Pharmacy Times April 25, 2025
Cara Chang, PharmD, BCOP

A panelist discusses how combining therapies for EGFR-positive non–small cell lung cancer (NSCLC) increases both benefits (improved progression-free survival, response rates, and duration of response) and adverse effects, emphasizing that treatment selection should consider patient-specific factors like central nervous system (CNS) metastases, performance status, treatment aggressiveness preferences, and real-world limitations where patients often differ from clinical trial populations in terms of organ dysfunction, concomitant medications, and previous treatments.

Balancing Benefits and Risks in EGFR-Positive NSCLC: Clinical Considerations

Combination Therapy vs Monotherapy: Key Considerations

Benefit-Risk Assessment

  • Combination therapies:
    • Provide greater efficacy benefits (improved progress-free survival, response rates, duration of response)
    • Consistently demonstrate more adverse effects when adding additional agents
    • Overall survival data for newer combinations still maturing
    • Adverse effect...

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