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SAFFRON Trial

SAFFRON (NCT05261399) is the global Phase III trial of savolitinib (Orpathys, HUTCHMED) plus osimertinib (Tagrisso, AstraZeneca) versus platinum–pemetrexed chemotherapy in EGFR-mutated, MET-overexpressed and/or amplified advanced NSCLC after progression on osimertinib. Topline results (Aug 17, 2026): PFS and OS significantly improved — an investigational, all-oral, chemotherapy-sparing combination.

Phase III · NCT05261399 EGFRm NSCLC · post-osimertinib MET IHC90+ / FISH10+ (central) Topline: PFS + OS positive (Aug 2026) ⚠ Investigational in the US · FDA Fast Track
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SAFFRON Key Takeaways

Design

Global, randomized (1:1), open-label Phase III: savolitinib 300 mg twice daily + osimertinib 80 mg once daily vs platinum–pemetrexed doublet chemotherapy; 338 patients, 230 centers, 29 countries. Setting: immediately after progression on 1st- or 2nd-line osimertinib (i.e., 2L/3L therapy). Primary endpoint: PFS by blinded independent central review (RECIST 1.1). AstraZeneca PR · HUTCHMED PR · JTO design abstract

Topline result — Aug 17, 2026

Statistically significant and clinically meaningful improvement in both PFS and OS versus chemotherapy. Numeric results are not yet disclosed — data to be presented at a forthcoming medical meeting and shared with global regulatory authorities. Source: AstraZeneca press release, Aug 17, 2026

Biomarker

MET-driven resistance selected prospectively by central lab: IHC 3+ in ≥90% of tumor cells and/or FISH ≥10 copies — the high-MET cut-off from SAVANNAH. JTO design abstract · AstraZeneca PR

Regulatory

⚠ The combination is investigational in the US (FDA Fast Track). ✅ Approved in China (June 2025) for MET-amplified EGFRm NSCLC after progression on EGFR-inhibitor therapy, based on the SACHI Phase III trial. Osimertinib monotherapy is FDA-approved in EGFRm NSCLC. HUTCHMED: China approval (SACHI) · AstraZeneca PR

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Top KOLs Discussing SAFFRON

Masahiro TORASAWA, MD. PhD.
Masahiro TORASAWA, MD. PhD.
12.2K impressions
Noemi Reguart
Noemi Reguart
4.2K impressions
Toni Choueiri, MD
Toni Choueiri, MD
3.2K impressions
d.planchard
d.planchard
1.7K impressions
Diego A. Díaz-García
Diego A. D az-Garc a
1.4K impressions
Dr. Antonio Calles 🫁🚭
Dr. Antonio Calles
829 impressions
Balazs Halmos
Balazs Halmos
691 impressions
Yago Garitaonaindía
Yago Garitaonaind a
608 impressions

SAFFRON Key Slides & Visuals

Topline-day press captures (Aug 17, 2026) plus the SAVANNAH Phase II deck from ELCC25 that defined SAFFRON’s MET selection strategy. Full text via the OCR toggle on each card. SAVANNAH numbers are Phase II data (cut-off 23 Aug 2024) — SAFFRON Phase III numbers are not yet disclosed.

