Bifalgorithm post · ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer · CHRYSALIS-2: First-Line Amivantamab Plus Lazertinib

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Expert Commentary (ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer · CHRYSALIS-2: First-Line Amivantamab Plus Lazertinib) — "The team also a…

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  • Updated data on treatment for atypical EGFR-mutated NSCLC are encouraging but require cautious interpretation.
  • The team analyzed whether EGFR mutation subtypes predicted longer time on treatment.
  • The analysis included different individual amino acid changes.
  • The analysis compared compound mutations with noncompound mutations.
  • The analysis compared classical-like mutations with PACC mutations.
  • The analysis included TP53 status.
  • None of these factors predicted a longer time on treatment.
  • The patient series showed a very impressive survival benefit.
  • The findings came from a cohort analysis without a comparison group.
  • The regimen is one of two or three options used upfront in EGFR-mutant patients.
  • The regimen has side effects that may improve with subcutaneous amivantamab.
  • Atypical EGFR-mutated NSCLC remains underserved, with historically less predictable outcomes than classical EGFR exon 19 deletion or L858R disease.
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ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer

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"The team also analyzed outcomes for patients with different EGFR mutation subtypes, “both the individual amino acid changes, of which there were a few different types, and the presence of compound mutations versus not, the presence of classical-like mutations versus PACC mutations, and looking at TP53 status,” Dr Neal said. “We did not see any predictors of longer time on treatment by any of these factors, either.”\n\nThe findings showed “a very impressive survival benefit in this series of patients,” commented Roy Herbst, MD, PhD, chief of medical oncology at the Yale School of Medicine in New Haven, Connecticut, a pioneering researcher in targeted and immunotherapies for lung cancer. The findings were from a cohort analysis without a comparison group, he cautioned.\n\n“This regimen is 1 of 2 or 3 we use up front in EGFR-mutant patients,” he said. “It has some side effects which are hopefully going to be better once people use the subcutaneous amivantamab.”\n\n“These updated data are encouraging because atypical EGFR-mutated NSCLC remains a relatively underserved group, with outcomes that have historically been less predictable with existing EGFR-directed therapies than those seen in classical EGFR exon 19 deletion or L858R disease,” Dr Schoenfeld commented."

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