Cardiff Oncology Data Suggests Potential Synergy with Roche's T-DXd

  • Cardiff Oncology will present preclinical data at the 2026 AACR Annual Meeting on April 19, 2026.
  • The data focuses on onvansertib, a PLK1 inhibitor, in combination with trastuzumab deruxtecan (T-DXd).
  • Findings indicate onvansertib enhanced T-DXd’s activity and reversed resistance in HER2-low breast cancer models.
  • Onvansertib is currently in Phase 2 clinical development for RAS-mutated metastatic colorectal cancer (mCRC).

The combination of targeted therapies like onvansertib with existing antibody-drug conjugates (ADCs) like T-DXd represents a growing trend in oncology, aiming to overcome resistance and improve patient outcomes. This data suggests a potential avenue for Cardiff Oncology to expand its pipeline and potentially partner with larger pharmaceutical companies. The success of this combination will hinge on demonstrating a clinically meaningful benefit and navigating the complexities of co-commercialization or licensing agreements.

Clinical Validation
The upcoming AACR presentation's data will be crucial in determining if the preclinical synergy between onvansertib and T-DXd translates to meaningful clinical benefit in human trials, particularly given the challenges in HER2-low breast cancer.
Commercial Implications
How Cardiff Oncology navigates potential partnerships or licensing agreements with Roche, the manufacturer of T-DXd, will significantly impact the commercial viability of onvansertib in HER2-low breast cancer.
Pipeline Expansion
The pace at which Cardiff Oncology expands onvansertib’s investigation into other cancers beyond its lead indication of mCRC will depend on the success of ongoing investigator-initiated trials and the availability of funding.