David S. Hong
洪大卫
MD
Deputy Chair, Department of Investigational Cancer Therapeutics (Phase I Program); Professor, Department of Investigational Cancer Therapeutics研究性癌症治疗科副主任(I期项目);研究性癌症治疗科教授
👥Biography 个人简介
David S. Hong, MD is Deputy Chair of the Department of Investigational Cancer Therapeutics (Phase I Program) and Professor at MD Anderson Cancer Center, where he is one of the world's foremost phase I oncologists with a career spanning hundreds of first-in-human and early-phase trials. Dr. Hong is best known internationally for leading the pivotal first-in-human clinical studies of TRK (NTRK) inhibitors and RET inhibitors — landmark trials that directly led to the first FDA tissue-agnostic drug approvals in oncology history. He was the principal investigator of the LOXO-TRK-14001 first-in-human trial of larotrectinib, which enrolled patients with TRK fusion-positive solid tumors regardless of histology and demonstrated an ORR exceeding 75%, directly enabling the FDA approval of larotrectinib in 2018 as the second-ever tissue-agnostic cancer therapy. He subsequently led LIBRETTO-001, the first-in-human phase I/II trial of selpercatinib (LOXO-292), demonstrating remarkable efficacy in RET fusion-positive lung cancers, RET-mutant thyroid cancers, and other RET-altered tumors with ORRs of 64–85% and leading to FDA approval in 2020. Dr. Hong has also led early-phase trials of novel IO combinations, KRAS G12C inhibitors, SOS1 inhibitors, and a wide range of ADCs and bispecific antibodies, making him a central figure in contemporary targeted oncology drug development. He has authored over 500 peer-reviewed publications and consistently ranks among the most cited phase I oncologists globally.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
First-in-Human Larotrectinib (TRK Inhibitor) Trial — Tissue-Agnostic FDA Approval
Led the LOXO-TRK-14001 first-in-human phase I trial of larotrectinib, the first highly selective pan-TRK inhibitor targeting NTRK1/2/3 gene fusions across all solid tumor histologies. Enrolled 55 patients across 17 tumor types harboring TRK fusions, demonstrating an objective response rate of 75% (95% CI, 61%–85%) with a complete response rate of 22% and median duration of response not reached at data cutoff. This histology-agnostic single-arm study constituted the primary evidence package for FDA approval of larotrectinib in November 2018 — the second tissue-agnostic drug approval in FDA history — establishing the paradigm that genomic alterations, not tumor histology, can define eligibility for targeted therapy.
LIBRETTO-001 — First-in-Human Selpercatinib (RET Inhibitor) and FDA Tissue-Agnostic Approval
Led the LIBRETTO-001 first-in-human phase I/II trial of selpercatinib (LOXO-292), a highly selective RET kinase inhibitor, enrolling over 700 patients with RET fusion-positive non-small-cell lung cancer, RET-mutant medullary thyroid cancer, and other RET-altered solid tumors. Demonstrated ORRs of 64% in previously treated RET fusion-positive NSCLC, 85% in treatment-naive RET fusion-positive NSCLC, and 69% in RET-mutant medullary thyroid cancer, with deep and durable responses including CNS activity. These results supported FDA approval of selpercatinib in 2020 for RET fusion-positive NSCLC and RET-altered thyroid cancers — marking the RET gene family's entry as a druggable precision oncology target.
MD Anderson Phase I Program Leadership — Infrastructure and Portfolio
Provides executive scientific and operational leadership for one of the world's largest academic phase I oncology programs, overseeing a portfolio of over 200 active first-in-human and dose-escalation trials at any time. Developed institutional frameworks for molecular prescreening, adaptive dose-escalation committee reviews, and biomarker-driven expansion cohort design. Mentored over 50 phase I clinical fellows and junior faculty who have gone on to lead drug development programs at major academic centers, and shaped national training standards through AACR and ASCO phase I education programs.
Novel Kinase Inhibitor and Immune Agent First-in-Human Trials
Served as principal or lead co-investigator on first-in-human trials across a broad spectrum of targeted mechanisms, including KRAS G12C inhibitors (sotorasib phase I), SOS1-KRAS interaction inhibitors, SHP2 inhibitors, multiple ADC platforms (HER2, TROP2, nectin-4), bispecific antibodies, and novel IO combinations. In each case, contributed to the characterization of dose-limiting toxicities, recommended phase II doses, pharmacokinetic/pharmacodynamic biomarkers, and mechanism-based patient selection criteria that informed registrational trial design.
Representative Works 代表性著作
Larotrectinib in TRK Fusion-Positive Cancers (Pooled Phase I/II)
New England Journal of Medicine (2018)
Pivotal pooled analysis of larotrectinib across three trials in TRK fusion-positive cancers demonstrating 75% ORR regardless of histology, constituting the primary evidence for FDA tissue-agnostic approval.
Selpercatinib in Patients with RET Fusion-Positive Non-Small-Cell Lung Cancer (LIBRETTO-001)
New England Journal of Medicine (2020)
First-in-human LIBRETTO-001 phase I/II results establishing selpercatinib efficacy in RET fusion-positive NSCLC, supporting FDA approval and establishing RET as a key druggable precision target.
Sotorasib for Lung Cancers with KRAS p.G12C Mutation (CodeBreaK 100)
New England Journal of Medicine (2021)
Phase I/II first-in-human CodeBreaK 100 trial of sotorasib demonstrating first clinical proof that KRAS G12C, historically considered undruggable, can be selectively targeted with durable responses.
Phase I Study of LOXO-101, a Selective TRK Kinase Inhibitor, in Patients with TrkA/B/C-Expressing Advanced Solid Tumors
Journal of Clinical Oncology (2017)
First-in-human LOXO-101 phase I trial characterizing safety, pharmacokinetics, and early efficacy signals of larotrectinib, establishing proof-of-concept for TRK inhibition in fusion-positive solid tumors.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-04-06 | All information from publicly available academic sources
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