Onco Wiki / Regimen

Datopotamab deruxtecan monotherapy (TROPION-Lung01) — 2L+ NSCLC

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Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-DATOPOTAMAB-DERUXTECAN
IDREG-DATO-DXD-NSCLC-2L
TypeRegimen
Statusreviewed 2026-04-29 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-NSCLC-METASTATIC-2024 SRC-NCCN-NSCLC-2025

Notes

TROPION-Lung01 (phase III, n=604): Dato-DXd vs docetaxel in 2L+ advanced NSCLC after platinum-based chemo + checkpoint inhibitor. Nonsquamous PFS benefit (mPFS 5.6 vs 3.7 mo, HR 0.84) drove FDA approval scope restriction to EGFR-mutant NSCLC (TROPION-Lung05 supporting). Squamous subgroup did not benefit. ILD adjudicated rate ~8% all-grade; ocular + stomatitis are dominant non-pulmonary AEs. Patient selection: prefer for nonsquamous, especially EGFR-mutant post-osimertinib + chemo.

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Indication