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IDE849 (SHR-4849) DLL3 TOP1 ADC Updated Phase 1 Results at ESMO 2026 Demonstrates Promising Anti-Tumor Activity and Preliminary Overall Survival Results in Relapsed Small Cell Lung Cancer and Neuroendocrine Carcinomas

$IDYAPress releaseOct 23, 2026, 6:00 AM ETRead the release

IDEAYA announced updated Phase 1 results for IDE849 (SHR-4849), its DLL3 TOP1 ADC, showing a 72.5% ORR and 17.4-month median overall survival in second-line relapsed SCLC, with the data presented by partner Hengrui at ESMO 2026. Efficacy extended to other neuroendocrine carcinomas (52.6% ORR, 7.0-month median PFS) and to SCLC patients with brain metastases (76.9% ORR), with a 2.5% treatment-related discontinuation rate across 122 patients.

Key figures

Drug Name
IDE849 (SHR-4849)
Phase Of Trial
Phase 1
Orr nec
52.6%
Orr 2l sclc
72.5%
Corr 2l sclc
60.8%
Grade3plus ild
0.8%
Patients enrolled
122
Orr all lines sclc
68.3%
Orr brain metastases
76.9%
Median pfs nec months
7
Grade3plus trae 2.4mgkg
33.3%
Median os 2l sclc months
17.4
Median pfs 2l sclc months
6.9
Median os 2l plus 3l sclc months
14.7
Treatment related discontinuation
2.5%

AI analysis

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    IDYA: IDE849 (SHR-4849) DLL3 TOP1 ADC Updated Phase 1 Results at ESMO 2026 Demonstrates Promising Anti-Tumor Activity and Preliminary Overall Survival Results in Relapsed Small Cell Lung Cancer and Neuroendocrine Carcinomas — AI Analysis | Signal8