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Translational Medicine / 转化医学Osimertinib, EGFR Exon20 Insertions & FLAURA

Pasi A. Jänne

帕西·扬内

MD, PhD

🏢Dana-Farber Cancer Institute / Harvard Medical School(达纳-法伯癌症研究所 / 哈佛医学院)🌐USA

Director, Lowe Center for Thoracic Oncology; Professor of Medicine, Harvard Medical School洛厄胸部肿瘤学中心主任;哈佛医学院医学教授

105
h-index
4
Key Papers
5
Awards
4
Key Contributions

👥Biography 个人简介

Pasi A. Jänne, MD, PhD is Director of the Lowe Center for Thoracic Oncology at Dana-Farber Cancer Institute and Professor of Medicine at Harvard Medical School. He is one of the world's foremost authorities on EGFR-targeted therapy in non-small cell lung cancer (NSCLC), with landmark contributions spanning more than two decades. Dr. Jänne was among the first to characterize acquired resistance to first-generation EGFR inhibitors through T790M mutation emergence, which directly motivated the development of third-generation inhibitors including osimertinib. He served as a principal investigator of the FLAURA trial, the pivotal phase III study demonstrating that osimertinib as first-line therapy significantly improved progression-free and overall survival compared to standard EGFR inhibitors in EGFR-mutant advanced NSCLC, establishing osimertinib as the global standard of care. Dr. Jänne has been a leading investigator for amivantamab, the EGFR-MET bispecific antibody, particularly in the setting of EGFR exon 20 insertions—a historically difficult-to-target subset—where he co-led the PAPILLON trial establishing amivantamab plus chemotherapy as a new first-line standard. He has authored more than 350 peer-reviewed publications, with an h-index exceeding 100, and is a recipient of multiple major oncology awards. His laboratory continues to define the molecular landscape of on-target and off-target resistance to third-generation EGFR inhibitors, identifying mechanisms such as MET amplification, RAS/MAPK pathway activation, and EGFR C797S mutation.

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🧪Research Fields 研究领域

EGFR-Mutant NSCLC and OsimertinibEGFR突变非小细胞肺癌与奥希替尼
FLAURA Trial and Third-Generation EGFR InhibitorsFLAURA试验与第三代EGFR抑制剂
EGFR Exon 20 Insertion MutationsEGFR第20外显子插入突变
Mechanisms of Resistance to EGFR-Targeted TherapyEGFR靶向治疗耐药机制
Amivantamab and Novel EGFR-MET Bispecific ApproachesAmivantamab与新型EGFR-MET双特异性抗体策略

🎓Key Contributions 主要贡献

FLAURA — Osimertinib as First-Line Standard in EGFR-Mutant NSCLC

Co-led the FLAURA phase III trial demonstrating that first-line osimertinib provided significantly superior progression-free survival (18.9 vs 10.2 months) and overall survival compared to gefitinib or erlotinib in EGFR-mutant advanced NSCLC, including superior CNS penetration and activity, establishing osimertinib as the global first-line standard of care.

EGFR Exon 20 Insertions and Amivantamab Development

Defined the clinical and molecular characteristics of EGFR exon 20 insertion mutations as a distinct, chemotherapy-dependent subset; co-led the PAPILLON trial establishing amivantamab plus chemotherapy as first-line standard for this population, and prior studies evaluating mobocertinib for platinum-pretreated exon 20-insertion NSCLC.

T790M Resistance Mechanism and Third-Generation EGFR Inhibitor Rationale

Performed landmark studies demonstrating that T790M "gatekeeper" mutation accounts for approximately 50–60% of acquired resistance to first- and second-generation EGFR inhibitors, directly motivating the development of osimertinib and other third-generation irreversible inhibitors that selectively target T790M-bearing EGFR.

Resistance Mechanisms to Osimertinib and Next-Generation Strategies

Comprehensively characterized acquired resistance mechanisms to osimertinib including C797S tertiary mutation, MET amplification, KRAS mutation, and cell-state transformation, and has led early clinical investigations of combination strategies (amivantamab + lazertinib; MARIPOSA trial) to overcome osimertinib resistance.

Representative Works 代表性著作

[1]

Osimertinib in untreated EGFR-mutated advanced non-small-cell lung cancer (FLAURA)

New England Journal of Medicine (2018)

FLAURA trial demonstrating superior PFS and OS with first-line osimertinib versus standard EGFR-TKIs in EGFR-mutant advanced NSCLC, establishing the global first-line standard of care.

[2]

Amivantamab plus chemotherapy with and without lazertinib in EGFR-mutant advanced NSCLC after disease progression on osimertinib (MARIPOSA-2)

Nature Medicine (2023)

MARIPOSA-2 trial establishing amivantamab plus chemotherapy as a new standard for osimertinib-resistant EGFR-mutant NSCLC with significant PFS improvement.

[3]

EGFR mutations in lung cancer: correlation with clinical response to gefitinib therapy

Science (2004)

Seminal co-discovery paper identifying EGFR kinase domain mutations as the molecular basis of dramatic sensitivity to gefitinib in a subset of NSCLC patients, founding the field of EGFR-targeted therapy.

[4]

Amivantamab plus carboplatin–pemetrexed chemotherapy in EGFR exon 20 insertion–mutated non-small-cell lung cancer (PAPILLON)

New England Journal of Medicine (2023)

PAPILLON trial establishing amivantamab plus chemotherapy as a new first-line standard for EGFR exon 20 insertion NSCLC with significantly improved PFS over chemotherapy alone.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Thoracic Oncology Distinguished Scientist Award
🏆IASLC Bonnie J. Addario Lecture Award
🏆American Association for Cancer Research (AACR) Team Science Award
🏆Dana-Farber Distinguished Scholar
🏆NCI Outstanding Investigator Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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