Rishabh Jain, Medical Oncologist at AIIMS, shared a post on X:
“DLL3 continues to emerge as one of the most important targets in neuroendocrine oncology. The U.S. FDA has granted Fast Track Designation to Zocilurtatug pelitecan (Zoci, ZL-1310), a DLL3-targeting ADC, for previously treated extrapulmonary neuroendocrine carcinomas (epNECs).
Why this matters: epNECs are highly aggressive cancers with no approved post-progression standard therapy
Early Phase 1b/2 data showed:
- ORR: 38.2%
- Manageable safety profile
- Main grade ≥3 TRAE: neutropenia
We are now seeing DLL3 evolve across:
- ADCs
- T-cell engagers
- Radiopharmaceuticals
Could DLL3 become the next major pan-neuroendocrine biomarker platform similar to HER2 or PSMA?”

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