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Exploring Dato-DXd Combinations as First-Line Therapy for Advanced NSCLC

Julia Rotow, MD, explores the rationale, study design, and primary endpoints of the AVANZAR trial, which investigated the combination of datopotamab deruxtecan (Dato-DXd), durvalumab, and carboplatin as a first-line treatment for patients with advanced non-small cell lung cancer lacking actionable mutations, and discusses the patient population most likely to benefit from this drug combination.

  1. Please discuss the rationale, study design, and key endpoints for the AVANZAR (Aggarwal et al. WCLC 2023) trial evaluating Dato-DXd + durvalumab and carboplatin for 1L treatment of patients with advanced NSCLC without actionable mutations.
    1. What is the rationale for this treatment approach?
    2. What data do you anticipate and how may findings impact the current/future treatment landscape?
    3. In which patients would this treatment strategy most appropriate/beneficial?
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