KOL Pulse — Trial Profile

LATIFY Trial

Advanced NSCLC — Ceralasertib (ATR inhibitor) + Durvalumab | AstraZeneca

Advanced NSCLC Ceralasertib + Durvalumab ELCC 2026 Investigational — Trial Negative
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Top KOLs Discussing LATIFY

Hidehito HORINOUCHI
Hidehito HORINOUCHI
@HHorinouchi
11.4K impressions
Mario Balsa
Mario Balsa
@MarioBalsaMD
3.0K impressions
d.planchard
d.planchard
@dplanchard
2.9K impressions
Dr Rishabh Jain
Dr Rishabh Jain
@DrRishabhOnco
1.5K impressions
Dr Amol Akhade
Dr Amol Akhade
@SuyogCancer
987 impressions
Alessio Cortellini
Alessio Cortellini
@ACortelliniMD
837 impressions

LATIFY Key Slides & Visuals

Official trial slides and relevant visuals shared by KOLs at ELCC 2026. Click any image to expand or view on X.

Hidehito HORINOUCHI
Hidehito HORINOUCHI @HHorinouchi
Conference Presentation
7.4K impressions · 4 likes · 2026-03-21
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d.planchard
d.planchard @dplanchard
Trial Data
2.9K impressions · 21 likes · 2026-03-27
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[Slide 1] LATIFY study design Phase 3, randomised, open-label, multicentre study (NCT05450692) Primary endpoint Key eligibility os Secondary endpoints included: Locally advanced/metastatic Ceralasertib 240 mg PO BID Days 1-7 PFS$ NSCLC without actionable Durvalumab 1500 mg IV on Day 8 Q28D ORR elcc genomic alterations* N=594 (N=299) DoR$ OS at 12 months Eligible for 2L or 3L treatment R PROs following progression on or after 1:1 Safety platinum-based CT and anti-PD-(L)1 therapy Stratified by (concurrent or sequential) Histology (squamous vs non- squamous) Docetaxel 75 mg/m² IV on Day 1 Q21D os and PFS in key subgroups Resistance to prior andi-PD-(L)1 therapy (N=295) ATM protein (<25%/225%) Documented PD-L1 status! (primary in acquired? ATM afteration presence absence)** PD-L1 status (YTN is 21%) Histology (squamous non-equamous) ECOG/WHO PS 0 or 1 Descraphical region North America and Western Europe is PD-L1 expression (<1% 1-49% >50%) other peographical regions) Resistance to prior and PD-(L)1 therapy (primary acquired) TGR and ALK widhge no the ROST RET MET BRAF V000 NTRKY and NTRQ stations Per VENTANA POL (SP283) many Presery resistence NON defined is Income progression 575 form start of peor - PD-(L)1 treatment and acquired resistance - docase progression vss - from the start of por and instruct Unvestgabe assessed per RECIST in the protest expressen - evaluated - he Ventana Y170 many if pro- delined of - (425% total in 925% normal) a unknown) "ATM derations - defend by combining AIM Issue mutstion BONAATM mutation - and ATM protest repression ATM mutations were classified - Intected (dditional or suspected felebrious) not detected NO pathoginic mutations - heAlth one) - unknown a ascend the 1. ALK yephone - ADM Alamis mutal no be day CT, chemotherapy MONA circulating know ONA DeR duration of response E000 Dooperative Group EGFR epidemal growth factor mapler N intravenously ORR response rate OS, overst survive PES progression free survival PO only PROM policed reported outsomes PS performance Q210 every 21 tays COSO every a Says, R condomized RECIST of 1. Response valuation Criteria a Sold Tunors verson 11 WHO Mind Health Organization elcc European Lung Cancer Congress 2026 --- [Slide 2] Conclusions LATIFY did not meet its primary endpoint, ceralasertib + durvalumab did not demonstrate a statistically significant improvement in OS compared with docetaxel - OS HR = 0.90 (95% Cl: 0.75-1.09; p = 0.287); median OS was 11.1 months (95% Cl: 10.0-12.7) in the ceralasertib + durvalumab arm VS 10.0 months (95% Cl: 8.5-11.7) in the docetaxel arm PFS and ORR were also not improved with ceralasertib + durvalumab VS docetaxel - Median PFS was 4.1 months (95% Cl: 3.8-4.4) in the ceralasertib + durvalumab arm VS 4.1 months (95% Cl: 3.5-4.3) in the docetaxel arm - ORR was 7.7% (95% Cl: 4.9-11.3) in the ceralasertib + durvalumab arm VS 17.3% (95% Cl: 13.2-22.1) in the docetaxel arm OS and PFS were generally consistent across prespecified subgroups - In LATIFY, ORR, PFS, and OS among patients with ATM alterations did not replicate the clinical activity observed in HUDSON Ceralasertib + durvalumab was tolerable and AEs were consistent with the known safety profiles of each agent --- [Slide 3] Secondary endpoint: Progression-free survival 1.0 Ceralasertib + Docetaxel durvalumab (n=299) (n=295) 0.8 Events, (%) 262 (87.6) 236 (80.0) mPFS, months (95% CI) 4.1 (3.8-4.4) 4.1(3.5-4.3) HR (95% CI) 0.87 (0.73-1.04) 0.6 Nominal p-value 0.133 Extramenting Probability of PFS Median duration of follow-up in 16.6 (0-31) 0.8 (0-29) elcc censored patients, months (range) 0.4 0.2 0 0 3 6 9 12 15 18 21 24 27 30 33 No. at risk Time from randomisation (months) Certificate 200 176 98 56 43 34 24 0 2 1 1 0 ourvalured Docetased 295 151 01 a 10 13 11 5 3 1 0 0 Data a October 00. 2025 Tick marks indicate consored data The 95% Cla for mPFS were calculated using the Brookneyer Crowdey method The HR and associated 95% Cla were calculated from a strattlied Cox proportional hazands model mPFS median progression- the service elcc European Lung Cancer Congress 2026 --- [Slide 4] Primary endpoint: Overall survival 1.0 Ceralasertib + Docetaxel durvalumab (n=299) (n=295) 0.8 Events, (%) 214(71.6) 219 (74.2) mOS, months (95% CI) 11.1(10.0-12.7) 10.0 (8.5-11.7) HR (95% CI) 0.90 (0.75-1.09) elcc Probability of os 0.6 p-value 0.287 Median duration of follow-up in 19.9 (0-32) 19.5(0-31) 40.2% - censored patients, months (range) 0.4 43.0% 0.2 0 0 3 6 9 12 15 18 21 24 27 30 33 No. risk Time from randomisation (months) Certificate 200 258 202 100 durvalurnab 127 101 11 43 22 9 5 0 Doortased 255 234 185 145 110 97 78 47 24 11 1 0 Date a October 06, 2025 Tick marks indicate ownered date The 95% Chs for nos were calculated wing the Brookmeyer Crewtity method The HR and associated 95% Ch were calculated tom straided Cox perportional hazanda model The significance level by testing os at his final analysis - 4. 15% 2 sided) at the oversl 4. 90% level allowing for strong elpha control across interm and trat analysis Imports nos median overal survival elcc European Lung Cancer Congress 2026
Hidehito HORINOUCHI
Hidehito HORINOUCHI @HHorinouchi
Study Design
2.4K impressions · 5 likes · 2026-03-26
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Hidehito HORINOUCHI
Hidehito HORINOUCHI @HHorinouchi
Study Design
1.6K impressions · 8 likes · 2026-03-27
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Dr Rishabh Jain
Dr Rishabh Jain @DrRishabhOnco
Efficacy Results
1.5K impressions · 13 likes · 2026-03-27
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LATIFY Top Tweets

Top 9 by impressions — click to view on X

Hidehito HORINOUCHI
Hidehito HORINOUCHI@HHorinouchi

🔜 #ELCC26 @myESMO 🇩🇰 🔥Proffered Paper session 2 ☑️CT screening in non-risk-based population ☑️LATIFY: ceralasertib + durvalumab ☑️ETOP-Roche i-TIMES: immunotherapy...

👁 7.4K ♡ 4 ↻ 1 2026-03-21
Mario Balsa
Mario Balsa@MarioBalsaMD

Post-#ELCC26 clarity in one place 😉 🔗 From KRAS G12D degraders to ADC final OS, plus negative trials that matter (LATIFY) and practice-changing questions (i-TIMES, NorthStar)...

👁 3.0K ♡ 13 ↻ 6 2026-03-30
d.planchard
d.planchard@dplanchard

Superb presentation by @BenjaminBesseMD on the results of the Phase III LATIFY study. Unfortunately, the trial was negative, despite a potential benefit in 7% of patients who require...

