Role of Epidermal Growth Factor Receptor Inhibitors in Epidermal Growth Factor Receptor Wild-Type Non-Small-Cell Lung Cancer

被引:79
作者
Laurie, Scott A. [1 ]
Goss, Glenwood D. [1 ]
机构
[1] Univ Ottawa, Ottawa Hosp Canc Ctr, Ottawa, ON K1H 8L6, Canada
关键词
RANDOMIZED PHASE-II; PREVIOUSLY TREATED PATIENTS; 1ST-LINE TAXANE/CARBOPLATIN; MOLECULAR PREDICTORS; ELDERLY-PATIENTS; SUPPORTIVE CARE; ERBB RECEPTORS; GEFITINIB PLUS; ERLOTINIB; CHEMOTHERAPY;
D O I
10.1200/JCO.2012.43.4522
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Worldwide, the majority of patients with advanced non-small-cell lung cancer (NSCLC) do not have activating mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR). These wild-type patients comprise a significant proportion of those treated with inhibitors of this pathway, and data from randomized trials suggest that some of these wild-type patients will derive a modest benefit from these agents. Although the detection of an activating mutation predicts for a greater likelihood of response and longer progression-free survival from an EGFR tyrosine kinase inhibitor, currently there are no biomarkers that consistently and reproducibly predict for lack of benefit in wild-type patients. Several strategies to increase the efficacy of these inhibitors in wild-type NSCLC are the subject of ongoing investigations. J Clin Oncol 31:1061-1069. (C) 2013 by American Society of Clinical Oncology
引用
收藏
页码:1061 / 1069
页数:9
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