A Phase 3 study of the integrin beta-6 (IB6)-directed antibody-drug conjugate sigvotatug vedotin vs docetaxel in previously treated, metastatic non-squamous NSCLC. The trial did not meet its primary endpoint of overall survival.
In the overall population, sigvotatug vedotin did not show a statistically significant improvement in overall survival (OS) compared with docetaxel in patients with previously treated locally advanced/metastatic non-squamous NSCLC (≥1 prior line). (Pfizer topline, Jun 22 2026 — discrete OS/PFS values not yet released; detailed results to follow at a future congress.)
Primary endpoint missed (overall population)Pfizer reported that among patients who had received only one prior line of systemic therapy, a numerically stronger trend for OS and PFS was observed for sigvotatug vedotin versus docetaxel. The company stated this as its rationale for ongoing evaluation in earlier lines, including the Phase 3 Be6A Lung-02 study of sigvotatug vedotin plus pembrolizumab in first-line NSCLC (PD-L1 TPS ≥50%). These are sponsor-reported observations from a subgroup; no statistical conclusion was claimed.
Safety was manageable and consistent with prior studies. In an exploratory analysis, no clear relationship between IB6 expression level and clinical response was observed, despite IB6 expression in ~90% of NSCLC tumors.
"Although the study did not meet its overall survival endpoint, in second-line patients the data suggest a clinically meaningful survival benefit for sigvotatug vedotin over docetaxel, supporting continued scientific evaluation of sigvotatug vedotin in earlier lines in combination with immunotherapy."
— attributed to Solange Peters, MD, PhD (Lausanne University Hospital, CHUV) in the Pfizer press release"This observed clinical benefit, along with our Phase 1 combination data in the first-line setting, reinforces our confidence in the potential of the sigvotatug vedotin program, including an ongoing Phase 3 trial in combination with pembrolizumab in first-line advanced NSCLC."
— attributed to Jeff Legos, PhD, Chief Oncology Officer, Pfizer (sponsor statement)