ASCO 2026: Latest & Greatest in Lung Cancer Research
June 15, 2026
Each year, oncology professionals from around the world gather at the American Society of Clinical Oncology (ASCO) Annual Meeting to explore the latest advances in cancer research and treatment. Our team recently returned from this year’s conference with exciting insights and updates to share.
Updates to precision medicine and targeted therapy
At ASCO 2026, we continued to see advancements made in targeted therapies, including new options for rarer biomarker groups.
- ALK
Updated data from the CROWN trial underscored long-term progress. The data compared the ALK targeted therapy Lorbrena (lorlatinib) as a first treatment for ALK-positive non-small cell lung cancer (NSCLC) to an earlier generation of ALK targeted therapy, Xalkori (crizotinib). While the trial had previously demonstrated that lorlatinib led to better outcomes, new data showed that even 7 years after the trial started, many patients had still not experienced progression while taking lorlatinib. The median or “middle-ground” benefit of lorlatinib has still not been determined, which could mean a long treatment benefit. This exciting result affirms that with continued research, we are achieving better long-term outcomes than ever before in lung cancer.
- EGFR
In the WU-KONG 28 trial, we saw promising results from the EGFR Exon 20 targeted therapy Zegfrovy (sunvozertinib) as a first therapy (notable also given that sunvozertinib is a pill and other currently approved EGFR Exon 20 therapies are administered by IV).
- RET
The Libretto-432 trial showed that giving the RET targeted therapy Retevmo (selpercatinib) after surgery decreased the chance that the cancer would come back after being removed in people with RET-positive NSCLC. Trials like Libretto-432 serve as a reminder that receiving comprehensive biomarker testing is important for everyone who has lung cancer (regardless of stage) and that we may soon see additional targeted therapy options for early-stage NSCLC, beyond the already approved Tagrisso (osimertinib) (EGFR) and Alecensa (alectinib) (ALK). Data also demonstrated the new RET targeted therapy, lunbotinib, had promising effectiveness and could be an additional option for RET-positive NSCLC.
- ALK
The LORIN trial showed that giving the ALK-targeted therapy Lorbrena (lorlatinib) before surgery to patients with initially unresectable, early-stage ALK-positive NSCLC led to significant tumor shrinkage. As a result, 75% of participants became eligible for surgical removal of their cancer, highlighting the potential role of targeted therapies in expanding treatment options for patients with early-stage disease.
Immunotherapy innovations
The field of immunotherapy continues evolving in new directions, with several agents advancing in trials and coming closer to entering clinical practice. Two such drugs that were spotlighted at this year's meeting include ivonescimab and pumitamig. These are both bi-specific antibodies that attach to and block PD-1 and VEGF (a special protein that helps blood vessels grow).
- Invonescimab with chemotherapy
In the Harmoni-6 trial, invonescimab (with chemotherapy) was compared to a PD-L1 inhibitor called Tevimbra (tislelizumab) (also given with chemo) to see which combination would be a better treatment for people living with squamous cell NSCLC. The ivonescimab group had a 4-month longer period without progression (28 months compared to 24), and people with a positive PD-L1 score (one that is >1%) did better than people with a negative PD-L1 score. This emphasizes the importance of having doctors test the tumor tissue to measure this number.
- BNT327/BMS-986545 (pumitamig)
In the RosettaLung-02 trial, people with squamous and non-squamous NSCLC were given this drug in the first line. There was a strong response among both groups, with non-squamous individuals responding 63.6% of the time, and squamous individuals responding 72.7% of the time. For those who did respond, all still showed stable or shrinking disease at 9 months.
- Combination therapies
The TRITON study showed the benefits of new drug combinations, especially for mutations that are prone to resistance. The study found that a combination of durvalumab Imfinzi (durvalumab), Paraplatin (carboplatin) or Platinol (cisplatin) plus Toposar (etoposide) chemotherapy, and the drug Imjudo (tremelimumab) can provide added benefit when administered in first line NSCLC. This trial found that people who had a STK11, KEAP1, or KRAS mutation were 15% more likely to respond to this combination when compared to the standard of care, chemotherapy plus Keytruda (pembrolizumab), at 48% vs. 33.3%.
Promising research for small cell lung cancer (SCLC)
Researchers continue to work on bridging the gap for people living with SCLC and brought updates on improving both treatment and quality of life.
- SCLC with brain metastasis
In the DELPHI-304 study of Imdelltra (tarlatamab), people who received it over chemotherapy were more likely to see their brain tumor(s) shrink by 30% or more (56% of people compared to 38%). They also found that a complete response was more likely with Imdelltra (tarlatamab), at 15% compared to 5% for chemotherapy. This offers an additional layer of protection and confidence for the many people with SCLC experiencing brain metastases.
- Risks and benefits of adding extra treatments
The TRIPLEX study evaluated whether there was a survival benefit to adding radiation therapy to treatment with chemoimmunotherapy in extensive-stage SCLC. This study found that people given concurrent radiation with their chemotherapy+immunotherapy had higher rates of side effects and mortality when compared to those who were on chemo and immunotherapy alone, but they did not have a longer survival time. Though this study did not find that added radiation was beneficial for these individuals, it teaches us how to optimize cancer care. By balancing the disease control rate of a medication with its side effect profile, we can work to provide care that will be well-tolerated and effective at the same time.
Want to learn more about takeaways and highlights from ASCO 2026? Don’t miss our dedicated Lung Cancer Living Room discussion on Tuesday, July 21. Text "LivingRoom" to 844-871-7558 to receive Living Room text reminders.