A Nationwide Study on the Impact of Routine Testing for EGFR Mutations in Advanced NSCLC Reveals Distinct Survival Patterns Based on EGFR Mutation Subclasses
[Paper-level Aggregated] PMCID: PMC8307492
Evidence Type(s): Oncogenic
Summary: Mutation: L858R | Summary: The L858R mutation is identified as a classical, actionable EGFR mutation that contributes to tumor development or progression in a significant proportion of patients. It is associated with worse outcomes compared to other variants in the context of overall survival analysis and is used to classify and confirm the presence of a specific EGFR mutation in patients.
Evidence Type: Oncogenic Mutation: T790M | Summary: The T790M mutation contributes to tumor development or progression as it is a mechanism of resistance that arises in patients treated with EGFR inhibitors, specifically indicating resistance to the third-generation EGFR inhibitor osimertinib.
Evidence Type: Oncogenic Mutation: G719S | Summary: The G719S mutation is part of a composite mutation that is implicated in tumor development or progression.
Evidence Type: Oncogenic Mutation: L861X | Summary: The L861X mutation is noted as an uncommon but actionable EGFR mutation that may also contribute to tumor development or progression, particularly in patients tested with multi-gene assays.
Evidence Type: Oncogenic Mutation: L861Q | Summary: The L861Q mutation is part of a composite mutation that is implicated in tumor development or progression.
Gene→Variant (gene-first): EGFR(1956):L858R EGFR(1956):T790M EGFR(1956):G719S EGFR(1956):L861X EGFR(1956):L861Q
Genes: EGFR(1956)
Variants: L858R T790M G719S L861X L861Q