CMS网站发布的项目介绍书，此次试点的核心目标在于，从联邦层面进行价格谈判、统一市场准入标准并纳入按疗效付费，消除因各州政策差异导致的覆盖不均的问题，保障所有参与州的Medicaid患者可以公平获得基因治疗，最终达到人群健康水平上升的目的。具体而言，这一新支付模式的实施方式主要为三步：联邦层面（CMS）主导进行通过统一谈判与定价、设置分层返利机制等方式控制付费，最后各州可自主选择是否参与。统一谈判与定价：因SCD患者群体规模小但治疗成本极高，CMS选择先从SCD基因疗法试点。具体而言，CMS代表各州与药企进行集中谈判，达成全国统一价格和准入标准。为确保协议落地，CMS将提供技术支持，进行监督和疗效评估，核查各州执行时的合规性，并建立疗效追踪系统（电子健康档案）以评估返利触发条件。图1：CMS CGT准入模式实施时间表(来源：cms.gov)分层返利机制：为了进一步降低药品净成本，CMS在价格谈判中设计了具有借鉴意义的三重返利结构，包括量价挂钩、按疗效结果分期返利、固定价格让步等。药企需提供与采购量挂钩的基础折扣，并根据疗效达标率追加附加返利（如患者五年内复发或五年内人群疾病复发率≥n%，再返利x%）。因此只有患者达到特定疗效标准后，医保才需支付部分或全部药费；若疗效不达标，药企需退还部分费用或承担额外责任。此外，CMS的谈判要求药企提供与绩效无关的固定价格让步（如一次性降价x%），使得谈判结果对医保资金有即时保护效果。值得注意的是，此番价格谈判的结果并不推翻已有的折扣协议，而是将以附加协议的形式，在原有《通货膨胀削减法案》下的医疗补助计划药品返利方案（Medicaid Drug Rebate Program, MDRP）的降价协议上进一步降低价格，使得新药在原先折扣的基础上进一步享受新谈判带来的降价。图2：CMS CGT准入模式返利结构(来源：cms.gov)图3：CMS CGT准入模式返利时间点(来源：cms.gov)试点的实施方式上，州政府层面则体现为各州自愿参与机制，保留一定自主选择权。各州可以自主选择是否参与试点计划，若加入，州政府将直接采用CMS与药企谈判达成的统一价格及支付模式，不得另行议价或修改核心返利规则。CMS CGT创新支付模式试点是美国医保支付体系的一次重大变革。通过集中谈判，美国正在尝试降低昂贵创新药品的支付成本，提高Medicaid参保者的医疗可及性。CMS谈判中纳入按疗效支付的协议也真正将药企的收入与临床结果直接挂钩，既强化了企业对治疗有效性的责任，又减轻了医保资金负担。因此，美国业界认为，尽管本次试点仅涉及两款CGT，但从已公布的CMS文件中可以预计此次谈判对相关产品定价潜力的影响将超越《通货膨胀削减法案》带来的降价。SCD的患者病程较长、病情反复，所用医保资源较为可观。虽然纳入两款药物的前期费用很高，美国CMS认为CGT有望从根源治愈疾病，因此可以减少长期的医疗开支。如果试点成功，该模式可能会扩展至其他高成本的CGT，甚至影响全球医保支付模式的发展。对中国的启示：“最优性价比”或许是医保谈判的下一阶段目标美国CMS试点提出的“集中谈判+按疗效支付”模式为全球医保改革提供了新范例，也为中国医保支付模式的深化提供了可操作性的启示。中国国家医保谈判虽然已经展现出规模效应，但在按疗效支付等机制上仍有探索空间。具体而言，中国可借鉴CMS经验，推进支付模式向精细化方向改革，包括构建以“疗效”为核心的支付机制，在集中谈判基础上建立多层次的返利体系、建设独立疗效评估机制，以实现医保资金的精准支出和可持续运行。首先，最直接的借鉴就是如何保持量价挂钩与激励创新之间的平衡，“直接降价”模式未必是最佳选择。美国CMS CGT试点实践经验表明，分散化谈判模式存在显著弊端，各州政策割裂导致药品价格差异扩大、医保支出持续承压。相较之下，集中谈判通过规模化议价机制，在抑制价格攀升与促进医疗技术可及性方面拥有显著优势。CMS试点选择构建全国统一谈判框架，正是为了利用规模化采购优势实现成本结构优化，同时规避因分散决策而导致的管理低效与资源浪费问题。中国近年来的国家药品医保谈判同样在全球范围内引起关注。中美两国均通过国家层面主导的集中谈判提升买方议价能力，但具体实施路径存在差异。我国医保局使用以价格换取医保资格的策略使药企接受大幅降价来推动创新疗法的医保覆盖。无论实施路径如何，国家集中谈判在快速提升药品可及性的同时，也需要兼顾医保可负担性与激励创新之间的平衡。如果价格被过度压缩的同时，市场销量增幅有限，使企业销售收入难以覆盖前期的研发与生产成本，或使其利润率长期显著低于国际基准，可能抑制企业的研发动力，甚至出现制药企业参与药价谈判积极性降低的情况。中国医保谈判可在现有谈判框架上进一步优化现有支付模式。医保管理可以从单一的价格控制逐步转向综合的费用管理。与此同时，企业从不承担医保风险的角色，转向与医保部门共同承担风险。为此，未来可以探索引入多种风险共担机制（如按疗效支付、分期返利等），避免“一刀切”的支付政策。当今医疗技术快速发展，新药研发模式日益多样，因此新技术本身的复杂性也要求医保支付模式具备更高的适应性。