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TEST TREAT PLAN In non-small cell lung cancer (NSCLC), planning can help guide the appropriate treatment path for patients. DIAGNOSE An estimated 224,390 Out of those, Of those with NSCLC, will have will be or advanced at diagnosis.2 57% metastatic ~85% new cases of lung cancer are expected to be diagnosed NSCLC. 2 in 2016. 1 TEST Guidelines suggest certain patients should have their tumors tested for biomarkers in order to help identify what is driving their lung cancer.3 There are currently Estimated share of NSCLC patients who have specific biomarkers:6 PIK3CA2 NRAS MET MEK1 ROS1 RET PTEN AKT Unknown ALK BRAF DDR2 known lung cancer biomarkers. KRAS 4, 5 EGFR The majority of these biomarkers are being studied in clinical trials; EGFR, ALK and ROS1 are the only biomarkers associated with FDA-approved biomarker driven therapy. HER2 FGFR1 PLAN Each journey is unique, so patients and their care team should work together to develop an individualized treatment plan to guide their journey. This may include testing for certain biomarkers or discussing what to expect with each treatment option. TREAT Currently there are 7 therapies FDA-approved associated with EGFR, ALK or ROS1 biomarkers,7 and more than 500 ongoing clinical trials involving biomarkers in lung cancer.8 FOLLOW UP Patients should continue to work with their care team to find out if their tumor is responding to the medicine, address any side effects, stay on track with their treatment plan and make adjustments as needed. For additional resources, including a molecular testing glossary and patient-doctor conversation checklist, visit www.LungCancerProfiles.com References: 1. American Cancer Society. Cancer Facts & Figures 2016. Atlanta: American Cancer Society; 2016. 2. National Cancer Institute. Surveillance, Epidemiology, and End Results Program. Seer Stat Fact Sheets: Lung and Bronchus Cancer. http://seer.cancer.gov/statfacts/html/lungb.html. Accessed October 5, 2015. 3. Lindeman N, Cagle P, Beasley M, et al. Molecular testing guideline for selection of lung cancer patients for EGFR and ALK tyrosine kinase inhibitors. J Thorac Oncol. 2013 Jul;8(7):823-59. 4. Kris MG, Johnson BE, Kwiatkowski DJ, et al. Identification of driver mutations in tumor specimens from 1000 patients with lung adenocarcinoma: The NCI’s Lung Cancer Mutation Consortium (LCMC). J Clin Oncol. 2011. 29(suppl; abstr CRA7506). Page 10. http://meetinglibrary.asco.org/content/81670-102. Accessed September 1, 2015. 5. Takeuchi K, Soda M, Togashi Y, et al. RET, ROS1 and ALK fusions in lung cancer. Nature. 2012;378-381. Doi:10.1038/nm.2558. 6. My Cancer Genome. Molecular Profiling of Lung Cancer. 2015. http://www.mycancergenome.org/content/disease/lung-cancer/. Accessed January 22, 2015. 7. American Cancer Society. Targeted therapies for non-small cell lung cancer. http://www.cancer.org/ cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-treating-targeted-therapies. March 8, 2016. 8. ClinicalTrials.gov. 524 studies found for: KRAS OR EGFR OR ALK OR PIK3CA OR HER2 OR BRAF OR ROS OR RET OR NRAS OR MET | lung cancer. https://clinicaltrials.gov/ct2/results?term=KRAS+OR+EGFR+OR+ALK+OR+PIK3CA+OR+HER2+OR+BRAF+OR+ROS+OR+RET+OR+NRAS+OR+MET&recr=Open&cond=lung+cancer&rcv_e=10%2 F14%2F2015 (Select “Include only open studies”). Accessed March 8, 2016. This information is current as of April 2016. © 2016 Pfizer Inc. All rights reserved. April 2016. PP-XLK-USA-0244-01