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Mobocertinib in non-small cell lung cancer
Shengwu Liu1,2, Kristen E Lowder3
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Mobocertinib effectively treats EGFR Exon 20 insertion mutations in non-small cell lung cancer. This targeted therapy showed significant response rates and progression-free survival in platinum-pretreated patients.
Area of Science:
- Oncology
- Pharmacology
Background:
- Non-small cell lung cancer (NSCLC) with EGFR exon 20 insertion mutations (EGFR Ex20Ins) historically has limited treatment options.
- Existing tyrosine kinase inhibitors (TKIs) show minimal efficacy against EGFR Ex20Ins.
Approach:
- Mobocertinib (TAK-788) was developed as a targeted TKI specifically for EGFR Ex20Ins.
- Phase I/II clinical trial evaluated mobocertinib in platinum-pretreated NSCLC patients with EGFR Ex20Ins.
Key Points:
- Mobocertinib demonstrated an objective response rate of 28% (95% CI, 20%-37%) in the evaluated cohort.
- Median progression-free survival was 7.3 months (95% CI, 5.5-9.2) and median duration of response was 17.5 months (95% CI, 7.4-20.3).
Conclusions:
- Mobocertinib offers meaningful clinical benefits for patients with EGFR Ex20Ins NSCLC.
- The U.S. FDA granted accelerated approval for mobocertinib in 2021, marking a significant advancement in targeted therapy for this indication.
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