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September 2, 2026Thoracic CancerOpen Access

Central Nervous System Activity of Lazertinib in EGFR ‐Mutated NSCLC With Prior EGFR TKI Exposure: A Pooled Analysis of KCSG‐LU20‐15 and LU21‐01

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Authors

DKDong Hyun KimMHMin Hee HongHJHyun Ae Jung

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Overview

Pooled phase II analysis demonstrates durable intracranial activity of lazertinib in pretreated EGFR-mutated NSCLC, highlighting its potential against central nervous system metastases.

Key Points

  • To evaluate the intracranial and systemic efficacy of lazertinib in patients with EGFR-mutated non-small cell lung cancer and central nervous system involvement following prior EGFR tyrosine kinase inhibitor therapy.
  • Pooled analysis of 72 patients with EGFR-mutated NSCLC and CNS involvement from two Phase II clinical trials (KCSG-LU20-15 and KCSG-LU21-01) with prior EGFR TKI exposure.
  • Assessed intracranial and overall objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), and overall survival (OS).
  • Among 46 evaluable patients, intracranial ORR was 50.0%, intracranial DCR was 97.8%, and median intracranial PFS reached 15.2 months.
  • Among 66 patients evaluable for systemic response, overall ORR was 22.7%, DCR was 97.0%, median PFS was 10.6 months, and median OS was 17.8 months.
  • Patients with leptomeningeal metastases had inferior survival outcomes compared to those without, while outcomes did not significantly differ by T790M mutation status.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2f6c562ede874ec771chttps://doi.org/10.1111/1759-7714.70387
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Lazertinib: A Selective EGFR Mutant Inhibitor to Treat Non-Small Cell Lung Cancer2026
  2. 2A phase 2 study of amivantamab plus lazertinib in patients with <i>EGFR-</i>mutant lung cancer and active central nervous system disease.2024 · 14 citations
  3. 3SUCCESSFUL TREATMENT OF METASTATIC LUNG ADENOCARCINOMA WITH LAZERTINIB: A CASE REPORT2024
  4. 4Real‐world study of lazertinib as second‐line or greater treatment in advanced non‐small cell lung cancer2024 · 1 citations
  5. 5Cardiac Safety Assessment of Lazertinib: Findings From Patients With EGFR Mutation-Positive Advanced NSCLC and Preclinical Studies2021 · 16 citations