Masahiro TORASAWA, MD. PhD. @M_Torasawa · 2026-08-17
HUTCHMED topline announcement
Press release, Aug 17, 2026
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SAFFRON — HUTCHMED topline announcement
Announcements & Press Releases, Oncology/Immunology | 17 Aug 2026 HUTCHMED Announces ORPATHYS(R) Plus TAGRISSO(R) Demonstrated Statistically Significant and Clinically Meaningful Improvements in Progression-Free and Overall Survival in MET-Driven EGFR-Mutated Lung Cancer After Progression on TAGRISSO(R) - First global Phase III trial to show significant progression-free and overall survival benefits in this setting - - SAFFRON trial results reinforce TAGRISSO as the backbone therapy across EGFRm lung cancer -
Toni Choueiri, MD @DrChoueiri · 2026-08-17
AstraZeneca press release + study design
Note: 2nd image is a separate Phase 2 1L design slide
View Post
SAFFRON — AstraZeneca press release + study design (1)SAFFRON — AstraZeneca press release + study design (2)
[AstraZeneca press release, 17 August 2026:] Tagrisso plus Orpathys demonstrated statistically significant and clinically meaningful improvements in progression-free and overall survival in MET-driven EGFR-mutated lung cancer after progression on Tagrisso. First global Phase III trial to show significant progression-free and overall survival benefits in this setting. SAFFRON trial results reinforce Tagrisso as the backbone therapy across EGFRm lung cancer. [Second image — Study Design slide (NOTE: this is a 1L osimertinib +/- savolitinib cohort design, N=44, ORR primary endpoint — appears to be a separate Phase 2 study design, NOT the SAFFRON Phase 3 schema):] Key inclusion: >=18y, treatment-naive IIIB/IV NSCLC, ECOG 0-1, EGFR sensitive mutation (19del or L858R), MET positive (IHC3+ >=75% or FISH GCN>=5 or MET/CEP7>=2 or NGS CN>=5), no prior EGFR or HGF/MET inhibitors. Cohort 1: osimertinib 80mg qd (N=22); Cohort 2: osimertinib 80mg qd + savolitinib 300mg bid (N=22); serial ctDNA (NGS); post-progression MET-positive -> osimertinib + savolitinib 300mg bid. Primary: ORR (RECIST 1.1) of each cohort as 1L. Secondary: PFS, DoR, DCR, OS, 12m OS. Exploratory: ORR of savolitinib+osimertinib after progression on osimertinib monotherapy, resistance profile, biomarker analysis.
d.planchard @dplanchard · 2026-08-17
AZ press-release pull quotes
Press release, Aug 17, 2026
View Post
SAFFRON — AZ press-release pull quotes (1)SAFFRON — AZ press-release pull quotes (2)
[AstraZeneca press-release pull quote:] Tagrisso plus Orpathys demonstrated statistically significant and clinically meaningful improvements in progression-free and overall survival in MET-driven EGFR-mutated lung cancer after progression on Tagrisso. SAFFRON trial results reinforce Tagrisso as the backbone therapy across EGFRm lung cancer. Positive high-level results from the SAFFRON Phase III trial showed Tagrisso (osimertinib) plus Orpathys (savolitinib) demonstrated a statistically significant and clinically meaningful improvement in both progression-free survival (PFS) and overall survival (OS) versus doublet platinum-based chemotherapy in patients with EGFR-mutated (EGFRm) non-small cell lung cancer (NSCLC). Patients in the trial had tumours with high levels of MET overexpression or amplification and had progressed on prior treatment with Tagrisso.
Noemi Reguart @NReguart · 2025-03-26
SAVANNAH Phase II deck (ELCC25) - design, response, PFS
Prof Myung-Ju Ahn; the Phase II that set SAFFRON's stage - data cut-off 23 Aug 2024
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SAFFRON — SAVANNAH Phase II deck (ELCC25) - design, response, PFS (1)SAFFRON — SAVANNAH Phase II deck (ELCC25) - design, response, PFS (2)SAFFRON — SAVANNAH Phase II deck (ELCC25) - design, response, PFS (3)
SAVANNAH STUDY DESIGN (ELCC25, Prof Myung-Ju Ahn) Key inclusion: >=18 years (Japan >=20), locally advanced or metastatic EGFRm NSCLC, PD on osimertinib, centrally confirmed MET overexpression (IHC) or amplification (FISH), ECOG PS 0/1, stable CNS metastases permitted. Protocol versions 1-6: PD on osimertinib (any line); <=3 prior lines; MET IHC3+/>=50% or FISH5+ -> savolitinib 300 mg QD + osimertinib 80 mg QD (n=198); savolitinib 300 mg BID + osimertinib 80 mg QD (n=54; n=32 included in primary efficacy population); savolitinib 600 mg QD + osimertinib 80 mg QD (n=44). Protocol version 7: PD on first-line osimertinib, MET IHC3+/>=90% or FISH10+ -> 2:1 randomisation (stratified by brain metastases): savolitinib 300 mg BID + osimertinib 80 mg QD (n=48; included in primary efficacy population) vs savolitinib 300 mg BID + placebo (n=25); crossover allowed. Primary endpoint: ORR (investigator assessment), primary efficacy population n=80 (MET IHC3+/>=90% and/or FISH10+ after PD on first-line osimertinib, savolitinib 300 mg BID + osimertinib). Secondary: ORR (BICR), PFS, DoR (investigator and BICR), OS, safety. TUMOUR RESPONSE (primary efficacy population, n=80; data cut-off 23 August 2024) Investigator assessment: confirmed ORR 56% (95% CI 45-67); CR 1%; PR 55%; median DoR 7.1 months (5.6-9.6); median time to onset of response 6.1 weeks (6.0-6.7). BICR assessment: confirmed ORR 55% (95% CI 43-66); CR 1%; PR 54%; median DoR 9.9 months (6.0-13.7); median time to onset 6.0 weeks (5.7-6.6). PROGRESSION-FREE SURVIVAL [KM-curve slide - legible values only, per survival-slide rule]: Investigator assessment: median PFS 7.4 months (95% CI 5.5-7.6); events 65/80; maturity 81%. BICR assessment: median PFS 7.5 months (95% CI 6.4-11.3); events 49/80; maturity 61%; landmark PFS ~65% at 6 months, ~35% at 12 months. Data cut-off 23 August 2024. Median follow-up for PFS 5.7 months (investigator) / 5.8 months (BICR).
Diego A. Díaz-García @diegoadiazg · 2025-03-26
SAVANNAH at ELCC25 - photographed live
Title slide + in-room shots of the same deck
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SAFFRON — SAVANNAH at ELCC25 - photographed live (1)SAFFRON — SAVANNAH at ELCC25 - photographed live (2)SAFFRON — SAVANNAH at ELCC25 - photographed live (3)
ELCC - European Lung Cancer Congress 2025. SAVANNAH: Savolitinib + osimertinib in patients with EGFRm advanced NSCLC and MET overexpression and/or amplification following progressive disease on osimertinib. Myung-Ju Ahn, Tae Min Kim, Laura Bonanno, Susanna Cheng, Sang-We Kim, Marcello Tiseo, Quincy Chu, Claudia Proto, Adrian Sacher, Yung-Hung Luo, Christina Baik, Lyudmila Bazhenova, Jacques Cadranel, Tuan Bao Diep, Prasad Narayanan, James Chih-Hsin Yang, Alexander Gont, Matthew Haskins, Wanning Xu, Filippo de Marinis. Final publication number: 2O. [Photos 2-3 are the same SAVANNAH design and tumour-response slides shown in Dr. Reguart's set below, photographed in-room; see that panel for the full transcription.]

