Tackling Osimertinib Resistance in EGFR-Mutant Non-Small Cell Lung Cancer

被引:39
作者
Blaquier, Juan Bautista [1 ]
Ortiz-Cuaran, Sandra [2 ]
Ricciuti, Biagio [3 ]
Mezquita, Laura [4 ,5 ,6 ]
Cardona, Andres Felipe [7 ,8 ,9 ]
Recondo, Gonzalo [1 ,10 ]
机构
[1] Ctr Med Educ & Clin Res CEMIC, Thorac Oncol Unit, Med Oncol, Buenos Aires, DF, Argentina
[2] Univ Claude Bernard Lyon 1, Univ Lyon, CNRS 5286, INSERM 1052,Ctr Leon Berard,Ctr Rech Cancerol Lyo, Lyon, France
[3] Harvard Med Sch, Dana Farber Canc Inst, Lowe Ctr Thorac Oncol, Boston, MA USA
[4] Inst Invest Biomed August Pi Sunyer IDIBAPS, Lab Translat Genom & Targeted Therapies Solid Tum, Barcelona, Spain
[5] Hosp Clin Barcelona, Med Oncol Dept, Barcelona, Spain
[6] Univ Barcelona, Dept Med, Barcelona, Spain
[7] Fdn Clin & Appl Canc Res FICMAC, Bogota, Colombia
[8] Univ Bosque, Mol Oncol & Biol Syst Res Grp Fox G, Bogota, Colombia
[9] Luis Carlos Sarmiento Angulo Canc Treatment & Res, Direct Res & Educ, Bogota, Colombia
[10] Bradford Hill Clin Res Ctr, Med Oncol Dept, Santiago, Chile
关键词
PHASE-II PLATFORM; ACQUIRED-RESISTANCE; PATIENTS PTS; COMBINATION OSIMERTINIB; 1ST-LINE OSIMERTINIB; PLUS OSIMERTINIB; INTERIM ANALYSIS; ADVANCED NSCLC; THERAPY; SAVOLITINIB;
D O I
10.1158/1078-0432.CCR-22-1912
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The current landscape of targeted therapies directed against oncogenic driver alterations in non-small cell lung cancer (NSCLC) is expanding. Patients with EGFR-mutant NSCLC can derive significant benefit from EGFR tyrosine kinase inhibitor (TKI) therapy, including the third-generation EGFR TKI osimertinib. However, invariably, all patients will experience disease progression with this therapy mainly due to the adaptation of cancer cells through primary or secondary molecular mechanisms of resistance. The comprehension and access to tissue and cell-free DNA next-generation sequencing have fueled the development of innovative therapeutic strategies to prevent and overcome resistance to osimertinib in the clinical setting. Herein, we review the biological and clinical implications of molecular mechanisms of osimertinib resistance and the ongoing development of therapeutic strategies to overcome or prevent resistance.
引用
收藏
页码:3579 / 3591
页数:13
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