Key points:

• LAURA Trial: Discussing the role of osimertinib in locally advanced unresectable EGFR-mutant lung cancer post-chemoRT.
• MARIPOSA and MARIPOSA02 Studies: Exploring role of amivantamab in metastatic NSCLC with EGFRm.
• ADRIATIC Study: Analyzing the use of durvalumab as consolidation therapy in limited-stage SCLC.
In this episode of the Oncology Brothers podcast, we dive into the highlights from ESMO 2024, focusing on four pivotal studies in the lung cancer space. Drs. Rohit & Rahul Gosain are joined by Dr. Stephen Liu, an expert in thoracic oncology, to discuss the latest advancements and their clinical implications.
We kicked off with the LAURA trial, which examines the role of osimertinib in patients with locally advanced unresectable EGFR-mutant lung cancer following chemoradiation. Dr. Liu shared insights on the significant improvement in progression-free survival and the notable reduction in CNS progression, establishing osimertinib as the new standard of care in this setting.
Next, we explored the MARIPOSA, which investigates the combination of amivantamab and lazertinib as a first-line treatment for metastatic non-small cell lung cancer. Dr. Liu highlighted the promising results regarding resistance patterns and the potential for a simpler resistance profile, which could lead to more effective treatment strategies.
We also discuss MARIPOSA-2, where amivantamab is combined with chemotherapy in the second-line setting after osimertinib. The data presented at ESMO indicates a significant improvement in progression-free survival, with a strong trend towards overall survival, suggesting this regimen could become a best practice after osimertinib.
Finally, we touch on the ADRIATIC study, which evaluates durvalumab as a consolidation therapy in limited-stage small cell lung cancer. Dr. Liu explained how the study's findings support the use of durvalumab post-chemoradiation, while also addressing the ongoing debate regarding prophylactic cranial irradiation.
Throughout the episode, we emphasized the importance of these studies in shaping the future of lung cancer treatment and the need for ongoing research to refine our approaches. We encourage our listeners to stay informed about these developments and consider their implications in clinical practice.
Thank you for joining us, and be sure to check out our highlights from other cancer types discussed at ESMO 2024!