www.kommersant.ru/doc/8194633
www.kommersant.ru/doc/8194633
by Yang JC, Lu S (...) Cho BC et 53 al. in N Engl J Med #MedSky
👉 get more here
📖 read the article: https://www.nejm.org/doi/10.1056/NEJMoa2503001
by Yang JC, Lu S (...) Cho BC et 53 al. in N Engl J Med #MedSky
👉 get more here
📖 read the article: https://www.nejm.org/doi/10.1056/NEJMoa2503001
www.onclive.com/view/yale-st...
www.onclive.com/view/yale-st...
• Osimertinib + 化療:健保給付,財務負擔低。
• Amivantamab + Lazertinib:目前需自費,財務負擔高。
🎯 臨床對照表
🗝️ 給病人和家屬的淺白說法
• 單藥:簡單、負擔小,但癌細胞可能較快找到「後門」。
• 加化療:健保給付,效果更好,像是「鎖門+清掃隊」。
• 抗體+TKI:效果亮眼,但需自費,像是「鎖大門+後門」,但要付出更多資源。
• Osimertinib + 化療:健保給付,財務負擔低。
• Amivantamab + Lazertinib:目前需自費,財務負擔高。
🎯 臨床對照表
🗝️ 給病人和家屬的淺白說法
• 單藥:簡單、負擔小,但癌細胞可能較快找到「後門」。
• 加化療:健保給付,效果更好,像是「鎖門+清掃隊」。
• 抗體+TKI:效果亮眼,但需自費,像是「鎖大門+後門」,但要付出更多資源。
在台灣第三代 EGFR TKI(Osimertinib)合併化療有健保給付,因此「財務負擔」這個選項上相對不是考慮重點;反而副作用、基因型、年齡才是關鍵。
🔄 決策流程
Step 1:確認基因型
• Exon 19 deletion → 對 TKI 反應佳,可考慮雙藥策略(抗體+TKI 或 TKI+化療)。
• L858R → 單藥效果較弱,臨床上更傾向 Osimertinib + 化療。
Step 2:考慮年齡與耐受性
• <65 歲、體能佳 → 可承受副作用,雙藥策略更有價值。
• ≥65 歲或合併共病 → Osimertinib ± 化療。
在台灣第三代 EGFR TKI(Osimertinib)合併化療有健保給付,因此「財務負擔」這個選項上相對不是考慮重點;反而副作用、基因型、年齡才是關鍵。
🔄 決策流程
Step 1:確認基因型
• Exon 19 deletion → 對 TKI 反應佳,可考慮雙藥策略(抗體+TKI 或 TKI+化療)。
• L858R → 單藥效果較弱,臨床上更傾向 Osimertinib + 化療。
Step 2:考慮年齡與耐受性
• <65 歲、體能佳 → 可承受副作用,雙藥策略更有價值。
• ≥65 歲或合併共病 → Osimertinib ± 化療。
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
➡️ yalecancercenter.org/news-article...
➡️ yalecancercenter.org/news-article...
www.onclive.com/view/osimert...
www.onclive.com/view/osimert...
www.emjreviews.com/en-us/amj/re...
#AMJRespiratory #LungCancer
www.emjreviews.com/en-us/amj/re...
#AMJRespiratory #LungCancer
@narjustflorezmd.bsky.social @myesmo.bsky.social
oncodaily.com/voices/narju...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #ESMO #ESMO25 #ESMO2025
@narjustflorezmd.bsky.social @myesmo.bsky.social
oncodaily.com/voices/narju...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #ESMO #ESMO25 #ESMO2025
tumor board, & surgery was now a possibility. I asked since osimertinib is working so well, what's the benefit of having surgery? He said removing the site of my original tumor...
tumor board, & surgery was now a possibility. I asked since osimertinib is working so well, what's the benefit of having surgery? He said removing the site of my original tumor...
🚨BREAKING: Phase 3 Data!
📈 Osimertinib + chemotherapy significantly improved overall survival vs. Osimertinib alone in patients with EGFR-mutated advanced NSCLC.
✅ Reinforces its potential as a new first-line standard of care.
🔗 Read more: bit.ly/ONCOnews18O-1
🚨BREAKING: Phase 3 Data!
📈 Osimertinib + chemotherapy significantly improved overall survival vs. Osimertinib alone in patients with EGFR-mutated advanced NSCLC.
✅ Reinforces its potential as a new first-line standard of care.
🔗 Read more: bit.ly/ONCOnews18O-1
www.onclive.com/view/osimert...
www.onclive.com/view/osimert...
🧠 LCT improved PFS across subgroups
🌐 Even with >3 mets (20.7 vs 15.9 mo)
🧬 EGFR ex19del: 39.8 vs 22.8 mo
🔬 L858Rmut: 19.1 vs 11.0 mo
💪 Comprehensive vs partial LCT: 33.1 vs 15.1 mo
dailyreporter.esmo.org
@myesmo.bsky.social @astro-org.bsky.social
🧠 LCT improved PFS across subgroups
🌐 Even with >3 mets (20.7 vs 15.9 mo)
🧬 EGFR ex19del: 39.8 vs 22.8 mo
🔬 L858Rmut: 19.1 vs 11.0 mo
💪 Comprehensive vs partial LCT: 33.1 vs 15.1 mo
dailyreporter.esmo.org
@myesmo.bsky.social @astro-org.bsky.social