KOL Pulse - Trial Profile

FLAURA2 Trial

1L EGFR-mutant NSCLC - AstraZeneca

1L EGFR NSCLC Tagrisso + Chemo #WCLC25 #ESMO25 #LCSM
Explore Trial Data

Top KOLs Discussing FLAURA2

Stephen V Liu, MD
Stephen V Liu, MD
@StephenVLiu
57.9K impressions
d.planchard
d.planchard
@dplanchard
47.1K impressions
Vinay Prasad MD MPH
Vinay Prasad MD MPH
@VPrasadMDMPH
44.4K impressions
Dr Amol Akhade
Dr Amol Akhade
@SuyogCancer
39.0K impressions
Benjamin Besse
Benjamin Besse
@BenjaminBesseMD
25.6K impressions
Rami Manochakian MD, FASCO Cancer Education
Rami Manochakian MD, FASCO Cancer Education
@RManochakian
25.2K impressions

FLAURA2 Key Slides & Visuals

Official trial slides and relevant visuals shared by KOLs. Click any image to expand.

Benjamin Besse
Benjamin Besse @BenjaminBesseMD
FLAURA2 Data
15.0K impressions · 179 likes · Sep 07, 2025
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[Slide 1] FLAURA 2 vs. Real world Data Characteristic Osimertinib + Platinum- Osimertinib Monotherapy Japanese cohort (n=538) US cohort (n=1323) Pemetrexed (N = 279) (N = 278) Median age (range) - yr 61 (26-83) 62 (30-85) 71 (33-92) 70 (35-89) Sex - no. (%) Male 106 (38) 109 (39) 186 (34.6) 413 (31.2) Female 173 (62) 169 (61) 352 (65.4) 910 (68.8) EGFR mutation at randomization - no. (%) Exon 19 deletion 169 (61) 168 (60) 264 (49.1) 631 (48) L858R mutation 106 (38) 107 (38) 244 (45.4) 692 (52) WHO performance-status score - no. (%) 0 104 (37) 102 (37) 171 (31.8) 1 174 (62) 176 (63) 280 (52.0) 1096 (83) 2 1 (<1) 0 61 (11.3) 3 0 0 26 (4.8) 227 (17) Survival PFS 25.5 months 16.7 months 20.1 months OS NR NR 42.0 months 28.6 months os @24mo 79% 73% 71.6% 65% FLAURA trial eligibility - Eligible 330 (61.3) FLAURA trial eligibility - Ineligible 208 (38.7) Planchard NEJM 2023, Sakata Clin Lung Cancer 2025, Sabari JTO 2025
d.planchard
d.planchard @dplanchard
FLAURA2 Data
12.8K impressions · 189 likes · Sep 07, 2025
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[Slide 1] on Lung Cancer SEPTEMBER 6-9, 2025 BARCELONA, SPAIN FLAURA2 phase III study¹ Osimertinib 80 mg (QD) + Patients with untreated locally N=557 pemetrexed 500 mg/m2 + advanced / metastatic EGFRm NSCLC Maintenance carboplatin AUC5 or cisplatin 75 mg/m2 osimertinib 80 mg (QD) + R Key inclusion criteria: pemetrexed 500 mg/m2 (Q3W) 1:1 (Q3W for 4 cycles for platinum-based treatments) Follow-up: Aged >18 years Stratified by: Race RECIST v1.1 assessment at 6 and Pathologically confirmed (Asian Chinese / 12 weeks, then Q12W until RECIST non-squamous NSCLC Asian non-Chinese / Treatment beyond PD allowed per investigator discretion v1.1-defined radiological PD non-Asian) Ex19del / L858R (local / central test) EGFRm test Survival follow-up for Q12W until (local central) WHO PS 0/1 WHO PS data cut-off for the planned final (0/1) OS analysis Stable CNS metastases were allowed Brain scans at baseline Osimertinib 80 mg (QD) (MRI / CT; mandatory) Primary endpoint: Investigator-assessed PFS (RECIST v1.1)1 os was a key secondary endpoint* Secondary endpoints included: OS, TFST, DoR, DCR, PFS2, TSST, HRQoL Final os analysis performed at 57% maturity NCT04035486 1. Planchard N Engl J Med 2023: 1935-1948 "For statistical significance of os, two-sided p-value of less than 0.04953. as determined by the BrienFleming spending rule, was required AUC. area under the curve; CNS, central nervous system; CT. computed tomography DCR, disease control rate DoR, duration of response; receptor mutated x19del exon 19 deletion HROoL health-related quality of life: MRI. magnetic resonance imaging; NSCLC non-small cell lung cancer; os, overall