IDEAYA reports positive Phase 1 IDE849 data and plans two Phase 3 trials

IDEAYA Biosciences reported updated Phase 1 data for IDE849, an investigational DLL3-targeting ADC, at ESMO 2026 on October 23, 2026. In second-line SCLC, the study recorded median overall survival of 17.4 months and median progression-free survival of 6.9 months; across previously treated SCLC, the corresponding figures were 14.7 months and 6.8 months. IDEAYA said it is targeting two Phase 3 registrational studies in extensive-stage SCLC and NEC after successful Type C meetings with the FDA.

The results provide additional clinical data for IDEAYA's lead partnered drug candidate in SCLC and NEC, while the planned Phase 3 program would move IDE849 toward registrational testing. The company expects to advance the program globally with Jiangsu Hengrui Pharmaceuticals, subject to the planned regulatory process.

  • 1The 2L SCLC cohort had a 72.5% ORR and a 60.8% cORR, with 51 patients evaluated.
  • 2Across 2L and later-line SCLC, ORR was 68.3% and cORR was 54.5% in 101 patients.
  • 3For patients with other NECs, ORR reached 52.6%, cORR reached 36.8%, median PFS was 7.0 months, and the nine-month OS rate was 82.4%.
  • 4At the 2.4 mg/kg expansion dose, Grade ≥3 treatment-related adverse events occurred in 33.3% of patients.
  • 5Across the study, treatment-related discontinuation occurred in 2.5% of patients and Grade ≥3 ILD occurred in 0.8% of patients.
  • 6IDEAYA's separate global study recorded Grade ≥3 treatment-related adverse-event rates of 5% at 2.4 mg/kg and 22.2% at 3.5 mg/kg.

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