I am seeking any advice /knowledge the inspire community may have regarding treatment following progression on Tarceva.
I am been lucky enough to get 3 1/2 years out of Tarceva after being diagnosed with NSCLC stage 4 EGFR exon 19 deletion. My recent PET showed progression and I was able to have a needle biopsy on one of the nodules. This showed that I am still EGFR exon 19 but unfortunately am T790m negative.
I am currently have radiation to my right chest which covers the area of progression. I can only have 15 fractions as this is a previously treated area (30 fractions in 2013).
My Onc is suggesting either Afatinib or Opdivo..... I should also note there wasn’t enough tissue to run for MET or anything else.
I’m in Australia, so don’t have access to some of the recently FDA approved tki’s.
Does anyone have experience or thoughts regarding this.
Many thanks in advance. Xx