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Frontline Treatment Selection in EGFR-Mutated Metastatic NSCLC

Joshua Sabari, MD; Julia Rotow, MD; Estelamari Rodriguez, MD, MPHThoracic oncology experts debate frontline treatment strategies for patients with EGFR-mutated metastatic non-small cell lung cancer (NSCLC). Through three patient cases, faculty explore when to intensify treatment upfront, where osimertinib monotherapy may still have a role, and how clinical evidence and patient-specific factors influence selection among available combination regimens.

Round 1

Managing Patients With High Disease Burden

The debate begins with a patient with extensive, symptomatic metastatic disease. Faculty explore how tumor burden, the need for durable disease control, and treatment tolerability influence the decision to intensify therapy upfront.

Round 2

Managing Frontline Brain Metastases

The discussion turns to a patient with small, asymptomatic brain metastases and additional high-risk features. Faculty examine how CNS efficacy data, molecular characteristics, and the potential role of CNS-directed therapy influence frontline treatment selection.

Round 3

Establishing the Frontline Standard

In the final round, faculty consider a fit patient with relatively limited metastatic disease, exploring where osimertinib monotherapy may remain appropriate and how efficacy, tolerability, patient preferences, and treatment burden inform the decision to intensify treatment.

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This is a non-CME activity. The views and opinions expressed by the presenter(s) do not necessarily reflect the views and opinions of the Oncology Learning Network, HMP Global, or its employees and affiliates.