Oncology
Non-Small Cell Lung Cancer
Clinical Topic Updates Podcast: Current and Investigational Treatment Options for EGFR-Mutated Non–Small Cell Lung Cancer
In the first-line treatment of metastatic non–small cell lung cancer (NSCLC) with classical EGFR mutations, escalated/intensified therapy has become the new default for shared decision making. Upon progression, rebiopsy or liquid biopsy is used to guide personalized subsequent strategies, and participation in clinical trials should be considered whenever feasible and appropriate. Helena A. Yu, MD, talks about the evolving treatment landscape in EGFR-mutated NSCLC in today’s podcast.
Ahn MJ, Lisberg A, Goto Y, et al. A pooled analysis of datopotamab deruxtecan in patients with EGFR-mutated NSCLC. J Thorac Oncol. 2025;20(11):1669-1682. doi:10.1016/j.jtho.2025.06.002
Cho BC, Lu S, Felip E, et al; MARIPOSA Investigators. Amivantamab plus lazertinib in previously untreated EGFR-mutated advanced NSCLC. N Engl J Med. 2024;391(16):1486-1498. doi:10.1056/NEJMoa2403614
Herbst RS, Wu YL, John T, et al. Adjuvant osimertinib for resected EGFR-mutated stage IB-IIIA non–small-cell lung cancer: updated results from the phase III randomized ADAURA trial. J Clin Oncol. 2023;41(10):1830-1840. Published correction appears in J Clin Oncol. 2023;41(22):3877.
Pasello G, Zhao J, Tufman A, et al. COMPEL: osimertinib + platinum-based chemotherapy in patients with EGFRm advanced NSCLC and progression on 1L osimertinib [abstract 1174]. Abstract presented at: International Association for the Study of Lung Cancer 2025 World Conference on Lung Cancer; September 6-9, 2025; Barcelona, Spain.
Peled N, Tufman A, Sequist LV, et al. COMPEL: osimertinib plus platinum-based chemotherapy in patients with EGFR-mutated advanced NSCLC and progression on first-line osimertinib. ESMO Open. 2025;10(10):105807. doi:10.1016/j.esmoop.2025.105807
Puri S, Leighl NB, Ismaila N, et al. Therapy for stage IV non–small cell lung cancer with driver alterations: ASCO living guideline, 2026.3.0. J Clin Oncol. 2026;44(7):e15-e55. doi:10.1200/JCO-25-02822
Resuli B, Kauffmann-Guerrero D, Mertsch P, et al. Redefining tolerability: a head-to-head IPD toxicity comparison of amivantamab+lazertinib vs osimertinib+chemotherapy in EGFR-mutant NSCLC [abstract P3.12.67]. Abstract presented at: International Association for the Study of Lung Cancer 2025 World Conference on Lung Cancer; September 6-9, 2025; Barcelona, Spain.
Riess JW, Yu HA, Le X, et al. Osimertinib plus datopotamab deruxtecan in patients with EGFR-mutated advanced NSCLC after progression on first-line osimertinib: ORCHARD. Ann Oncol. 2026;37(6):825-836. doi:10.1016/j.annonc.2026.02.014
Yang JCH, Kim YJ, Lee SH, et al. 4O: Amivantamab plus lazertinib vs osimertinib in first-line (1L) EGFR-mutant (EGFRm) advanced NSCLC: final overall survival (OS) from the phase III MARIPOSA study. J Thorac Oncol. 2025;20(3 suppl 1):S6-S8. doi:10.1016/S1556-0864(25)00199-6



