The deletion polymorphism is associated with apoptosis resistance to EGFR tyrosine kinase inhibitors (EGFR-TKI), such as gefitinib and erlotinib, in non-small cell lung cancer (NSCLC) harboring mutations. Here, we investigated whether the deletion polymorphism contributes to resistance against osimertinib, a third-generation EGFR-TKI. In addition, we determined the efficacy of a histone deacetylase (HDAC) inhibitor, vorinostat, against this form of resistance and elucidated the underlying mechanism. We used -mutated NSCLC cell lines, which were either heterozygous or homozygous for the deletion polymorphism, to evaluate the effect of osimertinib and Protein expression was examined by Western blotting. Alternative splicing of mRNA was analyzed by RT-PCR.-mutated NSCLC cell lines with the deletion polymorphism exhibited apoptosis resistance to osimertinib in a polymorphism dosage-dependent manner, and this resistance was overcome by combined use with vorinostat. Experiments with homozygous deletion-positive cells revealed that vorinostat affected the alternative splicing of mRNA in the deletion allele, increased the expression of active BIM protein, and thereby induced apoptosis in osimertinib-treated cells. These effects were mediated predominantly by HDAC3 inhibition. In xenograft models, combined use of vorinostat with osimertinib could regress tumors in-mutated NSCLC cells homozygous for the deletion polymorphism. Moreover, this combination could induce apoptosis even when tumor cells acquired-T790M mutations. These findings indicate the importance of developing HDAC3-selective inhibitors, and their combined use with osimertinib, for treating -mutated lung cancers carrying the deletion polymorphism. .