Disclosure of potential conflicts of interest: N. Takigawa and K. Kiura: Honoraria from speakers bureau, AstraZeneca. The other authors disclosed no potential conflicts of interest.Word count: 3498; total number of figures and tables: 5; supplemental figure: 1 ABSTRACT STAT3 plays a vital role in inducing and maintaining a pro-carcinogenic inflammatory microenvironment and is reported to be a critical mediator of the oncogenic effects of EGFR mutations. STAT3 activation is mediated through JAK family kinases. We investigated the effect of the JAK1/2 inhibitor AZD1480 on lung tumors induced by an activating EGFR mutation. Three EGFR tyrosine kinase inhibitor-resistant cell lines, RPC-9, PC-9/Van-R, and PC-9/ER3, were established from PC-9 harboring an EGFR exon19 deletion mutation. Their resistance mechanisms were caused mainly by a secondary mutation of T790M (RPC-9, PC-9/Van-R) or JAK2 activation (PC-9/ER3). Both resistant and parent cells were sensitive to AZD1480. AZD1480 (30 or 50 mg/kg/day, per os) reduced angiogenesis and revealed significant tumor regression in a mouse xenograft model using PC-9 cells. Subsequently, the transgenic mice expressing Egfr delE748-A752 were treated with AZD1480 (30 mg/kg/day) or vehicle alone. The numbers of lung tumors (long axis exceeding 1 mm) in the AZD1480-treated group and control group were 0.37 ± 0.18 and 2.25 ± 0.53 (p<0.001), respectively. AZD1480 treatment suppressed pSTAT3, pJAK1, and pJAK2. To evaluate the efficacy of AZD1480 on survival, AZD1480 (n=13) or vehicle (n=13) was administered orally from 7 weeks of age. The median survival time in the AZD1480-treated group (217 days) was significantly greater than that in the control group (106 days) (log-rank test, p<0.0001). In conclusion, AZD1480 may be effective against lung tumors driven by an activating EGFR mutation.