Abstract

While 2nd- and 3rd-gen EGFR TKIs have shown clinical benefit vs 1st-gen EGFR TKIs in pts with EGFRm+ NSCLC, optimal sequence of treatment (tx) has yet to be defined. Overall survival (OS) is influenced by the availability/use of subsequent therapy after 1st-line tx. Emergence of T790M is the main mechanism of resistance to 2nd-gen EGFR TKIs and 2nd-line osi could be a tx option in this instance. A previous study (GioTag) showed median OS of >3 yrs in T790M+ pts treated with sequential afa/osi.

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