Opinion|Videos|March 6, 2026

Navigating Currently Approved Options in Frontline EGFR-Mutated NSCLC

Luis Raez, MD, FACP, FCCP, and Alexander I. Spira MD, PhD, FACP, FASCO, discuss frontline treatment selection in EGFR-mutated NSCLC.

Luis Raez, MD, FACP, FCCP, and Alexander I. Spira MD, PhD, FACP, FASCO, review key considerations when selecting among currently approved frontline regimens for EGFR-mutated advanced non–small cell lung cancer. Spira discusses factors influencing the choice between EGFR TKI monotherapy, osimertinib plus chemotherapy, and amivantamab plus lazertinib, including efficacy benchmarks, toxicity profiles, and patient comorbidities. Raez highlights scenarios in which combination therapy may or may not be appropriate, emphasizing individualized decision-making based on disease burden, CNS involvement, and patient preference.


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