SAFFRON Top Tweets

Masahiro TORASAWA, MD. PhD.@M_Torasawa
𝕏

🚨 Phase 3 SAFFRON met its primary endpoint Savolitinib + osimertinib significantly improved PFS and OS vs. platinum-based chemo in EGFRm NSCLC with MET overexpression/amplification after progression on osimertinib. 🔥 First global P3 trial to show both PFS and OS benefit in this setting! 🔗 https://t.co/PXrv3Ld0VN

8.0K views 0 likes0 RT 2026-08-17
Noemi Reguart@NReguart
𝕏

SAVANNAH (Ph 2): Savo + Osi EGFRm-resist NSCLC w/MET overexp (IHC90+) and/or ampl (FISH10+)~1/3 resist pts. ORR 55%, DoR 9.9, PFS 7.5 (BICR). vs MARIPOSA-2 (Ph3 Ami+ChT): ORR 53%, DoR 6.9, PFS 6.3 mo. Ph 3 SAFFRON ongoing #ESMOAmbassadors #ELCC25 @myESMO https://t.co/NejMZNEARv

4.2K views 55 likes18 RT 2025-03-26
Masahiro TORASAWA, MD. PhD.@M_Torasawa
𝕏

1st lineでさえ治療選択が難しくなっているのに2nd line以降はより混沌としてきた🤔 FLAURA2耐性後もMET ampは一定(12%)いることから、FLAURA2→SAFFRONのシークエンスにいけると良さそう. いずれにせよ再生検が非常に重要🔬🧬 https://t.co/n5oHF4Arom

