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Is it safe and/or necessary to combine osimertinib and carboplatin/paclixel for a patient with stage IV EGFR mutated NSCLC and advanced ovarian carcinoma?

Certainly ovarian cancer will respond to carboplatin and paclitaxel and it sounds like a reasonable chemotherapy to give to a stage IV NSCLC, however if the NSCLC is not responding but the ovarian cancer is, combining chemotherapy with TKI is not addressed in the guidelines.
1 Answer
Mednet Member
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Medical Oncology · Wexner Medical Center at The Ohio State University
Answered on

This is a tough situation and a lot depends on the status and urgency of the ovarian cancer and whether surgery is planned for it. I would not combine the chemotherapy and osimertinib simultaneously for sure. There are several studies that show the combination of chemo and TKI is not as good as TKI ...

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