New Drug: Sacituzumab Tirumotecan for Advanced Urothelial Carcinoma

Sacituzumab Tirumotecan demonstrated promising antitumor activity in advanced urothelial carcinoma with an ORR of 31% and a mOS of 12.1 months. Safety profile was manageable with no treatment-related deaths or febrile neutropenia events, supporting further evaluation of this therapy.

  • Study

    Phase 1/2 study [NCT04152499]
    Advanced or metastatic urothelial carcinoma with progression after chemotherapy and checkpoint inhibitors
    Sacituzumab tirumotecan monotherapy (n=49) at 5 mg/kg every 2 weeks



  • Efficacy

    ORR: 31%
    mPFS: 5.5 mos; 18-mo PFS: 26%
    mOS: 12.1 mos; 18-mo OS: 33%



  • Safety

    Grade >=3 AEs: Anemia (41%), Decreased neutrophil count (35%), Decreased white blood cell count (20%), Stomatitis (12%), Decreased platelet count (8%)
    No treatment-related deaths or febrile neutropenia events reported


  • Ann Oncol. Published online 2025 Nov 17.

    Zhu Y, Jiang S, Shi Y New Drug: Sacituzumab Tirumotecan for Advanced Urothelial Carcinoma

    http://doi.org/10.1016/j.annonc.2025.11.013

    Reviewed by Ulas D. Bayraktar, MD on Dec 8, 2025

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