Neoadjuvant Aumolertinib for Inoperable Stage III EGFR-Mutant Non-Small Cell Lung Cancer
Release date:
2025-03-12
Description:
This phase II trial evaluated neoadjuvant Aumolertinib, a third-generation EGFR-TKI, for inoperable stage III EGFR-mutant NSCLC. Among 51 patients treated, the objective response rate was 70.6%, with 45.1% converting to operable disease and undergoing successful R0 resection. Five patients had major pathological responses, and three had complete responses. RNA-sequencing revealed increased CD8+ T-cell infiltration post-treatment, particularly in tumors with Ex19-Del mutations. Aumolertinib demonstrated promising efficacy, a high surgical conversion rate, and a tolerable safety profile.
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Targeted therapy has improved the treatment non-small cell lung cancer (NSCLC) with driver gene mutations. However, most patients will develop drug resistance after therapy. Here, we combined bulk, single cell and spatial transcriptomics to identify the spatial landscape of the NSCLC tumor microenvironment (TME) during targeted therapy. Multidimensional bioinformatics analyses revealed distinct transcriptomic heterogeneity of the TME. Our study provides novel insights into the complex ecosystem of NSCLC and offers clues for combinational therapies to overcome drug resistance.
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