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Evolving Strategies in EGFR-Mutated NSCLC: Optimizing CNS Control and Managing Treatment-Related Toxicities

home / around-the-practice / evolving-strategies-in-egfr-mutated-nsclc-optimizing-cns-control-and-managing-treatment-related

This Around the Practice discussion series, Evolving Strategies in EGFR-Mutated NSCLC: Optimizing CNS Control and Managing Treatment-Related Toxicities, brings together leading experts Misako Nagasaka, MD, PhD; Luis Raez, MD; Edgardo Santos, MD, FACP, FASCO; and Jun Zhang, MD, PhD, to explore the newest data and clinical approaches in treating EGFR-mutated non–small cell lung cancer. Through real-world cases, the panel examines how dual EGFR-MET pathway inhibition, exemplified by amivantamab plus lazertinib, is reshaping frontline therapy, central nervous system management, and sequencing beyond progression. The dialogue emphasizes proactive toxicity prevention, multidisciplinary care, and individualized strategies to improve patient outcomes, long-term survival, and quality of life

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4 experts are featured in this series.

EP. 1: Patient Profile 1: Baseline Brain Metastases and Frontline Decision-Making

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
October 31st 2025

Misako Nagasaka, MD, PhD, Dr. Nagasaka introduces the panel and outlines the session’s focus on applying new EGFR-mutated NSCLC data to practice, with emphasis on CNS control and toxicity prevention.


4 experts are featured in this series.

EP. 2: Selecting First-Line Therapy for EGFR-Mutated NSCLC

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
October 31st 2025

Experts discuss applying emerging evidence from MARIPOSA and FLAURA2 to first-line decision-making in EGFR-mutated disease.


4 experts are featured in this series.

EP. 3: CNS Surveillance and Local Therapy Integration

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 5th 2025

The panel examines a 59-year-old woman with small brain metastases, addressing therapy selection to balance CNS control, survival, and quality of life.


4 experts are featured in this series.

EP. 4: Managing Early Adverse Events With Amivantamab + Lazertinib

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 5th 2025

The physicians share real-world imaging schedules, triggers for adding local therapy, and lessons from serial MRI data in the MARIPOSA trial.


4 experts are featured in this series.

EP. 5: Mechanisms of Resistance and Dual EGFR-MET Targeting

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 12th 2025

Discussion centers on early dermatologic AEs with amivantamab plus lazertinib, emphasizing prevention protocols and staff education.


4 experts are featured in this series.

EP. 6: Patient Profile 2: Progression Beyond First Line

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 12th 2025

The panel reviews components of the COCOON prophylactic regimen and the safe use of temporary dose modifications to maintain adherence.


4 experts are featured in this series.

EP. 7: Sequencing After Amivantamab + Lazertinib and Cumulative Toxicity

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 19th 2025

The conversation shifts to how dual EGFR-MET inhibition reduces resistance mutations and molecular heterogeneity compared with osimertinib monotherapy.


4 experts are featured in this series.

EP. 8: Balancing Efficacy and Tolerability in Dual Inhibition

Misako Nagasaka, MD, PhD;Luis Raez, MD;Edgardo Santos, MD, FACP, FASCO;Jun Zhang, MD, PhD
November 19th 2025

A second case illustrates clinical decision-making after progression on osimertinib, highlighting diagnostic re-biopsy and ctDNA testing.

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