美国CMS试点中的分层返利机制即为此提供了有益借鉴，通过将药企收益与患者临床疗效动态衔接，既确保医保资金的有效使用，又激励企业追求高质量创新，使具备真实临床价值的创新疗法获得可持续的发展空间。美国CMS试点的另一个可借鉴之处在于，如何向按疗效支付的改革迈步。我国现行基本医保支付模式目前主要采用单一价格谈判，按疗效支付模式尚未大规模应用。此次CMS试点的核心之一就是按疗效支付，精准使用医保资金，不为无效治疗买单。在按疗效支付协议的框架下，治疗方案需要达到双方约定患者获益的疗效指标，药企才能获得支付。因此按疗效支付可激起企业医疗质量方向上的创新动力，使企业更注重药品的临床效果和长期收益，而非仅关注上市后的销售。按疗效支付也将推动更多可提供高额临床获益的治疗方式被纳入医保体系，使得更多患者可以得到重焕新生的治疗。未来，中国可以考虑在罕见病、基因疗法等高价值技术领域引入按疗效支付的协议 ，形成精细化的医保支付体系。美国CMS试点的疗效挂钩协议为中国提供了可操作性极强的参考框架。从具体落地的角度上来看，按疗效支付模式的建立需要聚焦以下几个关键环节：一方面，具有分阶段支付与长期疗效观察能力的基础建设是执行按疗效支付模式重中之重的前提条件，也是其运行核心。中国可优先在罕见病、肿瘤免疫治疗（如CAR-T）等高值药品领域试行按疗效支付。例如，对某一CAR-T疗法可要求“完全缓解率”指标作为全额支付门槛，未达标则触发返利机制。另一方面，按疗效支付模式长期健康的运作需要一个完善的疗效评估体系。为保证评估结果的真实性，评估机构必须独立。第三方评估机构或相关部门应负责疗效数据追踪与验证，确保制药企业与医疗机构数据客观真实。此外，任何疗效评估体系都需要针对不同疾病制定量化、可追溯的疗效标准。以基因疗法为例，可设定“基因表达稳定性”“5年无进展生存率”等核心结果指标。需注意避免模糊定义，导致支付争议。同时，法律法规也有待完善，明确医保、药企、医院的责任边界，并建立纠纷仲裁机制。结论：昂贵药品，国家集中谈判+按疗效支付，是全球医保支付的趋势美国CMS试点模式的推出，标志着全球医保改革正在向高效、风险分担、可持续的方向迈进。这一创新支付试点揭示了两个核心理念：第一， 在高价创新疗法支付领域，集中谈判机制能产生显著的规模效应，是提升买方议价能力、控制药品价格的有效手段，中国在创新药谈判中已证明其可行性，美国的CMS试点也在朝这一方向靠拢。第二， 按疗效支付是未来医保改革的关键路径，它不仅能够确保资金的精准使用，更能加速推动优质药物进入市场。在全球医疗成本不断攀升、基因疗法和创新药物层出不穷的背景下，医保支付模式的创新已成为各国政府必须面对的挑战。美国CMS的新试点虽然刚刚开始，但其背后的逻辑正为全球医保体系验证一条可行的道路。对中国而言，需在现有医保谈判基础上，加快构建包含风险共担、数据驱动、全周期管理的创新支付体系，并开展实施方案试点，形成可复制的中国方案。参考资料：CMS. Cell and Gene Therapy (CGT) Access Model [DB/OL].[2025-03-28], https://www.cms.gov/priorities/innovation/innovation-models/cgt.关于作者：杨景雄，清华大学医院管理研究院23级研究生孔凡懿、石洣珏，清华大学医院管理研究院23级研究生清华大学医院管理研究院陈怡教授对本篇文章亦有指导一审| 黄佳二审| 李芳晨三审| 李静芝精彩推荐大事件 | IPO | 融资&交易 | 财报季 | 新产品 | 研发日 | 里程碑 | 行业观察 | 政策解读 | 深度案例 | 大咖履新 | 集采&国谈 | 出海 | 高端访谈 | 技术&赛道 | E企谈 | 新药生命周期 | 市值 | 新药上市 | 商业价值 | 医疗器械 | IND | 周年庆大药企 | 竞争力20强 | 恒瑞 | 石药 | 中生制药 | 齐鲁 | 复星 | 科伦 | 翰森 | 华润 | 国药 | 云南白药 | 天士力 | 华东 | 上药创新药企 | 创新100强 | 百济 | 信达 | 君实 | 复宏汉霖 | 康方 | 和黄 | 荣昌 | 亚盛｜康宁杰瑞｜贝达｜微芯｜再鼎｜亚虹跨国药企｜ＭＮＣ卓越｜辉瑞｜AZ｜诺华｜罗氏｜BMS｜默克｜赛诺菲｜GSK｜武田｜礼来｜诺和诺德｜拜耳供应链｜赛默飞｜药明｜凯莱英｜泰格｜思拓凡｜康龙化成｜博腾｜晶泰｜龙沙｜三星启思会 | 声音·责任 | 创百汇 | E药经理人理事会 | 微解药直播 | 大国新药 | 营销硬观点 | 投资人去哪儿 | 分析师看赛道 | 药事每周谈 | 中国医药手册

