Evidence map›Paper›PMID 41124220›Full record

Trial reportThe New England journal of medicine2026

Sacituzumab Tirumotecan in EGFR-TKI-Resistant,

Wenfeng Fang, Lin Wu, Xiangjiao Meng, Yu Yao, Wei Zuo, Wenxiu Yao, Yanyan Xie, Yu Zhang, Jiuwei Cui, Yongchang Zhang and 24 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in The New England journal of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Trial
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  11. Efficacy and safety of third-generationTranslational lung cancer research · 2026
    Article
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  18. Targeting ClassicalCancers · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Wenfeng FangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.
Lin WuDepartment of Thoracic Medical Oncology, Hunan Cancer Hospital/Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Xiangjiao MengDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.ORCID 0000-0001-7380-5510
Yu YaoDepartment of Medical Oncology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Wei ZuoDepartment of Respiratory Medicine, First Affiliated Hospital of Nanchang University, Nanchang, China.
Wenxiu YaoDepartment of Medical Oncology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Yanyan XieDepartment of Breast Surgical Oncology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Yu ZhangDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, China.
Jiuwei CuiDepartment of Oncology, First Hospital of Jilin University, Changchun, China.ORCID 0000-0001-6496-7550
Yongchang ZhangDepartment of Lung and Gastrointestinal Oncology, Hunan Cancer Hospital/Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.ORCID 0000-0002-6829-7176
Xingya LiDepartment of Medical Oncology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Wu ZhuangDepartment of Thoracic Oncology, Fujian Cancer Hospital, Fuzhou, China.
Jian FangSecond Department of Thoracic Medical Oncology, Beijing Cancer Hospital, Beijing.
Qiming WangDepartment of Internal Medicine, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Institute of Cancer Research, Henan Academy of Innovations in Medical Science, Zhengzhou, China.
Wei JiangMedical Oncology of Respiratory Medicine, Guangxi Medical University Cancer Hospital, Nanning, China.
Kai LiDepartment of Thoracic Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Yuju BaiDepartment of Thoracic Oncology, Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yongzhong LuoThoracic Medicine Department I, Hunan Cancer Hospital/Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Fang MaDepartment of Oncology, Second Xiangya Hospital of Central South University, Changsha, China.
Yan YuDepartment of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.
Wei ZhengDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Liaoning Clinical Research Center for Laboratory Medicine, Shenyang, China.
Zhentian LiuDepartment of Thoracic Oncology, Jiangxi Cancer Hospital, Nanchang, China.
Bin YangSecond Department of Thoracic Oncology, Hubei Cancer Hospital, Wuhan, China.
Rui MaDepartment of Thoracic Medicine 2, Cancer Hospital of China Medical University, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital and Institute, Shenyang, China.
Yong FangDepartment of Oncology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Runxiang YangDepartment of Internal Medicine I, Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Kunming, China.
Liyan JiangDepartment of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Medical School of Shanghai Jiao Tong University, Shanghai.
Jie HuDepartment of Pulmonary Medicine, Shanghai Geriatric Medical Center, Zhongshan Hospital, Fudan University, Shanghai.
Jiacheng YangClinical Research Center, Sichuan Kelun-Biotech Biopharmaceutical, Chengdu, China.
Yina DiaoClinical Research Center, Sichuan Kelun-Biotech Biopharmaceutical, Chengdu, China.
Xiaoping JinClinical Research Center, Sichuan Kelun-Biotech Biopharmaceutical, Chengdu, China.
Junyou GeNational Engineering Research Center of Targeted Biologics, Chengdu, China.
Yunpeng YangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.
Li ZhangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.

Funding

National Natural Science Foundation of China 82173101National Natural Science Foundation of China 82241232National Natural Science Foundation of China 82272789National Natural Science Foundation of China 82373262NIH HHS 2024ZD0519700
6 · The paper itself

Abstract

backgroundSacituzumab tirumotecan (sac-TMT) is an antibody-drug conjugate targeting trophoblast cell-surface antigen 2 that has shown significant survival benefits in patients with

methodsIn this phase 3 trial, we enrolled patients with

resultsOverall, 376 patients underwent randomization, with 188 assigned to each group. After a median follow-up of 18.9 months, the median progression-free survival was 8.3 months in the sac-TMT group and 4.3 months in the chemotherapy group (hazard ratio for disease progression or death, 0.49; 95% confidence interval [CI], 0.39 to 0.62). Overall survival was significantly longer with sac-TMT than with chemotherapy (hazard ratio for death, 0.60; 95% CI, 0.44 to 0.82; two-sided P = 0.001); 18-month overall survival was 65.8% and 48.0%, respectively. Treatment-related adverse events of grade 3 or higher occurred in 58.0% of patients receiving sac-TMT and in 53.8% of those receiving chemotherapy, with the most common being a decreased neutrophil count (39.9% vs. 33.0%); treatment-related serious adverse events occurred in 9.0% and 17.6%, respectively.

conclusionsIn patients with

Indexed as

Antibodies, Monoclonal, HumanizedCamptothecinCarcinoma, Non-Small-Cell LungImmunoconjugatesLung NeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChinaDrug Resistance, NeoplasmErbB ReceptorsFemaleHumansInfusions, IntravenousMaleMiddle AgedAntibodies, Monoclonal, HumanizedCamptothecinEGFR protein, humanErbB ReceptorsImmunoconjugatesPemetrexedTyrosine Kinase Inhibitors

Identifiers

PMID41124220

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.