A Randomized, Nivolumab-Controlled, Phase II Biomarker Study of Lomvastomig and Tobemstomig in Advanced or Metastatic Squamous Cell Carcinoma of the Esophagus.
Lucjan Wyrwicz, Arunee Dechaphunkul, Jong-Seok Lee et al.
✦ AI-curated · Sources linked
In 30 seconds
This phase II randomized controlled trial evaluated the efficacy of bispecific antibodies lomvastomig and tobemstomig against nivolumab in 190 checkpoint inhibitor-naïve patients with advanced esophageal squamous cell carcinoma. The median overall survival was 4.8 months for lomvastomig, 6.7 months for tobemstomig, and 8.1 months for nivolumab, indicating that neither bispecific antibody improved survival compared to nivolumab.
Key findings
- Median overall survival was 4.8 months for lomvastomig, 6.7 months for tobemstomig, and 8.1 months for nivolumab.
- Objective response rates were 3.7% for lomvastomig, 9.8% for tobemstomig, and 8.6% for nivolumab.
- Tobemstomig showed improved survival in PD-L1-high patients compared to PD-L1-low patients.
- Adverse events for all treatments were manageable and consistent with known immune-mediated side effects.
Why it matters
The findings highlight the limited efficacy of lomvastomig and tobemstomig compared to nivolumab in advanced esophageal squamous cell carcinoma, emphasizing the importance of biomarker-guided treatment selection.