点上方蓝字“ioncology”关注我们，然后点右上角“…”菜单，选择“设为星标”ELCC 2025 微专辑扫描二维码可查看更多内容在2025年欧洲肺癌大会（ELCC）上，巴黎居里研究所肿瘤内科主任Nicolas Girard教授重磅发布SOHO-01和COCOON试验数据，并作题为"胸腺上皮肿瘤全身治疗最新进展"的专题报告。应《肿瘤瞭望》邀请，Girard教授对SOHO-01和COCOON研究结果以及胸腺上皮肿瘤治疗进展进行了深度解读。您在2025 ELCC报告了I/II期SOHO-01研究的两个扩展队列的结果（摘要3O）。请谈谈BAY 2927088对既往接受过治疗HER2突变型非小细胞肺癌（NSCLC）患者的安全性和有效性。Dr. Girard：HER2突变型NSCLC是NSCLC的一小部分，占2-4%。BAY 2927088是一种口服酪氨酸激酶抑制剂，可以抑制HER2。SOHO-01研究评估了BAY 2927088在HER2突变型NSCLC患者中的疗效。在剂量扩展阶段采用每日两次，每次20 mg的剂量。我在2025年ELCC大会上展示了两组患者的研究结果。第一组患者是未接受过HER2靶向治疗但之前接受过全身治疗的患者（n=44）；第二组患者是之前接受过HER2靶向抗体药物偶联物（ADC）治疗的患者（n=34）。第一组患者中，研究者评估的客观缓解率（ORR）高达70.5%，疾病控制率（DCR）为81.8%，中位缓解持续时间（DOR）长达8.7个月，意味着患者在接受化疗±免疫治疗后，BAY 2927088疗法仍具有很高的疗效。第二组患者中（超过一半的患者之前接受过≥三线治疗），ORR为35.3%，DCR为52.9%，中位DOR为9.5个月，在接受化疗、免疫检查点抑制剂和ADC治疗后别无选择的情况下，这个数字相当高。BAY 2927088的安全性主要体现在腹泻（1/2级），目前没有患者因腹泻而停药。腹泻是最常见的副作用，我们可能需要对腹泻进行预防性治疗。我们正在进行一项III期临床试验SOHO-02，该试验旨在对比HER2突变型NSCLC患者接受一线BAY 2927088和化疗+免疫治疗。（上下滑动可查看）Dr. Girard: I am Nicolas Girard. I am Head of Medical Oncology at Institut Curie in Paris.HER2 NSCLC is a small subset of NSCLC, 2-4%. We have BAY 2927088 (BAY 88), which is an oral tyrosine kinase inhibitor that is inhibiting HER2. The SOHO-01 study assessed this compound in patients with EGFR HER2-mutated NSCLC. After dose expansions, dosing of 20mg twice daily was chosen for expansion. At ELCC 2025, I presented the results of two cohorts. The first one being a cohort of patients who were HER2-targeted therapy naïve, but who had previously received systemic therapy, The second was patients who had received prior treatment with HER2-targeting antibody-drug conjugates. Forty-four patients and 34 patients were treated respectively. What we see from the SOHO-01 trial is a high response rate in HER2-targeted treatment naïve patients – 72%, which is quite high. There was a duration of efficacy of 9 months in this cohort of patients is quite long. It means that after treatment with chemotherapy plus or minus immunotherapy, BAY 88 has a high efficacy. The second cohort were previously treated patients with three or more lines of therapy in more than half the patients. We see a response rate of 35% and a control rate of 53%. This is quite high in the setting of having no more option after treatment with chemotherapy, IO and ADCs. The safety of BAY 88 was mostly diarrhea (grade 1/2), with no discontinuation due to diarrhea. We probably need to implement prophylactic management for diarrhea, which was the most frequent side effect. We have an ongoing phase III trial, SOHO-02, in the first-line setting, versus chemotherapy and immunotherapy for patients with EGFR-mutated NSCLC.