Reduction in EGFR mutation allelic frequency was observed in three patients, including non-classical exon 19 deletion and T790M. These changes were correlated with tumor shrinkage in two of the patients. Two patients harboring triple mutations of exon 19 del/T790M/C797S showed radiological improvements in both target and non-target lesions. Continuous daily dosing of BBT-176 was well-tolerated with manageable toxicities.