Why some EGFR-positive lung cancers change into small cell or squamous types

Drivers of histologic transformation in EGFR-mutant lung cancer

NIH-funded research Sloan-Kettering Inst Can Research · NIH-11191536

This project looks for the molecular switches that let EGFR-mutant lung cancers change into other tumor types that stop responding to EGFR drugs.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSloan-Kettering Inst Can Research NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11191536 on NIH RePORTER

What this research studies

Researchers will compare tumors taken from patients before and after they change type, using samples where different histologies are present in the same tumor. They will analyze DNA mutations and epigenetic patterns and use patient-derived models to test which changes drive the switch. The team focuses on tumors with EGFR mutations and additional TP53 and RB1 alterations that appear especially likely to transform. The work uses patient tumor tissue and lab models to pinpoint targets that might stop or reverse the change.

Who could benefit from this research

Good fit: People with EGFR-mutant lung adenocarcinoma, especially those whose tumors also have TP53 and RB1 alterations or show mixed histology, would be most relevant to this research.

Not a fit: Patients without EGFR mutations or those with unrelated lung cancer types are unlikely to benefit directly from this specific work.

Why it matters

Potential benefit: If successful, the work could reveal targets or markers to prevent or treat lineage switching and help keep EGFR therapies effective longer.

How similar studies have performed: Prior work has shown TP53 and RB1 changes are linked to transformation, but the precise molecular and epigenetic drivers remain largely unproven.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
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Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.