根据您在2025 ELCC汇报的COCOON试验结果（摘要10MO），对于接受埃万妥单抗联合兰泽替尼治疗的EGFR突变型晚期NSCLC患者，如何预防中度至重度皮肤不良事件？Dr. Girard：COCOON试验的主要目的是评估预防性治疗能否降低EGFR突变型局部晚期/转移性NSCLC患者接受埃万妥单抗+兰泽替尼治疗前12周出现的≥2级皮肤病副作用。EGFR突变NSCLC的标准治疗方案是奥希替尼，在中国和亚洲还有其他第三代TKI可选。随着MARIPOSA研究证明埃万妥单抗联合兰泽替尼相比奥希替尼显著改善总生存期（两组中位总生存差异超过1年），该疗法将成为此类患者一线治疗的新标准。然而，埃万妥单抗联合兰泽替尼的皮肤不良反应发生率较高，尤其是在治疗的前四个月。COCOON研究评估了预防性皮肤病治疗（口服多西环素或米诺环素12周，随后头皮涂抹克林霉素乳液；指甲涂抹氯己定手液；身体和面部涂抹神经酰胺保湿霜）与标准治疗相比，能否改善埃万妥单抗+兰泽替尼的皮肤毒性。在中位随访期约4个月早期时间点进行的首次中期分析中，预防性方案带来获益，前12周≥2级皮肤不良事件（AE）（76.5% vs. 38.6%）和3级皮肤AE（8.8% vs. 4.3%）发生率仅为标准治疗组的50%，因不良事件导致的停药率降低了50%。显然，根据MARIPOSA试验进行埃万妥单抗联合兰泽替尼治疗时，必须同时采用COCOON预防性方案，同时配合静脉血栓栓塞症（VTE）预防以及输液相关反应的预防。（上下滑动可查看）Dr. Girard: The COCOON trial had the objective of assessing whether prophylactic dermatologic management could prevent Grade 2 or higher dermatological side effects that are associated with the administration of amivantamab plus lazertinib in patients with EGFR-mutated NSCLC. For EGFR-mutated NSCLC, the historic standard-of-care is osimertinib, and there are other third-generation TKIs available in China and Asia. Amivantamab plus lazertinib demonstrate an overall survival benefit versus osimertinib. This is a significant benefit with > 1 year difference in median overall survival. So, it is a new standard-of-care for first-line treatment in these patients. But this combination has been associated with high rates of dermatologic adverse effects, especially in the first four months. COCOON assessed whether prophylactic dermatologic management versus standard-of-care could improve this situation. COCOON is doxycycline, clindamycin lotion, chlorhexidine wash for hands and feet, and a ceramide-based moisturizer on the body and face. At the first interim analysis at the early timepoint of four months median follow-up, we see a benefit with COCOON regimen from 77% of patients presenting with