Lung cancer
ICD-10 C34 · ICD-11 2C25.Z

Treatment of Advanced or Metastatic Non-Small Cell Lung Cancer with EGFR S768I, L861Q, and/or G719X Mutation

This protocol covers the treatment of patients with advanced or metastatic non-small cell lung cancer (NSCLC) who carry one or more of the specific EGFR mutations: S768I, L861Q, and/or G719X.

EGFR S768I, L861Q, and G719X are less common EGFR mutations, collectively representing approximately 10% of EGFR mutations observed in patients with NSCLC. Identifying these variants is essential for directing appropriate treatment selection.

For patients with disease progression, the protocol identifies distinct treatment options depending on tumour histology — including a specific systemic therapy option for nonsquamous NSCLC — as well as broader systemic therapy approaches.

The complete regimen, full list of options, and clinical selection criteria are available in the structured protocol below.

References

Other less common EGFR mutations (approximately 10% of EGFR mutations observed in patients with NSCLC) include S768I, L861Q, and/or G719X.

In addition to chemotherapy-based regimens, datopotamab deruxtecan-dlnk is included on NSCL-K 5 of 6 as a subsequent therapy option for patients with nonsquamous NSCLC and EGFR mutations, including S768I, L861Q, and G719X.

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