Alfredo Addeo: Who Can Safely Avoid Treatment Intensification in EGFR-Mutant NSCLC?
Alfredo Addeo/HUG and Devika Das/UF Health

Alfredo Addeo: Who Can Safely Avoid Treatment Intensification in EGFR-Mutant NSCLC?

Alfredo Addeo, Department of Oncology at the University Hospital of Geneva, shared on X:

“Hot off the press Editorial in JAMA.

With FLAURA2, MARIPOSA and now compelling data in EGFR/TP53 co-mutated disease, treatment intensification is increasingly becoming the standard. Key question remains: who can safely be spared intensification?

Our take: TP53 is clinically relevant, but its absence alone is not enough to justify de-escalation. Prospective de-escalation strategies are now needed. Great collaboration with Maxime Borgeaud and Shun Lu.”

Title: Is There Still Room for Monotherapy in EGFR-Mutated Non – Small Cell Lung Cancer?

Authors: Maxime Borgeaud, Shun Lu, Alfredo Addeo.

Read the full article.

To which Devika Das, Division Director of Hematology/Oncology at UMMC Cancer Center and Research Institute, added:

“I start out with a recommendation for intensification with all new patients and really need a strong contraindication to offer mono therapy alone in 2026. ( does happen) FLAURA 2 is my go to but MARIPOSA data is quite compelling as well. Most patients have 1 or the other risk factors in our population!”

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MARIPOSA: Amivantamab Plus Lazertinib Reduces EGFR/MET Resistance and Extends Second-Line Disease Control in EGFR-Mutated NSCLC

Alfredo Addeo: Who Can Safely Avoid Treatment Intensification in EGFR-Mutant NSCLC?