Beyond EGFR TKI in EGFR-mutant non-small cell lung cancer patients: main challenges still to be overcome

作者: J Remon , T Morán , N Reguart , M Majem , E Carcereny

DOI: 10.1016/J.CTRV.2014.03.006

关键词: OncologyMedicineEpidermal growth factor receptor tyrosine kinaseFirst line treatmentProgression-free survivalChemotherapyStandard treatmentLung cancerEgfr tkiInternal medicineNon small cell

摘要: First line epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) is the standard treatment in advanced EGFR-mutant Non Small Cell Lung Cancer (NSCLC) patients, with an improvement response rate, progression free survival, and quality of life compared upfront chemotherapy. However, real world, EGFR mutation results often return positive once chemotherapy has been started. Different clinical strategies have tested this situation: reserve TKI until tumor become resistant beyond chemotherapy, stop switch to TKI, introduce as a maintenance treatment, or combined such intercalated concurrent plus In review, we aim summarize evidence first strategy discuss potential options sequence patients.

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