survival; PD. progressive disease PFS. progression-free survival --- [Slide 2] SEPTEMBER 2025 BARCELONA, SPAIN First subsequent treatment (FST) CTx was the most common FST (74%) after osi + CTx - os benefit with osi + CTx was observed despite SoC CTx 44% of FSTs were rechallenge with platinum CTx being the most common FST after osi mono 14% 14% Osi + CTx Osi mono 5% 3% 8% 7% 3% 69% received a FST 30% 77% received a FST No FST FST after discontinuing No FST FST after discontinuing osi due to PD* osi due to PD* 72% 44% n=127 n=185 Received FST Received FST (n=88) (n=143) Platinum-based CTx Non-platinum-based CTx EGFR targeted therapy (other than osi), mono or combo Osi + targeted agent / investigational drug (no CTx) Other Subsequent treatment was per investigator choice Data cutoff 12 June 2025 "Denominator (127 forosi CTxand 185 for asimanoj is menumber of patients who discontinued osimertinib due progresson. Other included ADCs, immunotherapies (PD-(L)1 inhibitors). other investigational inticancer therapies, antangiogeric therapies (VEGF(R) nhibitors]. catequentinib hy ydrochloride savolitinib, and unspecified herbal and traditional anticancer medicines D. Planchard First-line Osimertinib Chemotherapy Versus Osimertinib Monotherapy in GFRm Advanced NSCLC: EGFR, epidermal growth factor receptor, FST. first subsequent treatment; mono, monotherspy; os, overall survival; FLAURA2 Final Overall Survival osi, osmerting PD, progressive deease PD(L)1, programmed cell (ligand)- SoC, standard of care; VEGF(R), vascular endothelial growth factor (receptor)
Stephen V Liu, MD
Stephen V Liu, MD @StephenVLiu
FLAURA2 Data
8.5K impressions · 30 likes · Nov 16, 2024
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[Slide 1] Classic EGFR first-line therapy may no longer be one size fits all, to the benefit of patie Osimertinib remains an option for standard, low- risk classic EGFR mut and those with borderline functional status I will tel what to Addition of chemotherapy to osimertinib or amivantamab to lazertinib may improve outcomes, particularly in those with higher risk features (TP53, ctDNA, brain/liver mets) Subcutaneous amivantamab solves some MARIPOSA issues, but not all It's yet to be determined whether sub Q ami + laz will take on FLAURA2 or find middle ground as a chemo-free regimen ctDNA continues to emerge as a biomarker - clinical trials
Chul Kim
Chul Kim @chulkimMD
FLAURA2 Data
6.6K impressions · 80 likes · Sep 07, 2025
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[Slide 1] ASLC 2025 World Conference #WCLC25 on Lung Cancer SEPTEMBER BARCELONA, SPAIN What is the tradeoff with upfront combination treatment? Osimertinib Osimertinib-Pemetrexed-carboplatin Amivantamab-Lazertinib Study FLAURA FLAURA2 MARIPOSA Efficacy PFS 18.9 m PFS 25.5 m PFS 23.7 m os 38.6 m V 31.8 m os 47.5 m V 37.6 m (HR 0.77) os Not reached V 36.7 m (HR 0.75) Side effects Diarrhoea 42% Diarrhoea 46% Diarrhoea 32% (all grades) Rash 22% Rash 30% Rash 64% Paronychia 27% Paronychia 26% Paronychia 69% Neutropenia 4% Neutropenia 25% Infusion related reaction 65% Neutrophil count decreased 7% Neutrophil count decreased 24% Peripheral edema 38% Anaemia 11% Anaemia 48% (G3 20%) Venous thromboembolism 40% Creatinine increase 14% Anaemia 27% Supportive care Emollient cream, steroid Emollient cream, steroid creams Emollient cream, steroid creams creams Cytopenias/ mouthwashes Prophylactic antibiotics, anticoagulation Schedule Daily oral tablet Daily oral tablet, Daily oral tablet, Visit every 2-3 months Iv Infusion once every 3 weeks Infusion/ subcut once per week for first 4 weeks; once every 2 weeks thereafter Financial $ $$ $$$$
