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ASCERTAIN-V NCT04657081 ASCERTAIN-V is the study behind the first all-oral AML regimen, approved in May 2026. | Decitabine + cedazuridine, Venetoclax | Acute myeloid leukaemia | Taiho Oncology | 2026 | ||
AZUR-1 NCT05723562 AZUR-1 is the registrational trial of the 'no surgery, no radiation, no chemo' approach for mismatch-repair-deficient rectal cancer, built on the MSK study where every patient had a complete response. | Dostarlimab | Colorectal cancer, Mismatch-repair deficient (MSI-high) colorectal cancer, Rectal cancer | GSK | 2026 | ||
BL-B01D1-307 NCT06382142 The first phase 3 win for a bispecific ADC, in triple-negative breast cancer, announced February 2026. | Izalontamab brengitecan | Triple-negative breast cancer | SystImmune, BMS | 2026 | ||
CLARITY-Gastric 01 NCT06346392 The first ADC against Claudin 18.2 to prove it extends life, announced July 2026, giving stomach cancer its first ADC beyond HER2. | Sonesitatug vedotin, Ramucirumab | Gastric & gastro-oesophageal junction cancer | AstraZeneca | 2026 | ||
DeLLphi-305 NCT06211036 Tests whether adding the DLL3 T-cell engager to first-line maintenance can push median survival in extensive-stage disease past two years, as the phase 1b hinted. | Tarlatamab, Durvalumab | Small-cell lung cancer, Extensive-stage small-cell lung cancer | Amgen | 2026 | ||
EMERALD-3 NCT05301842 In 2026 a dual-immunotherapy regimen plus lenvatinib added to TACE cut the risk of progression by about 30%; whether it extends life is not yet known. | Durvalumab, Tremelimumab, Lenvatinib | Hepatocellular carcinoma, Intermediate hepatocellular carcinoma | AstraZeneca | 2026 | ||
FOURLIGHT-1 NCT06105632 In FOURLIGHT-1, a CDK4-only inhibitor designed to avoid the low blood counts of current CDK4/6 drugs improved progression-free survival in second line. | Atirmociclib | HR-positive / HER2-negative breast cancer | Pfizer | 2026 | ||
HERIZON-GEA-01 NCT05152147 A two-armed HER2 antibody beat Herceptin head-to-head as first-line treatment for HER2-positive stomach cancer, the first such win since 2010. | Zanidatamab, Trastuzumab, Tislelizumab | Gastric & gastro-oesophageal junction cancer, Oesophageal cancer | Jazz, BeOne | 2026 | ||
INTerpath-001 (V940-001) NCT05933577 INTerpath-001 was the first positive phase 3 trial of a personalised cancer vaccine, announced 19 August 2026. | Intismeran autogene, Pembrolizumab | Melanoma, Stage III melanoma, Stage IIB and IIC melanoma | Moderna, Merck | 2026 | ||
Krascendo 1 NCT06497556 The first head-to-head trial among KRAS drugs: Roche's divarasib beat the two approved pills on progression and survival. | Divarasib, Sotorasib, Adagrasib | Non-small-cell lung cancer, KRAS G12C-mutant non-small-cell lung cancer | Roche | 2026 | ||
LITESPARK-011 NCT04586231 In LITESPARK-011, belzutifan plus lenvatinib held advanced clear-cell kidney cancer in check for about four months longer than cabozantinib in people whose cancer had grown after immunotherapy, but at the interim look it had not been shown to help them live longer; a final survival analysis is still to come. | Belzutifan, Lenvatinib, Cabozantinib | Renal cell carcinoma | 2026 | |||
LITESPARK-022 NCT05239728 Adding the HIF-2α pill to a year of adjuvant pembrolizumab further reduced recurrence, and became the first adjuvant combination approved in kidney cancer. | Belzutifan, Pembrolizumab | Renal cell carcinoma | Merck | 2026 | ||
