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Selecting the optimal sequential strategy

First generation

(erlotinib, gefitinib)

or second generation

(afatinib, dacomitinib)

Third generation

Osimertinib

NSCLC

(Stage IV)

EGFR mutation

?

1. Optimal sequence after progression to TKI

2. Increase in surrogate PFS or Overall Survival

3. Impact on CNS disease metastasis

4. Improvements on QoL

5. Toxicity Profile