👁 2.9K ♡ 21 ↻ 6 2026-03-27
Hidehito HORINOUCHI
Hidehito HORINOUCHI@HHorinouchi

🆙 #ELCC26 @myESMO 🇩🇰 🔥Proffered Paper session 2 ☑️LATIFY: ceralasertib + durvalumab 🎯No statistically significant OS benefit vs docetaxel, with no improvements in PFS or...

👁 2.4K ♡ 5 ↻ 3 2026-03-26
Hidehito HORINOUCHI
Hidehito HORINOUCHI@HHorinouchi

🆙 #ELCC26 @myESMO @IASLC 🇩🇰 🔥Proffered Paper session 2 ☑️LATIFY: ceralasertib + durvalumab 🎯No statistically significant OS benefit vs docetaxel, with no...

👁 1.6K ♡ 8 ↻ 5 2026-03-27
Dr Rishabh Jain
Dr Rishabh Jain@DrRishabhOnco

🚨 ATR inhibition + IO fails to beat chemo in post-IO NSCLC #ELCC26 LATIFY trial: Ceralasertib + Durvalumab vs docetaxel 👇 🧬 Study population • LA/mNSCLC • Progressed after...

👁 1.5K ♡ 13 ↻ 6 2026-03-27
Dr Amol Akhade
Dr Amol Akhade@SuyogCancer

Conclusion in one Line The LATIFY Trial is Negative for all outcomes . @esmo #elcc26

👁 987 ♡ 9 ↻ 4 2026-03-27
Alessio Cortellini
Alessio Cortellini@ACortelliniMD

Disappointing to see that the LATIFY trial didn&#x27;t meet it&#x27;s primary endpoint! But there are patients who do benefit from PD(L)1 rechallenge in the second...

👁 837 ♡ 10 ↻ 4 2026-03-27
Bhaarath PG
Bhaarath PG@BhaarathP10039

@myESMO #ELCC26: Top Trials from Day 3 SHR-A2009-201 | KEYNOTE-671 | LATIFY | OptiTROP-Lung03 | NCT04938804 | NCT06107686 | PRESERVE-003 |...

👁 183 ♡ 2 ↻ 0 2026-03-28

About the LATIFY Trial

LATIFY (NCT05450692) is a phase 3, randomised, open-label, multicentre study evaluating ceralasertib (an ATR inhibitor) plus durvalumab versus docetaxel in patients with locally advanced or metastatic NSCLC who progressed after prior platinum-based chemotherapy and anti-PD-(L)1 therapy. The study enrolled 594 patients without actionable genomic alterations. The trial was presented at ELCC 2026 by Dr. Benjamin Besse and was reported as negative across all primary and secondary endpoints.

Trial Methodology & Results

Study Design

Phase 3, randomised 1:1, open-label, multicentre study. Patients were stratified by histology (squamous vs non-squamous), resistance to prior anti-PD-(L)1 therapy (primary vs acquired), ATM protein expression, PD-L1 status, and geographical region.

Population

Adults with locally advanced or metastatic NSCLC without actionable genomic alterations (EGFR, ALK, ROS1, RET, MET, BRAF V600E, NTRK), eligible for 2nd or 3rd line treatment following progression on or after platinum-based chemotherapy and anti-PD-(L)1 therapy (concurrent or sequential). ECOG PS 0-1 with documented PD-L1 status.

Interventions

Experimental arm: ceralasertib 240 mg orally twice daily on Days 1-7 plus durvalumab 1500 mg IV on Day 8 every 28 days (N=299). Control arm: docetaxel 75 mg/m2 IV on Day 1 every 21 days (N=295).

Primary Endpoints

Primary endpoint: overall survival (OS). Key secondary endpoints included PFS, ORR, duration of response (DoR), OS at 12 months, patient-reported outcomes (PROs), and safety. Subgroup analyses by ATM status, PD-L1 expression, histology, and resistance type were pre-specified.

Progression-Free Survival (PFS)

The LATIFY trial did not demonstrate a statistically significant improvement in PFS for ceralasertib plus durvalumab compared to docetaxel. No numerical PFS data have been publicly reported beyond the negative outcome statement at ELCC 2026.