Jarushka Naidoo
Jarushka Naidoo @DrJNaidoo
FLAURA2 Data
5.4K impressions · 87 likes · Sep 07, 2025
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[Slide 1] LASIC 2025 Санция ...... FLAURA2 phase III study¹ Osimertinib 80 mg (QD) Patients with untreated locally pemetrexed 500 mg/m2 Maintenance N=557 carboplatin AUCS osimertinib 80 mg (QD)+ advanced metastatic EGFRm NSCLC X cisplatin 75 mg/m2 pemetrexed 500 mg/m2 (Q3W) Follow-up: R Q3W for 4 cycles for 1:1 Key inclusion criteria: platinum-based treatments) RECIST v1.1 assessment at 6 and Stratified by: 12 weeks, then Q12W until RECIST Aged a18 years Race v1. 1-defined radiological PD Pathologically confirmed Asian Channel Auan not Cheese Treatment beyond PD allowed per investigator discretion non- squamous NSCLC Survival follow-up for Q12W until NOT Asian) data cut-off for the planned final Ex19del L858R (local central test) ECFRm test (kkal) central) OS analysis WHO PS 0/1 WHO PS (0/1) Stable CNS metastases were allowed Osimertinlb 80 mg (QD) Brain scans at baseline (MRI CT: mandatory) OS was a key secondary endpoint* Primary endpoint: Investigator-assessed PFS (RECIST v1.1)¹ Final OS analysis performed at 57% maturity Secondary endpoints included: OS, TFST, DoR, DCR, PFS2. TSST, HRQoL NC004335406 Panchard Hall NEW in for agenticance MOS CT. computed/tomography. determined DCR, disease control sate spending WR n/a Inspense voured (orm AUC area under one CMS revers cystem not sancer. - 05 HROSL PD. progressive qualify and MRI, PFS superic Sold magno savial funds PFS2, information - second payment in subsequent we NSCLC 1SST, exament time to second 00 and any CXW. restrent every (weeks) out, WHO PS RECIST WordHealth Organization status Parchast - I --- [Slide 2] IASLC 2025 World Conference #WCLC25 on Lung Cancer SEPTEMBER & 2023 BARCELONA, SPAIN FLAURA2: Overall survival No. Events / Median os, no. patients (%) months (95% CI) Median OS with osi + CTx was 47.5 months 144 / 279 (52) 47.5 (41.0, NC) Osi + CTx Osi mono 171 / 278 (62) 37.6 (33.2, 43.2) 1.0 2 years HR (95% CI) 0.77 (0.61, 0.96); p=0.02 80% 3 years 0.8 63% 72% 4 years 0.6 49% Probability of os 51% 0.4 41% 0.2 Median follow-up (censored patients), months (range): Osi + CTx 51.2 (0.2-60.4); Osi mono 51.3 (0.1-60.1) 0.0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 Time from randomisation (months) No. risk 279 267 258 253 245 240 236 226 218 202 196 183 170 158 143 123 105 71 36 16 1 278 0 267 260 257 252 245 229 214 195 180 165 152 137 131 118 103 93 61 38 16 1 0 D Planchard First line Osimertinib Chemotherapy Vomus Cometime Montherary a EGFRm Advanced NSCLC FLAURAZ Final Overall Survival Tick marks indicate censored data A two sided p-value of <0 04953 was considered to indicate statistical significance at this final OS analysis Data cut-off: 12 June 2025 CI, confidence interval; CTx, chemotherapy; HR, hazard ratio; mono, monotherapy; NC, not calculable; OS, overall survival; osi, osimertinib --- [Slide 3] LASIC 2025 Санция ...... FLAURA2 phase III study¹ Osimertinib 80 mg (QD) Patients with untreated locally pemetrexed 500 mg/m2 Maintenance N=557 carboplatin AUCS osimertinib 80 mg (QD)+ advanced metastatic EGFRm NSCLC X cisplatin 75 mg/m2 pemetrexed 500 mg/m2 (Q3W) Follow-up: R Q3W for 4 cycles for 1:1 Key inclusion criteria: platinum-based treatments) RECIST v1.1 assessment at 6 and Stratified by: 12 weeks, then Q12W until RECIST Aged a18 years Race v1. 