Central Retinal Artery Occlusion — UKMLA MCQ
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Correct answer: D — Use first-line amivantamab plus lazertinib for the sensitising EGFR mutation
The best answer is “Use first-line amivantamab plus lazertinib for the sensitising EGFR mutation”. TA1122 recommends amivantamab plus lazertinib for untreated advanced NSCLC with an EGFR exon 19 deletion or exon 21 L858R substitution. This differs from the exon-20-insertion chemotherapy pathway and from therapies used after progression. The exact two targeted agents are required.
Reference: NICE TA1122, Amivantamab with lazertinib for untreated EGFR-positive advanced NSCLC: https://www.nice.org.uk/guidance/ta1122/chapter/1-Recommendations