Epidermal growth factor receptor tyrosine kinase inhibitors in elderly patients with non-small cell lung cancer.

作者: Mazen Zaarour , Chanudi Weerasinghe , Bassel Nazha , Samer Hassan , Jean-Paul Atallah

DOI: 10.1586/14737140.2015.1092385

关键词: MedicineOncologyGefitinibLung cancerInternal medicineEpidermal growth factor receptor tyrosine kinaseChemotherapyDiseaseAfatinibNon small cellErlotinib

摘要: Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related deaths worldwide. At diagnosis, half patients are over 70 years age, and most present with advanced disease, for which chemotherapy recommended as first-line treatment. However, benefit from such therapy modest it at times poorly tolerated. The discovery epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) has significantly impacted treatment EGFR mutation-positive NSCLC. These novel agents demonstrate efficacy a favorably mild toxicity profile. Despite limited data in elderly patients, largest subpopulation NSCLC, EGFR-TKIs considered standard care EGFR-positive disease elderly. In this review, we seek to compile available about use hope better understand its role major yet, underrepresented, group patients.

参考文章(53)
Makoto Maemondo, Yuji Minegishi, Akira Inoue, Kunihiko Kobayashi, Masao Harada, Shoji Okinaga, Naoto Morikawa, Satoshi Oizumi, Tomoaki Tanaka, Hiroshi Isobe, Shoji Kudoh, Koichi Hagiwara, Toshihiro Nukiwa, Akihiko Gemmah, First-Line Gefitinib in Patients Aged 75 or Older With Advanced Non–Small Cell Lung Cancer Harboring Epidermal Growth Factor Receptor Mutations: NEJ 003 Study Journal of Thoracic Oncology. ,vol. 7, pp. 1417- 1422 ,(2012) , 10.1097/JTO.0B013E318260DE8B
Sreenath V. Sharma, Daphne W. Bell, Jeffrey Settleman, Daniel A. Haber, Epidermal growth factor receptor mutations in lung cancer Nature Reviews Cancer. ,vol. 7, pp. 169- 181 ,(2007) , 10.1038/NRC2088
Yuh-Min Chen, Chun-Ming Tsai, Wen-Chien Fan, Jen-Fu Shih, Shih-Hao Liu, Chieh-Hung Wu, Teh-Ying Chou, Yu-Chin Lee, Reury-Perng Perng, Jacqueline Whang-Peng, Phase II randomized trial of erlotinib or vinorelbine in chemonaive, advanced, non-small cell lung cancer patients aged 70 years or older. Journal of Thoracic Oncology. ,vol. 7, pp. 412- 418 ,(2012) , 10.1097/JTO.0B013E31823A39E8
J Remon, T Morán, N Reguart, M Majem, E Carcereny, P Lianes, None, Beyond EGFR TKI in EGFR-mutant non-small cell lung cancer patients: main challenges still to be overcome Cancer Treatment Reviews. ,vol. 40, pp. 723- 729 ,(2014) , 10.1016/J.CTRV.2014.03.006
Guanghui Gao, Shengxiang Ren, Aiwu Li, Jianfang Xu, Qinghua Xu, Chunxia Su, Jian Guo, Qinfang Deng, Caicun Zhou, Epidermal growth factor receptor-tyrosine kinase inhibitor therapy is effective as first-line treatment of advanced non-small-cell lung cancer with mutated EGFR: A meta-analysis from six phase III randomized controlled trials. International Journal of Cancer. ,vol. 131, ,(2012) , 10.1002/IJC.27396
Filip Janku, Ignacio Garrido-Laguna, Lubos B. Petruzelka, David J. Stewart, Razelle Kurzrock, Novel therapeutic targets in non-small cell lung cancer. Journal of Thoracic Oncology. ,vol. 6, pp. 1601- 1612 ,(2011) , 10.1097/JTO.0B013E31822944B3
OFER MERIMSKY, CHI-KIN CHENG, JOSEPH SIU-KIE AU, JOACHIM VON PAWEL, MARTIN RECK, Efficacy and safety of first-line erlotinib in elderly patients with advanced non-small cell lung cancer. Oncology Reports. ,vol. 28, pp. 721- 727 ,(2012) , 10.3892/OR.2012.1824
Barbara Melosky, Review of EGFR TKIs in Metastatic NSCLC, Including Ongoing Trials Frontiers in Oncology. ,vol. 4, pp. 244- 244 ,(2014) , 10.3389/FONC.2014.00244
Takayuki Kosaka, Ei Yamaki, Akira Mogi, Hiroyuki Kuwano, Mechanisms of Resistance to EGFR TKIs and Development of a New Generation of Drugs in Non-Small-Cell Lung Cancer BioMed Research International. ,vol. 2011, pp. 165214- 165214 ,(2011) , 10.1155/2011/165214
David S Ettinger, Douglas E Wood, Wallace Akerley, Lyudmila A Bazhenova, Hossein Borghaei, David Ross Camidge, Richard T Cheney, Lucian R Chirieac, Thomas A D’Amico, Todd L Demmy, Thomas J Dilling, M Chris Dobelbower, Ramaswamy Govindan, Frederic W Grannis, Leora Horn, Thierry M Jahan, Ritsuko Komaki, Lee M Krug, Rudy P Lackner, Michael Lanuti, Rogerio Lilenbaum, Jules Lin, Billy W Loo, Renato Martins, Gregory A Otterson, Jyoti D Patel, Katherine M Pisters, Karen Reckamp, Gregory J Riely, Eric Rohren, Steven E Schild, Theresa A Shapiro, Scott J Swanson, Kurt Tauer, Stephen C Yang, Kristina Gregory, Miranda Hughes, None, Non–Small Cell Lung Cancer, Version 6.2015 Journal of The National Comprehensive Cancer Network. ,vol. 13, pp. 515- 524 ,(2015) , 10.6004/JNCCN.2015.0071