1-defined radiological PD Pathologically confirmed Asian Channel Auan not Cheese Treatment beyond PD allowed per investigator discretion non- squamous NSCLC Survival follow-up for Q12W until NOT Asian) data cut-off for the planned final Ex19del L858R (local central test) ECFRm test (kkal) central) OS analysis WHO PS 0/1 WHO PS (0/1) Stable CNS metastases were allowed Osimertinlb 80 mg (QD) Brain scans at baseline (MRI CT: mandatory) OS was a key secondary endpoint* Primary endpoint: Investigator-assessed PFS (RECIST v1.1)¹ Final OS analysis performed at 57% maturity Secondary endpoints included: OS, TFST, DoR, DCR, PFS2. TSST, HRQoL NC004335406 Panchard Hall NEW in for agenticance MOS CT. computed/tomography. determined DCR, disease control sate spending WR n/a Inspense voured (orm AUC area under one CMS revers cystem not sancer. - 05 HROSL PD. progressive qualify and MRI, PFS superic Sold magno savial funds PFS2, information - second payment in subsequent we NSCLC 1SST, exament time to second 00 and any CXW. restrent every (weeks) out, WHO PS RECIST WordHealth Organization status Parchast - I
Kelsey Pan, MD, MPH
Kelsey Pan, MD, MPH @KelseyPanMD
FLAURA2 Data
3.4K impressions · 20 likes · Jun 18, 2025
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[Slide 1] FIRST-LINE FLAURA SECOND-LINE THIRD-LINE Amivantamab + Platinum Doublet Docetaxel Osimertinib Platinum Doublet +/- ADC Therapy? Osimertinib Amivantamab HER3-DXd or Dato-DXd? Lazertinib? Ivonescimab + Platinum Doublet? And +/- resistance-matched therapies FIRST-LINE FLAURA2 SECOND-LINE THIRD-LINE Single Agent Docetaxel Osimertinib + Platinum Doublet Chemo HER3-DXd or Dato-DXd? Docetaxel Amivantamab Combinations? And +/- resistance-matched therapies FIRST-LINE MARIPOSA SECOND-LINE THIRD-LINE Platinum Doublet +/- Docetaxel Amivantamab + Lazertinib EGFR TKI HER3-DXd or Dato-DXd? ADC Therapy? Ivonescimab + Platinum Doublet? Platinum Doublet And +/- resistance-matched therapies
Stephen V Liu, MD
Stephen V Liu, MD @StephenVLiu
FLAURA2 Data
2.3K impressions · 29 likes · Jun 20, 2024
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[Slide 1] 05:48 Tony Mok Combination VS single agent osimertinib Overall improvement in PFS doesn't imply that all patients have equal benefit from the combination therapy TP53, brain met, and liver met and are prognostic but not a predictive biomarker for combination approach Baseline cfDNA for EGFR mutation at FLAURA 2 is predictive for the combination while residual cfDNA for EGFR mutation may be predictive in MARIPOSA We will need prospective study to confirm.
Oriol Mirallas MD
Oriol Mirallas MD @DrMirallas
FLAURA2 Data
2.2K impressions · 13 likes · Jun 02, 2024
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[Slide 1] Potential sequencing approaches in the coming future PFS data with subsequent FLAURA 18.9 8.3 lines FLAURA 18.9 6.3 FLAURA 18.9 5.7 * 5.5 "If MET+, PFS amivantamab + lazertinib: 12 months FLAURA 18.9 7.4 5.5 FLAURA 2 29.4 5.1 5.5 FLAURA 2 29.4 5.5 5.5 FLAURA 2 29.4 7.4 5.5 MARIPOSA 23.7 5.5 5.5 MARIPOSA 23.7 5.5 5.5 0 5 10 15 20 25 30 35 40 45 Ph III: Amivantamab Lazertinib + CT Phase III: Amivantamab + CT Cohort D/A: Amivantamab + Lazertinib Platinum-based CT Teliso-\ + Osimertinib in MET+ Patritumab Deruxtecan Soria NEJM 2017 Passaro -AoO 2023 - Besse ASCO 2023 (cohort D) Yang ASCO 2023 Horinouchi - ESMO Asia 2023 Planchard NEJM 2024 Shu ASCO 2022 (cohort A) . Yu JCO 2023 (PFS based on BIRC) 2024 ASCO PRESENTED BY: Jordi Remon #ASCO24 ASCO AMERICAN SOCIETY OF CLINICAL ONCOLOGY ANNUAL MEETING Presentation is property of the author and ASCO. Permission required for reuse: contact permissions@asco.c KNOWLEDGE CONQUERS CANCER