MATRix/IELSG43 NCT02531841 MATRix/IELSG43 settled how to consolidate remission in lymphoma of the brain: after MATRix chemotherapy, a high-dose chemotherapy and stem cell transplant kept 78 percent of patients free of progression at three years against 51 percent with conventional consolidation chemotherapy, and also lengthened survival, so transplant is now the preferred consolidation for fit patients. | Thiotepa, Carmustine, Rituximab | Primary CNS lymphoma, Non-Hodgkin lymphoma, Brain and spinal cord tumours | 2026 | |||
METRO PLUS (Tata Memorial Centre, Varanasi) Adding low-cost oral metronomic tablets to standard paclitaxel-carboplatin doubled median survival from 5 to 10 months in a randomised trial run in Varanasi. | Paclitaxel / nab-paclitaxel, Carboplatin, Methotrexate | Head and neck squamous cell carcinoma, Recurrent or metastatic head and neck squamous cell carcinoma, Buccal mucosa and gingivobuccal cancer | Tata Memorial Centre (Homi Bhabha Cancer Hospital and MPMMCC, Varanasi) | 2026 | ||
PANKU-Esophagus01 (BL-B01D1-305) NCT06304974 The first bispecific ADC to extend both progression-free and overall survival in oesophageal cancer, for patients whose immunotherapy has stopped working. | Izalontamab brengitecan | Oesophageal cancer | SystImmune, BMS | 2026 | ||
RASolute 302 NCT06625320 The trial that nearly doubled survival in previously treated pancreatic cancer, presented in the ASCO 2026 plenary. The biggest result in the disease's history. | Daraxonrasib | Pancreatic ductal adenocarcinoma, Metastatic pancreatic ductal adenocarcinoma | Revolution Medicines | 2026 | ||
TRANSCEND NCT05774756 This phase 3 trial showed that a daily injection which turns the brain's fullness signal back on cut body-mass index by about a sixth, and reduced hunger, in children and adults whose weight gain followed damage to the hypothalamus from a tumour or its treatment, while people on placebo gained weight; it supported the March 2026 US approval of Imcivree for that use. | Setmelanotide | Craniopharyngioma | Rhythm Pharmaceuticals | 2026 | ||
Actuate 1801 Part 3B (elraglusib) NCT03678883 A randomised phase 2 found that adding the GSK-3 inhibitor elraglusib to standard chemotherapy lengthened survival in metastatic pancreatic cancer; a phase 3 is needed to confirm it. | Elraglusib, Gemcitabine + nab-paclitaxel, Gemcitabine | Pancreatic ductal adenocarcinoma, Metastatic pancreatic ductal adenocarcinoma | Actuate Therapeutics | 2025 | ||
ALASCCA NCT02647099 A Nordic trial showing that three years of low-dose aspirin roughly halves recurrence in bowel cancers carrying a particular set of mutations, a biomarker-directed use of a drug that costs pennies. | Aspirin | Colorectal cancer | 2025 | |||
ALKOVE-1 NCT05384626 The registrational study of a fourth-generation ALK pill designed to work after lorlatinib and to spare the brain-related side effects. | Neladalkib | Non-small-cell lung cancer, ALK-positive non-small-cell lung cancer | Nuvalent | 2025 | ||
ALPHAMEDIX-02 NCT05153772 An alpha-emitting radioligand met all its primary endpoints, with responses in more than half of patients new to radioligand therapy. | 212Pb-DOTAMTATE | Neuroendocrine tumours | RadioMedix, Orano Med, Sanofi | 2025 | ||
ASCENT-03 NCT05382299 Moved Trodelvy into first-line use for triple-negative patients who cannot receive immunotherapy. | Sacituzumab govitecan | Triple-negative breast cancer, Metastatic triple-negative breast cancer | Gilead | 2025 | ||
ASCENT-04 / KEYNOTE-D19 NCT05382286 Showed that pairing an ADC with immunotherapy beats chemotherapy plus immunotherapy in first-line PD-L1-positive TNBC. | Sacituzumab govitecan, Pembrolizumab | Triple-negative breast cancer, Metastatic triple-negative breast cancer | Gilead, Merck | 2025 | ||
ATOMIC (Alliance A021502) NCT02912559 Adding a year of immunotherapy to chemotherapy after surgery halved recurrences in stage III colon cancers with a broken DNA spell-checker. | Atezolizumab, FOLFOX | Colorectal cancer, Mismatch-repair deficient (MSI-high) colorectal cancer | Alliance, NCI | 2025 | ||
