Aakash Desai: My Top 7 Thoracic Picks for ESMO 2026
Aakash Desai/ LinkedIn

Aakash Desai: My Top 7 Thoracic Picks for ESMO 2026

Aakash Desai, Associate Director of Phase 1 and Precision Oncology Program at UAB O’Neal Comprehensive Cancer Center, shared posts on X:

“My top 7 thoracic picks for ESMO26, ranked.

5 of these phase 3s already announced positive toplines. ESMO is where we finally see effect sizes. The question each one answers.

SAFFRON (LBA6), Oct 25, 16:54 CET

Osimertinib + savolitinib vs platinum-pemetrexed, EGFRm MET-high NSCLC after osimertinib. Sponsors report PFS + OS wins.

How big, and which MET IHC/FISH cutoff selects patients?

Aakash Desai

DeLLphi-305 (LBA3), Oct 24, 17:18 CEST

Tarlatamab + durvalumab as 1L maintenance in ES-SCLC. Amgen reports an OS win at interim.

How large, and can clinics deliver T-cell engager monitoring in maintenance?

Aakash Desai

Krascendo 1 (LBA5), Oct 25, 16:30 CET

Divarasib vs sotorasib or adagrasib, pretreated KRAS G12C NSCLC. Roche reports PFS + OS wins.

How wide is the gap within the G12C class, and at what tolerability?

Aakash Desai

OptiTROP-Lung06 (LBA66), Oct 25, 10:53 CET

Sac-TMT + pembro vs chemo + pembro, 1L PD-L1-negative nonsquamous NSCLC. PFS met per Kelun-Biotech.

Can a TROP2 ADC replace the platinum doublet alongside IO?

Aakash Desai

PANKU-Lung01 (LBA71), Oct 26, 09:14 CET

Iza-bren (EGFR×HER3 bispecific ADC) vs platinum-pemetrexed after 3rd-gen EGFR TKI. Interim PFS met per Sichuan Biokin.

First effect sizes: how big, and at what toxicity?

Aakash Desai

Early-phase ADCs: ABBV-706 (3837RO), Oct 26, 10:15 CET

SEZ6 ADC in relapsed SCLC. Where does it fit next to DLL3 and B7-H3? Temab-A (2658RO, Oct 24, 09:27 CEST), c-Met ADC, phase 1 OS in NSQ NSCLC.

Does c-Met level select who benefits?

Aakash Desai

Full cards in the graphic.

Aakash Desai

What’s on your ESMO26 lung list that I missed?”

You can also read: What Changes in Lung Oncology After ESMO 2026? Survival Breakthroughs, ADC Competition, and a New Era of Precision Treatment.

Aakash Desai