Trial did not meet PFS endpoint

Source: ClinicalTrials.gov — NCT05450692 →

Overall Survival (OS)

The primary endpoint of overall survival was not met. Ceralasertib plus durvalumab did not show a statistically significant OS benefit compared to docetaxel in the overall study population. The presenter noted a potential signal of benefit in approximately 7% of patients who may require molecular characterization for identification.

Primary OS endpoint not met

Source: ClinicalTrials.gov — NCT05450692 →

Safety & Tolerability

Detailed safety data from LATIFY have not yet been fully reported in the public domain beyond the ELCC 2026 presentation. The safety profile of ceralasertib plus durvalumab was assessed as a secondary endpoint.

Safety data pending full publication

Source: ClinicalTrials.gov — NCT05450692 →

Clinical Implications

The LATIFY trial represents a setback for ATR inhibitor-based combination strategies in post-immunotherapy NSCLC. While the overall trial was negative, a potential benefit signal in approximately 7% of patients suggests that molecular characterization (including ATM status) may identify a subgroup that could benefit. This underscores the need for biomarker-driven patient selection in future DDR-targeted therapy trials.

Key KOL Sentiments — LATIFY

DoctorSentimentComment
Hidehito HORINOUCHI ● NEUTRAL 🔜 #ELCC26 @myESMO 🇩🇰 🔥Proffered Paper session 2 ☑️CT screening in non-risk-based population ☑️LATIFY: ceralasertib + durvalumab ☑️ETOP-Roche i-TIMES: immunotherapy timing ☑️PRESERVE-003: gotistobart vs. docetaxel 🎙️Chair: @DrSanjayPopat @APassaroMD @...
Mario Balsa ● NEUTRAL Post-#ELCC26 clarity in one place 😉 🔗 From KRAS G12D degraders to ADC final OS, plus negative trials that matter (LATIFY) and practice-changing questions (i-TIMES, NorthStar) Today’s questions are tomorrow’s standards ✨ @OncoAlert
Dr Rishabh Jain ● NEUTRAL 🚨 ATR inhibition + IO fails to beat chemo in post-IO NSCLC #ELCC26 LATIFY trial: Ceralasertib + Durvalumab vs docetaxel 👇 🧬 Study population • LA/mNSCLC • Progressed after anti-PD-(L)1 ± platinum CT • No actionable mutations 💊 Arms • 🟣 Ceralaserti...
Bhaarath PG ● NEUTRAL @myESMO #ELCC26: Top Trials from Day 3 SHR-A2009-201 | KEYNOTE-671 | LATIFY | OptiTROP-Lung03 | NCT04938804 | NCT06107686 | PRESERVE-003 | NCT06505837 #ELCC #ELCC2026 #Cancer #Oncology #LungCancer #NSCLC #SCLC #lcsm #ClinicalTrials #OncologyEvents #...
d.planchard ● NEGATIVE Superb presentation by @BenjaminBesseMD on the results of the Phase III LATIFY study. Unfortunately, the trial was negative, despite a potential benefit in 7% of patients who require molecular characterization…#ELCC2026
Hidehito HORINOUCHI ● NEGATIVE 🆙 #ELCC26 @myESMO 🇩🇰 🔥Proffered Paper session 2 ☑️LATIFY: ceralasertib + durvalumab 🎯No statistically significant OS benefit vs docetaxel, with no improvements in PFS or ORR 🎙️ @BenjaminBesseMD 🎙️Chair: @DrSanjayPopat @APassaroMD 📍NCT05450692 @OncoAl...
Hidehito HORINOUCHI ● NEGATIVE 🆙 #ELCC26 @myESMO @IASLC 🇩🇰 🔥Proffered Paper session 2 ☑️LATIFY: ceralasertib + durvalumab 🎯No statistically significant OS benefit vs docetaxel, with no improvements in PFS or ORR 🎙️ @BenjaminBesseMD 🎙️Chair: @DrSanjayPopat @APassaroMD 📍NCT05450692 ...
Dr Amol Akhade ● NEGATIVE Conclusion in one Line The LATIFY Trial is Negative for all outcomes . @esmo #elcc26
Alessio Cortellini ● NEGATIVE Disappointing to see that the LATIFY trial didn't meet it's primary endpoint! But there are patients who do benefit from PD(L)1 rechallenge in the second line as highlighted by @BenjaminBesseMD Shall we move the threshold for prior acquire...