Beamion LUNG-1 NCT04886804 Beamion LUNG-1 showed that zongertinib, a pill that blocks mutant HER2 while sparing EGFR, shrinks about seven in ten HER2-mutant lung cancers after chemotherapy, and it became the first oral HER2 drug approved for lung cancer. | Zongertinib, Trastuzumab deruxtecan | Non-small-cell lung cancer, HER2-mutant non-small-cell lung cancer | Boehringer Ingelheim | 2025 | ||
BREAKWATER NCT04607421 Doubled survival, from about 15 to about 30 months, in the worst-prognosis genetic subtype of bowel cancer by adding two targeted drugs to first-line chemotherapy. | Encorafenib, Cetuximab, FOLFOX | Colorectal cancer, BRAF V600E-mutant colorectal cancer | Pfizer | 2025 | ||
CAPItello-281 NCT04493853 CAPItello-281 delivered the first AKT inhibitor success in prostate cancer, for the ~25% of men whose tumours have lost PTEN. | Capivasertib, Abiraterone acetate | Prostate cancer, Metastatic hormone-sensitive prostate cancer | AstraZeneca | 2025 | ||
CHALLENGE (CCTG CO.21) NCT00819208 The first randomised trial to show that a coached exercise programme after cancer treatment reduces recurrence and death, in colon cancer. | FOLFOX | Colorectal cancer | Canadian Cancer Trials Group | 2025 | ||
COMPETE NCT03049189 The first head-to-head trial of a radioligand against a targeted pill in neuroendocrine tumours; the radioligand won on progression-free survival. | 177Lu-edotreotide, Everolimus | Neuroendocrine tumours, Pancreatic neuroendocrine tumours, Small intestinal neuroendocrine tumours | ITM Isotope Technologies Munich | 2025 | ||
CT041-ST-01 NCT04581473 The Chinese randomised trial in which Claudin 18.2 CAR-T cells delayed progression compared with the doctor's choice of later-line drugs in stomach cancer, the first randomised trial of CAR-T cells in a solid tumour. | Satricabtagene autoleucel | Gastric & gastro-oesophageal junction cancer, Claudin 18.2-positive gastric cancer | 2025 | |||
DeLLphi-304 NCT05740566 DeLLphi-304 was the first trial in which a T-cell engager improved survival in a common solid tumour. | Tarlatamab, Amrubicin | Small-cell lung cancer, Extensive-stage small-cell lung cancer | Amgen | 2025 | ||
DESTINY-Breast05 NCT04622319 Enhertu cut recurrence or death by more than half compared with Kadcyla in women with cancer left after pre-surgery treatment, replacing the KATHERINE standard. | Trastuzumab deruxtecan, Trastuzumab emtansine | HER2-positive breast cancer, Early HER2-positive breast cancer | Daiichi Sankyo, AstraZeneca | 2025 | ||
DESTINY-Breast09 NCT04784715 Showed Enhertu plus pertuzumab beats the decade-old first-line standard for HER2-positive metastatic breast cancer. | Trastuzumab deruxtecan | HER2-positive breast cancer | Daiichi Sankyo, AstraZeneca | 2025 | ||
DESTINY-Breast11 NCT05113251 DESTINY-Breast11 brought Enhertu into pre-surgery treatment of HER2-positive breast cancer, replacing anthracyclines. | Trastuzumab deruxtecan | HER2-positive breast cancer, Early HER2-positive breast cancer | Daiichi Sankyo, AstraZeneca | 2025 | ||
DESTINY-Gastric04 NCT04704934 The first randomised proof that a HER2 drug beats standard chemotherapy in second-line stomach cancer: Enhertu added about three months of life. | Trastuzumab deruxtecan, Ramucirumab | Gastric & gastro-oesophageal junction cancer, HER2-positive gastric cancer | Daiichi Sankyo, AstraZeneca | 2025 | ||
ECLIPSE NCT05204927 Curium's PSMA radioligand met its progression endpoint; survival data and an FDA filing are pending. | 177Lu-PSMA-I&T | Prostate cancer, Metastatic castration-resistant prostate cancer | Curium | 2025 | ||