4.2K views 0 likes0 RT 2026-08-17
Toni Choueiri, MD@DrChoueiri
𝕏

JUST IN: The SAFFRON trial is + for PFS and OS via @AstraZeneca —NSCLC, EGFR-mutated with MET over expression post EGFR-m progression https://t.co/TbdmI9F7gn https://t.co/qFagvTt3dA

3.2K views 0 likes0 RT 2026-08-17
d.planchard@dplanchard
𝕏

Confirmation of the value of targeting our #EGFRmut MET+ #NSCLC patients at osimertinib progression while continuing osimertinib... a treatment strategy that also makes sense post-FLAURA2 combination, given the significant proportion of MET pathway activation at progression https://t.co/5Y84epB0EU

1.7K views 0 likes0 RT 2026-08-17
Diego A. Díaz-García@diegoadiazg
𝕏

Savolitinib plus osimertinib in pts with EGFRm aNSCLC and MET overexpression and/or amplification following PD on osimertinib. #ELCC25 @myESMO ORR 56%, Median DoR 7.1m, Median PFS 7.4m. Phase 3 Trial vs PBC 👉🏻 SAFFRON… Amendment to include Amivantamab in the control arm? 🤔 https://t.co/o8Vn1Fstxm

1.4K views 19 likes6 RT 2025-03-26
Dr. Antonio Calles 🫁🚭@Tony_Calles
𝕏

“Positive high-level results from the SAFFRON Phase III trial showed Tagrisso (osimertinib) plus Orpathys(savolitinib) demonstrated a statistically significant and clinically meaningful improvement in both progression-free survival (PFS) and overall survival (OS) versus doublet platinum-based chemotherapy in patients with epidermal growth factor receptor-mutated (EGFRm) non-small cell lung cancer (NSCLC). Patients in the trial had tumours with high levels of MET overexpression or amplification and had progressed on prior treatment with Tagrisso.”

829 views 0 likes0 RT 2026-08-17
Balazs Halmos@BalazsHalmosMD
𝕏

Looks like the SAFFRON study literally MET its endpoint.. Precision medicine is here to stay post-progression on EGFR TKI therapy! https://t.co/NyPnBJp6dP https://t.co/siejGD70g4

691 views 0 likes0 RT 2026-08-17
Yago Garitaonaindía@YGaritaonaindia
𝕏

📣SAFFRON is positive (press-release) Osimertinib + savolitinib improves both PFS and OS vs platinum doublet in EGFR-mutant #NSCLC with high #MET overexpression/amplification after progression on osimertinib https://t.co/IbdhJjuBtp #LCSM #EGFR

608 views 0 likes0 RT 2026-08-17
Oncology News Central@OncNewsCentral
𝕏

Chemo-free hope for #EGFRm #NSCLC: #Savolitinib + osimertinib yields durable responses (ORR 55%) in MET+ pts after Tagrisso. Phase 2 SAVANNAH sets stage for SAFFRON trial. https://t.co/so9Yw6ZqgY #LungCancer #PrecisionOncology #METAlterations #ELCC25 @stephanieplsaw https://t.co/zHIpk8FmpD

169 views 1 likes0 RT 2025-04-06

About the SAFFRON Trial

MET overexpression and/or amplification is one of the most common mechanisms of acquired resistance to osimertinib in EGFR-mutated NSCLC. SAFFRON tests whether adding savolitinib — an oral, highly selective MET tyrosine kinase inhibitor jointly developed by HUTCHMED and AstraZeneca — to continued osimertinib can beat the platinum-doublet chemotherapy default in patients whose disease progressed on first- or second-line osimertinib as their most recent therapy.

On August 17, 2026, AstraZeneca and HUTCHMED announced positive high-level results: SAFFRON is the first global Phase III trial to show significant progression-free and overall survival benefits in this setting, reinforcing an all-oral, chemotherapy-sparing sequencing option. The program builds on TATTON and the SAVANNAH Phase II trial (which defined the IHC90+/FISH10+ selection), and on SACHI, the China Phase III that already supported the combination’s approval there. Physicians on this page immediately framed the readout around post-FLAURA2 sequencing and the value of routine MET testing at progression.