FLAURA2 Top Tweets

Top 10 by impressions - click to view on X

Vinay Prasad MD MPH
Vinay Prasad MD MPH@VPrasadMDMPH

FDA has no standards Approving chemo + Osi based on FLAURA2 is a terrible decision Osi -&gt; chemo may have similar or better OS with better QoL. FDA has no clue. They are permitting an option...

👁 42.2K ♡ 136 ↻ 23 Feb 16, 2024
Dr Amol Akhade
Dr Amol Akhade@SuyogCancer

So much awaited data of flaura2 .29 .4 months. Very good PFS for CNS mets also. 24.9 months . But no OS as of now . Is more toxicity justified if NO OS ? @JackWestMD...

👁 24.8K ♡ 40 ↻ 10 Sep 11, 2023
Dr Riyaz Shah
Dr Riyaz Shah@DrRiyazShah

FLAURA2 now FDA approved. It’s the biggest change in this space for some years. I’ll be fascinated to see how this gets used. All comers? Brain mets predominantly? Many patients welcome the...

👁 22.0K ♡ 55 ↻ 13 Feb 17, 2024
Stephen V Liu, MD
Stephen V Liu, MD@StephenVLiu

Dr. @dplanchard at #WCLC25 with highly anticipated Presidential Plenary presentation with OS results from FLAURA2: first line chemo + osimertinib improves OS from 37.6 to...

👁 19.1K ♡ 164 ↻ 65 Sep 07, 2025
d.planchard
d.planchard@dplanchard

FLAURA2 regimen raises the bar! New data from a China study shows impressive PFS/OS gains for Osi + Chemo in EGFRm + TP53 co-mutated pts. Confirms 1L SOC status across the board: TP53 mut, WT, and...

👁 18.5K ♡ 98 ↻ 30 Mar 25, 2026
NEJM
NEJM@NEJM

Original Article: Survival with Osimertinib plus Chemotherapy in EGFR-Mutated Advanced NSCLC (FLAURA2 phase 3 trial) #ESMO25 | @myESMO

👁 17.4K ♡ 39 ↻ 6 Oct 18, 2025
Benjamin Besse
Benjamin Besse@BenjaminBesseMD

EGFR update 7 potential options: •3rd gen TKI: osimertinib, lazertinib, aumolertinib •Amivantamab •Pemetrexed •Carboplatin •Ivonescimab •Dato-DXd OS data favor combos upfront—but real-world ≠ trial....

👁 15.0K ♡ 179 ↻ 64 Sep 07, 2025
Patrick Forde
Patrick Forde@FordePatrick

Same phenomenon occurs in #MARIPOSA as noted by Dr. @harpreet_md in #FLAURA2 - its minor but perhaps early increase toxicity with intensified treatment is...

