Evidence map›Paper›PMID 41466843›Full record

ArticleTherapeutic advances in medical oncology2025

TROPION-Lung15: a randomized phase III study of osimertinib combined with datopotamab deruxtecan (Dato-DXd) or Dato-DXd alone versus platinum-doublet chemotherapy in patients with

Daniel Shao-Weng Tan, Ernest Nadal, Parneet Cheema, Yi-Long Wu, Myung-Ju Ahn, Junko Tanizaki, Ellie Grainger, Emily Nizialek, Alessandra Forcina, Toon van der Gronde and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06417814 (A Phase III, Open-label, Sponsor-blind, Randomized Study of Dato-DXd With or Without Osimertinib Versus Platinum-based Doublet Chemotherapy for Participants With EGFR-mutated Locally Advanced or Metastatic Non-small Cell Lung Cancer Whose Disease Has Progressed on Prior Osimertinib Treatment), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

NCT06417814 phase3recruitingnot on this map

A Phase III, Open-label, Sponsor-blind, Randomized Study of Dato-DXd With or Without Osimertinib Versus Platinum-based Doublet Chemotherapy for Participants With EGFR-mutated Locally Advanced or Metastatic Non-small Cell Lung Cancer Whose Disease Has Progressed on Prior Osimertinib Treatment (TROPION-Lung15)

TypeinterventionalSponsorAstraZenecaRan2024 to 2028Enrolled744ConditionsMetastatic Non-small Cell Lung CancerArmsDato-DXd, Osimertinib, Pemetrexed, Carboplatin, Cisplatin
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Targeting ClassicalCancers · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Daniel Shao-Weng TanMedical Oncology Department, National Cancer Centre Singapore, Singapore.
Ernest NadalMedical Oncology Department, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Parneet CheemaMedical Oncology Department, William Osler Health Sciences, Brampton, ON, Canada.
Yi-Long WuGuangdong Provincial People's Hospital, Lung Cancer Institute, Guangzhou, Guangdong Province, China.
Myung-Ju AhnHematology-Oncology Department, Samsung Medical Center, Seoul, Republic of South Korea.
Junko TanizakiDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka, Japan.
Ellie GraingerBiostatistics, AstraZeneca, Cambridge, UK.
Emily NizialekOncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Alessandra ForcinaOncology R&D, AstraZeneca, Cambridge, UK.
Toon van der GrondeOncology R&D, AstraZeneca, New York, NY, USA.
Helena A YuDepartment of Medicine (Medical Oncology), Memorial Sloan-Kettering Cancer Center, 530 East 74th Street, New York, NY 10021, USA.ORCID https://orcid.org/0000-0002-0377-9510

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Osimertinib is the preferred treatment for patients with Objectives: TROPION-Lung15 is an ongoing, phase III, open-label, sponsor-blind, multicenter, randomized trial evaluating Dato-DXd ± osimertinib versus chemotherapy in patients with Methods and design: Approximately 630 patients with histologically/cytologically confirmed non-squamous NSCLC, documented epidermal growth factor receptor tyrosine kinase inhibitor-sensitive mutations, and radiologic progression on prior osimertinib monotherapy will be enrolled. Patients will be randomized 1:1:1 to Dato-DXd (6 mg/kg intravenously every 3 weeks), osimertinib (80 mg orally once daily) plus Dato-DXd, or platinum-doublet chemotherapy, stratified by the history/presence of brain metastases (yes vs no), prior osimertinib therapy (adjuvant vs post-chemoradiotherapy/first-line vs second-line), and race. Treatment will continue until radiological progression (per Response Evaluation Criteria in Solid Tumors version 1.1), unacceptable toxicity, or another discontinuation criterion is met. The dual primary endpoints are progression-free survival (PFS) by blinded independent central review (BICR) for osimertinib + Dato-DXd and PFS by BICR for Dato-DXd alone versus chemotherapy. Secondary endpoints include overall survival, central nervous system PFS by BICR, and safety/tolerability. Ethics: The study is approved by independent ethics committees/institutional review boards at each center. Patients will provide written informed consent. Discussion: TROPION-Lung15 will assess Dato-DXd ± osimertinib in patients with Trial registration: ClinicalTrials.gov identifier: NCT06417814 (date of registration: May 13, 2024).

Indexed as

antibody–drug conjugatedatopotamab deruxtecanepidermal growth factor receptornon-small cell lung cancerosimertinibtrophoblast cell-surface antigen 2

Identifiers

PMID41466843
PMCPMC12743830

What OpenQuestion holds

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Registered trials

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.