Personalized Medicine in Non–Small-Cell Lung Cancer: Is KRAS a Useful Marker in Selecting Patients for Epidermal Growth Factor Receptor–Targeted Therapy?

作者: Patrick J. Roberts , Thomas E. Stinchcombe , Channing J. Der , Mark A. Socinski

DOI: 10.1200/JCO.2009.27.4365

关键词: Colorectal cancerOncologyInternal medicineLung cancerCancer researchCetuximabEpidermal growth factor receptorMedicineGefitinibTargeted therapyPersonalized medicineKRAS

摘要: In patients with metastatic colorectal cancer, the predictive value of KRAS mutational status in selection for treatment anti–epidermal growth factor (EGFR) monoclonal antibodies is established. non–small-cell lung cancer (NSCLC), utility determining to predict clinical benefit anti-EGFR therapies remains unclear. This review will provide a brief description Ras biology, an overview aberrant signaling NSCLC, and summarize data using as negative biomarker therapies. Retrospective investigations predictor from NSCLC have been performed; however, small samples sizes result low prevalence mutations rate tumor sample collection limited strength these analyses. Although association between presence mutation lack o...

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