EV-303 / KEYNOTE-905 NCT03924895 For patients who cannot have cisplatin, the ADC-immunotherapy pair around surgery cut the risk of recurrence or death by 60% and the risk of death by half. | Enfortumab vedotin, Pembrolizumab | Bladder & urothelial cancer | Astellas, Pfizer, Merck | 2025 | ||
EV-304 / KEYNOTE-B15 NCT04700124 The trial that could replace chemotherapy before bladder removal in fit patients with an ADC plus immunotherapy. | Enfortumab vedotin, Pembrolizumab | Bladder & urothelial cancer | Merck, Astellas, Pfizer | 2025 | ||
evERA NCT05306340 In evERA, pairing an oral SERD with everolimus after CDK4/6 failure delayed progression by more than three months, and by four and a half months in ESR1-mutant tumours. | Giredestrant, Everolimus | HR-positive / HER2-negative breast cancer, HR-positive metastatic breast cancer after CDK4/6 inhibitors | Roche, Genentech | 2025 | ||
frontMIND NCT04824092 The first frontline regimen to beat R-CHOP in high-risk large B-cell lymphoma since rituximab, by adding a CD19 antibody and lenalidomide. | Tafasitamab, Lenalidomide | Diffuse large B-cell lymphoma | Incyte, MorphoSys | 2025 | ||
HER2CLIMB-05 NCT05132582 In HER2CLIMB-05, adding the brain-penetrant pill tucatinib to maintenance antibodies after first-line chemotherapy delayed progression by more than eight months. | Tucatinib, Trastuzumab, Pertuzumab | HER2-positive breast cancer, HER2-positive breast cancer with brain metastases | Pfizer | 2025 | ||
HORIZON-Breast01 NCT05424835 A Chinese HER2 ADC cut the risk of progression by nearly 80% versus a pill-plus-chemotherapy standard, matching the scale of Enhertu's results. | Trastuzumab rezetecan, Pyrotinib | HER2-positive breast cancer | Jiangsu Hengrui | 2025 | ||
IMforte NCT05091567 IMforte produced the first maintenance treatment ever approved for extensive-stage small-cell lung cancer, adding lurbinectedin to the immunotherapy that continues after chemotherapy. | Lurbinectedin, Atezolizumab | Small-cell lung cancer, Extensive-stage small-cell lung cancer | Roche, Jazz, PharmaMar | 2025 | ||
iMMagine-1 NCT05396885 iMMagine-1 is the pivotal study behind anito-cel's BLA, with responses in nearly every patient. | Anitocabtagene autoleucel | Multiple myeloma | Arcellx, Kite | 2025 | ||
IMvigor011 NCT04660344 The first trial to use a blood test for leftover cancer to decide who gets immunotherapy, and it worked. | Atezolizumab, Signatera | Bladder & urothelial cancer | Roche | 2025 | ||
IoN NCT01398085 The UK trial confirming that low-risk thyroid cancer patients can safely avoid radioactive iodine, published in 2025. | none | Thyroid cancer | Cancer Research UK, | 2025 | ||
KEYNOTE-689 NCT03765918 The first new treatment for curable head and neck cancer in six years: immunotherapy around surgery doubled the time patients stayed free of events. | Pembrolizumab | Head and neck squamous cell carcinoma, HPV-negative head and neck squamous cell carcinoma | Merck | 2025 | ||
KEYNOTE-B96 / ENGOT-ov65 NCT05116189 After a decade of failures, the first immunotherapy trial to extend survival in ovarian cancer, leading to the first checkpoint-inhibitor approval in the disease. | Pembrolizumab, Paclitaxel / nab-paclitaxel, Bevacizumab | Ovarian cancer, Platinum-resistant ovarian cancer | Merck | 2025 | ||
KOMET-001 NCT04067336 KOMET-001 was the registration trial for ziftomenib: a quarter of heavily pretreated patients with NPM1-mutated AML reached complete remission on a once-daily pill. | Ziftomenib | Acute myeloid leukaemia, NPM1-mutated and KMT2A-rearranged acute myeloid leukaemia | Kura Oncology | 2025 | ||
lidERA NCT04961996 The first oral SERD to reduce recurrence after surgery, by about 30%, compared with today's hormone pills. | Giredestrant | HR-positive / HER2-negative breast cancer, High-risk early HR-positive breast cancer | Roche, Genentech | 2025 | ||
