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PURPOSE Targeted therapies against non–small-cell lung cancer (NSCLC) harboring HER2 mutations remain an unmet need. In this study, we assessed the efficacy and safety of pyrotinib in patients with HER2-mutant advanced NSCLC in a prospective, multicenter, open-label, single-arm, phase II study. PATIENTS AND METHODS Patients with stage IIIB or IV HER2-mutant lung adenocarcinoma who were previously treated with platinum-based chemotherapy were enrolled to receive pyrotinib at a dose of 400 mg/d for 21-day cycles. The primary end point was objective response rate per independent review committee (IRC). RESULTS Between October 20, 2016, and December 10, 2018, 60 patients received pyrotinib monotherapy. At baseline, 58 (96.7%) were stage IV, and 25 (41.7%) received at least 2 lines of prior chemotherapy. As of data cutoff on June 20, 2019, IRC-assessed objective response rate was 30.0% (95% CI, 18.8% to 43.2%). All subgroups of patients with different HER2 mutation types showed a favorable objective response rate. The objective response rates were similar between patients with and without brain metastases (25.0% v 31.3%). The median duration of response was 6.9 months (95% CI, 4.9 to 11.1 months). The median progression-free survival was 6.9 months (95% CI, 5.5 to 8.3 months) per IRC. The median overall survival was 14.4 months (95% CI, 12.3 to 21.3 months). Treatment-related adverse events of grade 3 or 4 occurred in 28.3% of patients, with the most common being diarrhea (20.0%; all grade 3). No treatment-related deaths were reported. CONCLUSION Pyrotinib showed promising antitumor activity and an acceptable safety profile in chemotherapy-treated patients with HER2-mutant NSCLC.

Biological fluoride ion channels are sub-1-nanometer protein pores with ultrahigh F − conductivity and selectivity over other halogen ions. Developing synthetic F − channels with biological-level selectivity is highly desirable for ion separations such as water defluoridation, but it remains a great challenge. Here we report synthetic F − channels fabricated from zirconium-based metal-organic frameworks (MOFs), UiO-66-X (X = H, NH 2 , and N + (CH 3 ) 3 ). These MOFs are comprised of nanometer-sized cavities connected by sub-1-nanometer-sized windows and have specific F − binding sites along the channels, sharing some features of biological F − channels. UiO-66-X channels consistently show ultrahigh F − conductivity up to ~10 S m −1 , and ultrahigh F − /Cl − selectivity, from ~13 to ~240. Molecular dynamics simulations reveal that the ultrahigh F − conductivity and selectivity can be ascribed mainly to the high F − concentration in the UiO-66 channels, arising from specific interactions between F − ions and F − binding sites in the MOF channels.

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