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. 2019 Nov;8(Suppl 3):S247–S264. doi: 10.21037/tlcr.2019.06.01

Table 1. Summary of reported pre-clinical half maximal inhibitory concentrations (IC50) of third-generation EGFR TKIs for common EGFR mutations.

EGFR TKIs Agents Alterations in EGFR
Ex19delA,B L858RA,C L858R/T790MA,D Ex19del/T790MA,E WT EGFRA,F Comments Source
Osimertinib AZD9291 12 nM* 1 nM* 184 nM* (33)
56 nMB1 36 nMC 15 nMD1 13 nME1 152 nMF1 (35)
41 nMB1 26 nMC 31 nMD1 41 nME2 (36)
7.9 nMA 6.2 nMA 0.9 nMA 3.1 nMA 516 nMA (37)
Nazartinib EGF816 66 nMA 35 nMA 5.1 nMA 52 nMA 1,031 nMA (37)
Mavelertinib PF-06747775 5 nMB1 4 nMC 12 nMD1 3 nME1 307 nMF1 (35)
Avitinib AC0010 0.18 nM 7.68 nM Kinase and cell-based assays are reported (38)
10.4 nMB2   7.3 nMD1
and 2.8 nMD2
837 nMF3
Lazertinib YH25448
GNS-1480
5.3 nM 20.6 nM 2.0 nM 1.7 nM 76.0 nM Kinase and cell-based assays are reported. See publication for cell-based assay results with other EGFR TKIs (39)
3.3 nMA 3.9 nMA 5.7 nMA 4.9 nMA 722.7 nMA
Naquotinib ASP8273 11 nMB1 1.3 nMC 6 nMD1 5 nME2 Kinase and cell-based assays are reported. See publication for Ba/F3 cell-based assay results with other EGFR TKIs (36)
9 nMA 11 nMA 9 nMA 10 nMA 830 nMA
Olmutinib HM61713 9.2 nMB2 10 nMD1 2,225 nMF2 (40)
Rociletinib CO-1686 79 nMB1 46 nMC 16 nMD1 9 nME1 1598 nMF1 (35)
Erlotinib 11 nMB1 10 nMC 9,003 nMD1 9,736 nME1 11 nMF1 (35)
15 nMB1 10 nMC 8,431 nMD1 2,996 nME2 (36)
73 nMA 30 nMA >10,000 nMA 3,429 nMA 638 nMA (37)
3.2 nMB2 2,253 nMD1 449 nMF2 (40)
Gefitinib <1 nM 155 nM 3 nM (33)
Afatinib <1 nM* 3 nM* 3 nM* (33)
2 nMB1 0.08 nMC 121 nMD1 279 nME2 (36)
0.6 nMA 0.6 nMA 179 nMA 146 nMA 30 nMA (37)
1.8 nMB2 53 nMD1 31 nMF2 (40)
Dacomitinib <1 nM* 10 nM* 3 nM* (33)

*, reported apparent IC50, due to time-dependent changes to enzyme activity with irreversible inhibitors; , assessed by kinase assay (see methods and supplemental methods from: (32,37,38); A, evaluated in Ba/F3 cells transduced with either mutated or wild-type EGFR, see (35,36,38); B, Exon 19 deletion evaluated in PC-9 cells (B1) and HCC827 cells (B2); C, L858R mutation evaluated in H3255 cells (C); D, L858R/T790M mutation evaluated in H1975 cells (D1) and NIH/3T3_TC32T8 cells (D2); E, Ex19del/T790M evaluated in PC9-DRH cells (E1) and PC9-ER cells (E2); F, WT EGFR evaluated in A549 cells (F1), H358 cells (F2) and A431 (F3). EGFR, epidermal growth factor receptor; TKI, tyrosine kinase inhibitor; WT, wild-type.