AZD9291 in EGFR-mutant advanced non-small-cell lung cancer patients.

作者: Jordi Remon , David Planchard

DOI: 10.2217/FON.15.250

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摘要: Non-small-cell lung cancer (NSCLC) patients whose tumors have an EGFR-activating mutation develop acquired resistance after a median of 9–11 months from the beginning treatment with erlotinib, gefitinib and afatinib. T790M is cause this in approximately 60% cases. AZD9291 oral, irreversible, mutant-selective EGF receptor (EGFR) tyrosine kinase inhibitor (TKI) developed to potency against EGFR mutations, including mutation, while sparing wild-type EGFR. A Phase I trial EGFR-mutant NSCLC patients, demonstrated high activity, essentially among T790M-mutant tumors, manageable tolerability profile. Ongoing III trials are evaluating as first-line compared erlotinib gefitinib; second-line chemotherapy progression on TKI tumors. Better identification post relapse mechanisms AZD9...

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