MajesTEC-3 NCT05083169 A bispecific plus daratumumab cut the risk of progression by more than 80% versus standard doublets, bringing bispecifics to second line. | Teclistamab, Daratumumab | Multiple myeloma, Relapsed or refractory multiple myeloma | Janssen | 2025 | ||
MATTERHORN NCT04592913 Adding immunotherapy before and after surgery cut deaths in early stomach cancer; nearly seven in ten patients were alive at three years. | Durvalumab, FLOT | Gastric & gastro-oesophageal junction cancer | AstraZeneca | 2025 | ||
NIVOPOSTOP (GORTEC 2018-01) NCT03576417 NIVOPOSTOP showed that adding the immunotherapy nivolumab to chemoradiation after surgery for high-risk head and neck cancer kept about one in ten more patients free of relapse at three years, the first improvement in post-operative treatment in two decades. | Nivolumab, Cisplatin | Head and neck squamous cell carcinoma, HPV-negative head and neck squamous cell carcinoma | GORTEC | 2025 | ||
PANOVA-3 NCT03377491 PANOVA-3 is the trial behind the 2026 approval of a wearable electric-field device for pancreatic cancer, the first new approval in locally advanced disease in decades. | Optune / Optune Pax, Gemcitabine + nab-paclitaxel | Pancreatic ductal adenocarcinoma, Locally advanced unresectable pancreatic ductal adenocarcinoma | Novocure | 2025 | ||
POD1UM-303/InterAACT-2 NCT04472429 POD1UM-303 showed that adding the immunotherapy retifanlimab to the standard carboplatin-paclitaxel chemotherapy for advanced anal cancer delayed progression by about two months in median terms and reduced the risk of progression by 37 percent, making it the first immunotherapy to improve first-line treatment of this cancer. | Retifanlimab, Carboplatin, Paclitaxel / nab-paclitaxel | Metastatic and recurrent anal squamous cell carcinoma, Anal cancer | 2025 | |||
POTOMAC NCT03528694 Adding a year of durvalumab to standard BCG bladder instillations cut the risk of recurrence or progression by about a third, the first systemic immunotherapy approved in early bladder cancer. | Durvalumab, Intravesical BCG | Bladder & urothelial cancer | AstraZeneca | 2025 | ||
PREEMPT CRC NCT04369053 The study behind the second approved blood test for bowel cancer screening: the test found about four in five cancers and kept false alarms low, but like Shield it missed most advanced polyps, which is why guidelines still rank blood tests below colonoscopy and stool tests. | SimpleScreen CRC | Colorectal cancer | 2025 | |||
PSMAddition NCT04720157 PSMAddition moved the radioligand Pluvicto into the first treatment of metastatic hormone-sensitive prostate cancer, given alongside hormone therapy, and the FDA approved this use on 31 July 2026. It delayed progression on scans, but severe side effects were more common and whether it lengthens life is not yet known. | Lutetium-177 vipivotide tetraxetan | Prostate cancer, Metastatic hormone-sensitive prostate cancer | Novartis | 2025 | ||
ROSELLA / GOG-3073 NCT05257408 Blocking cortisol signalling in tumour cells made chemotherapy work better and extended life in resistant ovarian cancer. | Relacorilant, Paclitaxel / nab-paclitaxel | Ovarian cancer, Platinum-resistant ovarian cancer | 2025 | |||
SERENA-6 NCT04964934 The first trial to change treatment because of a blood test rather than a scan: switching to camizestrant when an ESR1 mutation appeared in the blood delayed progression by seven months. | Camizestrant | HR-positive / HER2-negative breast cancer, HR-positive metastatic breast cancer after CDK4/6 inhibitors | AstraZeneca | 2025 |
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