👁 13.4K ♡ 26 ↻ 8 Sep 08, 2025
Eric K. Singhi, MD
Eric K. Singhi, MD@lungoncdoc

@jillfeldman4 @EGFRResisters @OncoAlert @IASLC @RManochakian @CharuAggarwalMD @christine_lovly @LungCancerRx LOVE that this was...

👁 13.3K ♡ 40 ↻ 11 Sep 11, 2023
Rami Manochakian MD, FASCO Cancer Education
Rami Manochakian MD, FASCO Cancer Education@RManochakian

🔥🚨Hot Off the Press #BigNews Press Release by @AstraZeneca ⭐️#FLAURA2 trial of #Osimertinib + #Chemotherapy vs...

👁 13.0K ♡ 63 ↻ 18 Jul 21, 2025

About the FLAURA2 Trial

FLAURA2 is a clinical trial evaluating Osimertinib + platinum-based chemotherapy in 1L EGFR-mutant advanced NSCLC. Sponsored by AstraZeneca. KOL discussion spans multiple conferences with 152 tracked posts from 73 oncology opinion leaders generating 549.4K total impressions.

FDA Approval

FDA APPROVED Tagrisso (osimertinib) + platinum-based chemotherapy - 1L EGFR-mutant NSCLC

On February 16, 2024, the FDA approved osimertinib (Tagrisso, AstraZeneca) with platinum-based chemotherapy for first-line treatment of locally advanced or metastatic NSCLC with EGFR exon 19 deletions or exon 21 L858R mutations, based on FLAURA2 (NCT04035486). The combination demonstrated PFS HR 0.62 (95% CI: 0.49-0.79; p<0.0001), with median PFS of 25.5 months vs 16.7 months with osimertinib alone.

Source: FDA Press Release (February 16, 2024)

Trial Methodology & Results

Study Design

Phase 3, randomized (1:1), open-label, multicenter trial comparing osimertinib plus pemetrexed and platinum-based chemotherapy versus osimertinib monotherapy in previously untreated EGFR-mutant locally advanced or metastatic NSCLC.

Population

Adults with locally advanced or metastatic NSCLC with EGFR exon 19 deletions or exon 21 L858R mutations, as detected by an FDA-approved test, with no prior systemic therapy for advanced disease.

Interventions

Tagrisso (osimertinib) 80 mg daily plus pemetrexed (500 mg/m2) and investigator-choice cisplatin or carboplatin every 3 weeks for 4 cycles, then osimertinib plus pemetrexed maintenance, versus Tagrisso monotherapy.

Primary Endpoints

Primary: investigator-assessed progression-free survival (PFS). Key secondary: overall survival (OS).

Progression-Free Survival (PFS)

Osimertinib plus chemo reduced risk of progression or death by 38%. Median PFS 25.5 months versus 16.7 months (HR 0.62; 95% CI: 0.49-0.79; p<0.0001).

PFS HR 0.62 — median 25.5 vs 16.7 months

Source

Overall Survival (OS)

Final OS: median OS 47.5 months versus 37.6 months (HR 0.77; 95% CI: 0.61-0.96; p=0.02). Longest OS in global phase 3 EGFR NSCLC. 3-year OS: 63% vs 51%.


Source

Safety & Tolerability

Grade 3+ AEs in 70% versus 34%, driven by chemo-related myelosuppression. Leukopenia 88%, thrombocytopenia 85%, neutropenia 85%. Tagrisso discontinuation rates low: 12% vs 7%.

Grade 3+ AEs 70% vs 34% (chemo-driven)

Source

Clinical Implications

FDA approved February 16, 2024. NCCN Category 1 for 1L EGFR NSCLC. 65-70% of patients now receive this over monotherapy. Finite 4-cycle chemo followed by oral maintenance is logistically preferred by patients over perpetual IV infusions.

