Welcome to the September 2025 edition of the Rare Mutations and Fusions newsletter from LUNGevity's Patient Gateways. Since our last newsletter in March, we have seen a lot of progress in the lung cancer space for treating patients with rare driver mutations, including new drug approvals by the US Food and Drug Administration (FDA). In June, the FDA approved taletrectinib to treat locally advanced and metastatic NSCLC with ROS1 rearrangements. Taletrectinib is a tyrosine kinase inhibitor (TKI) that targets ROS1 and is used to treat newly diagnosed patients and patients whose tumors have become resistant to prior treatments. Studies have shown that 85%-90% of patients without previous treatments had their cancer shrink or disappear with taletrectinib treatment (overall response rate). Later, in August, the FDA issued an accelerated approval for zongertinib to treat patients with unresectable or metastatic NSCLC with mutations in the HER2 gene. Zongertinib is a TKI that disrupts the activity of the mutated HER2 protein to slow or stop cancer growth. A clinical trial studying 71 patients with HER2 mutations who were previously treated with chemotherapy showed 75% of patients had their tumors shrink or disappear with zongertinib treatment (overall response rate). While these treatments have made it all the way to FDA approval stage, there are many treatments being tested in the laboratory and in clinical trials. One promising example that was showcased at the recent World Conference on Lung Cancer is zidesamtinib, a TKI being tested in the phase1/2 ARROS-1 trial. This drug has been developed to target tumors with ROS1 mutations, with a particular emphasis on treating brain metastasis and drug-resistant tumors. The results were exciting, with 84% of the patients in the study seeing a benefit from treatment for at least 6 months and 62% benefiting from treatment for at least 18 months (duration of response). You can learn more about innovative research that is underway for many different types of lung cancer. Be sure to check out LUNGevity’s ongoing coverage of the world’s biggest research conferences and their impact on lung cancer treatment and patient care. Research NewsDr Dietrich on the Efficacy and Safety of Taletrectinib in ROS1+ NSCLC FDA Grants Accelerated Approval to Hernexeos (zongertinib) for Previously Treated Patients with HER2-Mutant Advanced NSCLC HER2 alterations in non-small cell lung cancer (NSCLC): from biology and testing to advances in treatment modalities Emerging Oral HER2-Targeted TKIs (Zongertinib and Sevabertinib): Efficacy and Safety in HER2-Mutated NSCLC Zidesamtinib Demonstrates Responses in ROS1-Positive NSCLC Get ConnectedIt’s Finally Here! The International Lung Cancer Survivorship Conference Join us for the Rare Mutations Virtual Meetup Register for this virtual meetup to get a confirmation email with details about how to join the meeting. New attendees are always welcome and encouraged to join! Can’t make it? Don’t worry, there’s a full list of virtual meetups to fit your schedule. Have You Seen?Highlights from the Biggest Research Conferences Throwing RET+ Lung Cancer into the Trash Can Integrative Medicine: What Is It? And Why You Should Know About It … and there is always so much more to explore on the Rare Mutations & Fusions Patient Gateway. If you were forwarded this email and you’d like to subscribe to this newsletter, you can sign up here. If you are looking for more LUNGevity Foundation news, check out LUNGevity’s monthly newsletter. If you need further assistance along your lung cancer journey, please email us at support@lungevity.org. Our team is always here to assist you. |