Grade 2 or higher dermatologic adverse events after 12 weeks of follow-up to 40% of patients. So, it is a two-fold decrease in the incidence of dermatological adverse events – a two-fold decrease in Grade 3 events, a two-fold decrease in dose modification of amivantamab plus lazertinib. Clearly, this goes with MARIPOSA with amivantamab and lazertinib. COCOON has to be implemented as part of this treatment together with along with venous thromboembolism (VTE) prophylaxis, and prophylaxis for infusion-related reactions.您在2025 ELCC汇报了“胸腺上皮肿瘤全身治疗的最新进展”，请分享这项报告的主要内容。Dr. Girard：晚期或转移性胸腺上皮肿瘤领域近期取得多项进展。在一线治疗中，除了历史悠久的细胞毒性化疗外，一些临床试验探索了新方案，例如化疗（卡铂-紫杉醇）联合抗血管生成药物（包括雷莫芦单抗和贝伐珠单抗）。近期研究显示，化疗联合抗血管生成药物的三联方案（卡铂+紫杉醇+雷莫芦单抗）可显著延长无进展生存期（相比传统化疗的数据），可能成为这类患者的优选方案。当前治疗模式正从单纯化疗向“化疗+抗血管生成药物±免疫疗法”转变。二线治疗选择包括化疗药物、抗血管生成药物（例如舒尼替尼和仑伐替尼）以及免疫检查点抑制剂（单药或联合抗血管生成药物）。同样，联合策略和用药顺序正在发生变化。好消息是，胸腺上皮肿瘤的治疗有了更多选择。（上下滑动可查看）Dr Girard: A lot is coming in thymic epithelial tumors. We have the historic cytotoxic chemotherapy regimens for the first-line treatment of patients with advanced metastatic thymic tumors. We have some new trials combining chemotherapy (carboplatin-paclitaxel) with antiangiogenic agents, including ramucirumab, and bevacizumab. This may be one option for those patients. We have also seen data with combination of chemotherapy plus antiangiogenic agents, a triad of carboplatin plus paclitaxel plus ramucirumab, reporting quite prolonged progression-free survival, which is probably the best endpoint in these patients. There is movement away from chemotherapy alone to combinations of chemotherapy plus antiangiogenic agents plus immunotherapy. In the second-line setting, we have chemotherapy, we have antiangiogenic agents, sunitinib for thymoma, lenvatinib for thymic carcinoma, immune checkpoint inhibitors as single agent or combined with antiangiogenic agents. Again, the combinations and sequence are moving. What is good is that we have more options for the management of those patients.《肿瘤瞭望》在ELCC现场报道（来源：《肿瘤瞭望》编辑部）声 明凡署名原创的文章版权属《肿瘤瞭望》所有，欢迎分享、转载。本文仅供医疗卫生专业人士了解最新医药资讯参考使用，不代表本平台观点。该等信息不能以任何方式取代专业的医疗指导，也不应被视为诊疗建议，如果该信息被用于资讯以外的目的，本站及作者不承担相关责任。