Major Media & Publications

FLAURA2 in the News

FDA
FDA Approves Osimertinib + Chemo for EGFR NSCLC
FDAFeb 2024
Publication
NEJM: Osimertinib +/- Chemo in EGFR NSCLC
NEJMNov 2023
Press Release
Tagrisso + Chemo Approved in the US
AstraZenecaFeb 2024
Press Release
Final FLAURA2 OS Data: Nearly 4-Year mOS
AstraZenecaSep 2025
Media Coverage
Treatment Options in 1L EGFR+ NSCLC
CancerNetwork2025
Physician Opinions

Key KOL Sentiments - FLAURA2

DoctorSentimentComment
d.planchard
@dplanchard
● POSITIVE FLAURA2 regimen raises the bar! New data from a China study shows impressive PFS/OS gains for Osi + Chemo in EGFRm + TP53 co-mutated pts. Confirms 1L SOC status across the board: TP53 mut, WT, and Asi
Rami Manochakian MD, FASCO Cancer Education
@RManochakian
JACKSONVILLE, FL
● POSITIVE Hot Off the Press #BigNews Press Release by @AstraZeneca #FLAURA2 trial of #Osimertinib + #Chemotherapy vs #Osimertinib in 1st line Tx for patients with #EGFR+ advanced #LungCancer (#NSCLC) sh
Jarushka Naidoo
@DrJNaidoo
NEW YORK, NY
● POSITIVE #WCLC25 Presidential Superb FLAURA2 OS discussion by @danieltanmd, main questions: - combo may likelihood of long-term response? - clinical/molec/ctDNA factors relevant - refinement needs complex
Giannis Mountzios
@g_mountzios
● POSITIVE An excellent debate here in #ELCC25 on the optimal choice for 1st Line treatment of EGFR pos #NSCLC : . Osimertinib monotherapy VS Combinations (FLAURA2/MARIPOSA) Insightful lectures by @ZPiot
Charu Aggarwal, MD, MPH, FASCO
@CharuAggarwalMD
PHILADELPHIA, PA
● POSITIVE Results from #FLAURA2 presented at IASLC #WCLC25. PFS previously presented (primary end point), superior with combination c/w osi alone. OS presented today, with a mOS 47.5mo Safety as previously r
Joshua Reuss
@Joshua_Reuss
WASHINGTON, DC
● POSITIVE Dr. @SusanScottMD makes a strong argument to make osimertinib great again at #WinterLung26. https://t.co/ZIVv7bCrWq
Noemi Reguart
@NReguart
Barcelona, Spain
● POSITIVE Great insights from Tony Mok @TonyMok9 and Solange Peters @peters_solange at the Global Lung Diagnostics Summit spotlight on #EGFR BM and subgroups of interest in the evolving landscape of #LungCanc
Yakup Ergün
@dr_yakupergun
Istanbul, Turkey
● POSITIVE @VPrasadMDMPH @SuyogCancer @myESMO @BalazsHalmosMD @Alfdoc2 @5_utr @StephenVLiu @ADesaiMD @FordePatrick @n8pennell I do not accept statements like 'theres no need.' I cannot recommend an inferior tre
Jill Feldman
@jillfeldman4
● POSITIVE First session on advanced #EGFR @LeXiuning gives a great summary on intensification for 1st line treatment, remaining questions and moving forward #LCSM @EGFRResisters https://t.co/tV6WUcycxI
Crispin Hiley
@crispinhiley
● POSITIVE The trial that should be done - hopefully coming sometime in the future somewhere. A great discussion on monotherapy vs combo therapy for patients with EGFR mutation positive NSCLC. Patient relevant e
Santhosh Ambika
@RenoHemonc
RENO, NV
● POSITIVE @JulienMazieres @OncoAlert Rough regimen , but numbers are impressive. Need Flaura2 vs mariposa trial
Diego A. Daz-Garca
@diegoadiazg
● POSITIVE FLAURA2 OS Results: In EGFRm advanced NSCLC, osimertinib + chemotherapy improved OS vs osimertinib alone (47.5 vs 37.6 mo; HR 0.77). Reinforces combinations as preferred first-line options. @IASLC
