

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