Onco Wiki / Regimen

Amivantamab + Carboplatin + Pemetrexed (NSCLC EGFR-mut post-osimertinib, MARIPOSA-2)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-AMIVANTAMAB DRUG-CARBOPLATIN DRUG-PEMETREXED
IDREG-AMIVANTAMAB-CHEMO
TypeRegimen
Statusreviewed 2026-04-27 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-NSCLC-METASTATIC-2024 SRC-NCCN-NSCLC-2025

Notes

MARIPOSA-2 (Passaro 2024, Annals Oncol): amivantamab + carboplatin + pemetrexed (± lazertinib) vs carboplatin + pemetrexed in EGFR-mutant NSCLC progressing on osimertinib — mPFS 6.3 vs 4.2 mo (HR 0.48). Standard 3L (or 2L post-osi) for EGFR ex19del/L858R. SC ami strongly preferred from cycle 2 (PALOMA-3). VTE prophylaxis mandated when combined with lazertinib; consider for chemo combo as well per protocol (~10-15% VTE rate).

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Indication