Balazs Halmos
@BalazsHalmosMD
CLEVELAND, OH
● POSITIVE @KelseyPanMD @TumorBoardTues @lungoncdoc With CNS mets the choice of FLAURA2 might just be the true definition of a no brainer??? https://t.co/55fgxCo7bB
Clay Reed, MD
@ClayReedMD
● POSITIVE @SuyogCancer @myESMO @BalazsHalmosMD @Alfdoc2 @dr_yakupergun @5_utr @StephenVLiu @ADesaiMD @FordePatrick @n8pennell Frail (or someone very interested in QOL): Osi single agent Someone fit with brain
Stephen V Liu, MD
@StephenVLiu
LOS ANGELES, CA
● NEUTRAL Dr. @dplanchard at #WCLC25 with highly anticipated Presidential Plenary presentation with OS results from FLAURA2: first line chemo + osimertinib improves OS from 37.6 to 47.5m, HR 0.77, 4y OS rate 41
Patrick Forde
@FordePatrick
BALTIMORE, MD
● NEUTRAL Same phenomenon occurs in #MARIPOSA as noted by Dr. @harpreet_md in #FLAURA2 - its minor but perhaps early increase toxicity with intensified treatment is bad for some patients outcome? #WCLC2025 #lcs
Dr Amol Akhade
@SuyogCancer
Mubai, INDIA
● NEUTRAL Now that latest data for Mariposa is out @myESMO #ELCC2025 , for high risk egfr mutated advanced nsclc , what will u prefer? Osi plus Chemo or Amivantamab plus Lazertinib? @BalazsHalmosMD @Alfdoc2 @dr
Oncology Brothers
@OncBrothers
ORCHARD PARK, NY
● NEUTRAL Updated data on combination options seen at #ESMO25 for metastatic non-small cell lung cancer w/ EGFR mutated disease. Stuck w/ cross trial comparisons for now! We touched on this data and our options
Dr. Antonio Calles
@Tony_Calles
● NEUTRAL FLAURA2: CNS activity with osimertinib + chemo vs osimertinib alone. @dplanchard Now you have a subgroup of patients with EGFR mutation who can benefit from treatment intensification upfront.
Katsuaki Maehara
@KatsuakiMaehara
● NEUTRAL FLAURA2 &amp; MARIPOSA @ASCOPost OS - Interim analysis INDIRECT Conditional Power used at the time of the interim analysis as indicated in the #WCLC24 discussion, MARIPOSA's H0 is
Benjamin Besse
@BenjaminBesseMD
Villejuif, France
● NEGATIVE EGFR update 7 potential options: 3rd gen TKI: osimertinib, lazertinib, aumolertinib Amivantamab Pemetrexed Carboplatin Ivonescimab Dato-DXd OS data favor combos upfrontbut real-world trial. I
Vinay Prasad MD MPH
@VPrasadMDMPH
SAN FRANCISCO, CA
● NEGATIVE @dr_yakupergun @SuyogCancer @myESMO @BalazsHalmosMD @Alfdoc2 @5_utr @StephenVLiu @ADesaiMD @FordePatrick @n8pennell Osi alone is still fine too Flaura 2 post progression care is not up to the US stan
● NEGATIVE Dr Piotrowska is delivering an elegant presentation to affirm that Osi could remain SOC for MOST patients: a few reasons (QoL, more options afterwards , yes OS benefit but caveats), ##ELCC25 @myESMO #
Dr. Luis E. Raez
@LuisRaezMD
PEMBROKE PINES, FL
● NEGATIVE usually we change therapy only when we see progression, all of us have a lot of survivors in OSI alone and probably will not change for this or FLAURA2 unless there is PD because these patients are pr
Eric K. Singhi, MD
@lungoncdoc
HOUSTON, TX
● NEGATIVE @MPishvaian @KelseyPanMD @TumorBoardTues This is such a great question! In the FLAURA2 study, 48 percent of patients discontinued treatment in the combo arm v 6% 2/2 AEs. Many of the patients disconti