Real-world-data (RWD) of 159 advanced NSCLC patients with EGFR exon 20 insertion in the timeframe of 2014-2020 were analyzed. TP53 mutation was the most common co-occurring mutation in 69 (43.6%) patients….In patients with co-occurring TP53, patients who received ICB (n=33) had longer OS than those without ICB exposure...these patients seem to benefit from the ICB, especially at the beginning of their treatment pathway.