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CASE REPORT article

Front. Oncol.

Sec. Thoracic Oncology

This article is part of the Research TopicNovel Theragnostic Approaches in Thoracic MalignanciesView all 7 articles

Favorable Response to Third-Generation TKI Furmonertinib in a Patient with Early-Stage Non-Small Cell Lung Cancer Harboring Rare Compound EGFR Mutations: Exon 18 G719C and Exon 20 S768I — A Case Report

Provisionally accepted
Shihu  LiuShihu LiuJinzi  ZhangJinzi ZhangYanfeng  DongYanfeng DongYongjie  WangYongjie Wang*
  • The Affiliated Hospital of Qingdao University, Qingdao, China

The final, formatted version of the article will be published soon.

EGFR Exon 19 deletions and exon 21 point mutations of EGFR are the most prevalent alterations in lung adenocarcinoma, and patients with these mutations derive substantial clinical benefit from EGFR tyrosine kinase inhibitors (TKIs). Nevertheless, the therapeutic efficacy of TKIs in rare compound EGFR mutations remains unclear. Here, we describe a case of early-stage non-small cell lung cancer (NSCLC) harboring a G719C+S768I compound mutation that achieved complete remission (CR) following treatment with furmonertinib. These findings suggest that furmonertinib may represent a promising therapeutic option to improve cure rates in this subset of patients.

Keywords: EGFR, EGFR Exon 18 G719C, EGFR exon 20 S768I, EGFR-TKI, furmonertinib, Non-small cell lung cancer

Received: 27 Sep 2025; Accepted: 15 Dec 2025.

Copyright: © 2025 Liu, Zhang, Dong and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yongjie Wang

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