Trial Methodology & Results

Study Design

Global, randomized (1:1), open-label, multicenter Phase III; 338 patients across 230 centers in 29 countries; last patient randomized October 31, 2025.

Population

Adults with locally advanced or metastatic EGFRm NSCLC (Ex19del/L858R ± T790M), MET-overexpressed (central IHC: 3+ in ≥90% of tumor cells) and/or amplified (FISH ≥10 copies / NGS), progressed on 1st- or 2nd-line osimertinib as most recent therapy.

Interventions

Savolitinib 300 mg BID + osimertinib 80 mg QD (all-oral) vs pemetrexed 500 mg/m² + cisplatin 75 mg/m² or carboplatin AUC5 q21d ×4, then pemetrexed maintenance.

Endpoints

Primary: PFS by BICR (RECIST 1.1). Secondary: OS, ORR, DoR, DCR, TTR, safety.

Companion Diagnostic

Prospective central MET testing (IHC / FISH / NGS) using the SAVANNAH-derived high-MET cut-off (IHC90+ / FISH10+).

Sponsors

AstraZeneca and HUTCHMED (savolitinib jointly developed; commercialized by AstraZeneca).

Efficacy — topline only

Savolitinib + osimertinib delivered a statistically significant and clinically meaningful improvement in PFS (primary endpoint, BICR) and in OS versus platinum-based doublet chemotherapy. No hazard ratios, medians, or response rates have been disclosed yet; full data will be presented at a forthcoming medical meeting.

First global Phase III with significant PFS + OS benefit in this setting
Source: AstraZeneca press release, Aug 17, 2026

Safety

Per the topline announcement, the safety profile of osimertinib plus savolitinib was consistent with the known profiles of each medicine, with no new safety findings. Full quantitative safety data (AE rates, discontinuations) have not yet been disclosed and are expected with the full presentation.

Source: AstraZeneca press release, Aug 17, 2026

Clinical Implications

⚠ Investigational in the US: the combination is not FDA-approved for this indication (FDA Fast Track designation). ✅ In China, the combination is approved for MET-amplified EGFRm NSCLC after EGFR-TKI progression based on SACHI. Switzerland has granted the combination a temporary authorization in this high-MET setting based on SAVANNAH. If registered globally on SAFFRON, an all-oral targeted doublet would challenge platinum chemotherapy as the default after osimertinib failure in MET-driven disease — and would sharpen the case for routine MET testing (IHC/FISH/NGS) at progression.

Source: HUTCHMED, China approval (SACHI), Jun 2025

SAFFRON in the News

SAFFRON FAQ

What is the SAFFRON trial?

SAFFRON (NCT05261399) is a global, randomized, open-label Phase III trial testing savolitinib (Orpathys) added to osimertinib (Tagrisso) versus platinum-pemetrexed doublet chemotherapy in 338 patients with EGFR-mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC whose disease progressed on first- or second-line osimertinib. It enrolled across 230 centers in 29 countries.

What did the SAFFRON topline results show?

Per the August 17, 2026 announcements from AstraZeneca and HUTCHMED, savolitinib plus osimertinib demonstrated statistically significant and clinically meaningful improvements in both progression-free survival (the primary endpoint, assessed by blinded independent central review) and overall survival versus platinum-based chemotherapy. Numeric results have not yet been disclosed; the data will be presented at a forthcoming medical meeting.

Is the savolitinib plus osimertinib combination FDA approved?

No. The combination is investigational in the United States and has received FDA Fast Track designation for this setting. It is approved in China (June 2025) for EGFR-mutated non-squamous NSCLC with MET amplification after progression on EGFR-inhibitor therapy, based on the SACHI Phase III trial. Osimertinib (Tagrisso) itself is FDA-approved in EGFR-mutated NSCLC.

How were patients selected for MET status in SAFFRON?

MET status was determined prospectively by a central laboratory: MET overexpression by immunohistochemistry (3+ staining intensity in at least 90% of tumor cells, IHC90+) and/or MET amplification by FISH (10 or more copies, FISH10+) or NGS — the higher-level MET cut-off identified in the SAVANNAH Phase II trial.

Why does SAFFRON matter for EGFR-mutant lung cancer?

MET aberration is one of the most common mechanisms of resistance to osimertinib. SAFFRON is the first global Phase III trial to show significant PFS and OS benefits with an all-oral, chemotherapy-sparing targeted combination in this post-osimertinib, MET-driven setting — KOLs on this page frame it as precision medicine displacing the platinum-doublet default.

Key KOL Sentiments — SAFFRON

KOLComment (verbatim)Sentiment
Masahiro TORASAWA, MD. PhD. 🚨 Phase 3 SAFFRON met its primary endpoint Savolitinib + osimertinib significantly improved PFS and OS vs. platinum-based chemo in EGFRm NSCLC with MET overexpression/amplification after progression on osimertinib. 🔥 First global P3 trial to show both PFS and OS benefit in this setting! 🔗 https://t.co/PXrv3Ld0VN Positive
Masahiro TORASAWA, MD. PhD. 1st lineでさえ治療選択が難しくなっているのに2nd line以降はより混沌としてきた🤔 FLAURA2耐性後もMET ampは一定(12%)いることから、FLAURA2→SAFFRONのシークエンスにいけると良さそう. いずれにせよ再生検が非常に重要🔬🧬 https://t.co/n5oHF4Arom Positive
d.planchard Confirmation of the value of targeting our #EGFRmut MET+ #NSCLC patients at osimertinib progression while continuing osimertinib... a treatment strategy that also makes sense post-FLAURA2 combination, given the significant proportion of MET pathway activation at progression https://t.co/5Y84epB0EU Positive
Balazs Halmos Looks like the SAFFRON study literally MET its endpoint.. Precision medicine is here to stay post-progression on EGFR TKI therapy! https://t.co/NyPnBJp6dP https://t.co/siejGD70g4 Positive
Yago Garitaonaindía 📣SAFFRON is positive (press-release) Osimertinib + savolitinib improves both PFS and OS vs platinum doublet in EGFR-mutant #NSCLC with high #MET overexpression/amplification after progression on osimertinib https://t.co/IbdhJjuBtp #LCSM #EGFR Positive
Noemi Reguart SAVANNAH (Ph 2): Savo + Osi EGFRm-resist NSCLC w/MET overexp (IHC90+) and/or ampl (FISH10+)~1/3 resist pts. ORR 55%, DoR 9.9, PFS 7.5 (BICR). vs MARIPOSA-2 (Ph3 Ami+ChT): ORR 53%, DoR 6.9, PFS 6.3 mo. Ph 3 SAFFRON ongoing #ESMOAmbassadors #ELCC25 @myESMO https://t.co/NejMZNEARv Neutral
Toni Choueiri, MD JUST IN: The SAFFRON trial is + for PFS and OS via @AstraZeneca —NSCLC, EGFR-mutated with MET over expression post EGFR-m progression https://t.co/TbdmI9F7gn https://t.co/qFagvTt3dA Neutral
Diego A. Díaz-García Savolitinib plus osimertinib in pts with EGFRm aNSCLC and MET overexpression and/or amplification following PD on osimertinib. #ELCC25 @myESMO ORR 56%, Median DoR 7.1m, Median PFS 7.4m. Phase 3 Trial vs PBC 👉🏻 SAFFRON… Amendment to include Amivantamab in the control arm? 🤔 https://t.co/o8Vn1Fstxm Neutral
Dr. Antonio Calles 🫁🚭 “Positive high-level results from the SAFFRON Phase III trial showed Tagrisso (osimertinib) plus Orpathys(savolitinib) demonstrated a statistically significant and clinically meaningful improvement in both progression-free survival (PFS) and overall survival (OS) versus doublet platinum-based chemotherapy in patients with epidermal growth factor receptor-mutated (EGFRm) non-small cell lung cancer (NSCLC). Patients in the trial had tumours with high levels of MET overexpression or amplification and had progressed on prior treatment with Tagrisso.” Neutral