Targeted Therapy as an Alternative to Whole-Brain Radiotherapy in EGFR-Mutant or ALK-Positive Non-Small-Cell Lung Cancer With Brain Metastases

被引:31
作者
Martinez, Pablo [1 ]
Mak, Raymond H. [2 ,3 ]
Oxnard, Geoffrey R. [1 ]
机构
[1] Dana Farber Canc Inst, Lowe Ctr Thorac Oncol, 450 Brookline Ave, Boston, MA 02215 USA
[2] Brigham & Womens Hosp, Dept Radiat Oncol, 75 Francis St, Boston, MA 02115 USA
[3] Dana Farber Canc Inst, Boston, MA 02115 USA
关键词
D O I
10.1001/jamaoncol.2017.1047
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
CLINICAL QUESTION Is up-front whole-brain radiotherapy required to treat multiple brain metastases from non-small-cell lung cancer when highly active targeted therapies are available? CLINICAL APPLICATION Patients with EGFR-mutant or ALK-positive non-small-cell lung cancer with brain metastases now have the potential to achieve a prolonged survival. Through use of highly active targeted therapies, whole-brain radiotherapy can be safely postponed, diminishing toxic effects that could impair quality of life.
引用
收藏
页码:1274 / 1275
页数:2
相关论文
共 7 条
[1]  
[Anonymous], J CLIN ONCOL S
[2]   Treatment of brain metastases in the modern genomic era [J].
Dagogo-Jack, Ibiayi ;
Gill, Corey M. ;
Cahill, Daniel P. ;
Santagata, Sandro ;
Brastianos, Priscilla K. .
PHARMACOLOGY & THERAPEUTICS, 2017, 170 :64-72
[3]   First-line Ceritinib Versus Chemotherapy in Patients with ALK-rearranged (ALK plus ) NSCLC: A Randomized, Phase 3 Study (ASCEND-4) [J].
De Castro, Gilberto, Jr. ;
Tan, Daniel Shao-Weng ;
Crino, Lucio ;
Wu, Yi Long ;
Paz-Ares, Luis ;
Wolf, Juergen ;
Geater, Sarayut ;
Orlov, Sergey ;
Cortinovis, Diego ;
Yu, Chong-Jen ;
Hochmair, Maximilian ;
Cortot, Alexis ;
Tsai, Chun-Ming ;
Moro-Sibilot, Denis ;
Campelo, Rosario Garcia ;
Branle, Fabrice ;
Sen, Paramita ;
Mcculloch, Tracey ;
Soria, Jean-Charles .
JOURNAL OF THORACIC ONCOLOGY, 2017, 12 (01) :S7-S7
[4]   Osimertinib or Platinum-Pemetrexed in EGFR T790M-Positive Lung Cancer [J].
Mok, T. S. ;
Wu, Y. -L. ;
Ahn, M. -J. ;
Garassino, M. C. ;
Kim, H. R. ;
Ramalingam, S. S. ;
Shepherd, F. A. ;
He, Y. ;
Akamatsu, H. ;
Theelen, W. S. M. E. ;
Lee, C. K. ;
Sebastian, M. ;
Templeton, A. ;
Mann, H. ;
Marotti, M. ;
Ghiorghiu, S. ;
Papadimitrakopoulou, V. A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 376 (07) :629-640
[5]   Estimating Survival in Patients With Lung Cancer and Brain Metastases An Update of the Graded Prognostic Assessment for Lung Cancer Using Molecular Markers (Lung-molGPA) [J].
Sperduto, Paul W. ;
Yang, T. Jonathan ;
Beal, Kathryn ;
Pan, Hubert ;
Brown, Paul D. ;
Bangdiwala, Ananta ;
Shanley, Ryan ;
Yeh, Norman ;
Gaspar, Laurie E. ;
Braunstein, Steve ;
Sneed, Penny ;
Boyle, John ;
Kirkpatrick, John P. ;
Mak, Kimberley S. ;
Shih, Helen A. ;
Engelman, Alex ;
Roberge, David ;
Arvold, Nils D. ;
Alexander, Brian ;
Awad, Mark M. ;
Contessa, Joseph ;
Chiang, Veronica ;
Hardie, John ;
Ma, Daniel ;
Lou, Emil ;
Sperduto, William ;
Mehta, Minesh P. .
JAMA ONCOLOGY, 2017, 3 (06) :827-831
[6]   Erlotinib as second-line treatment in patients with advanced non-small-cell lung cancer and asymptomatic brain metastases: a phase II study (CTONG-0803) [J].
Wu, Y. -L. ;
Zhou, C. ;
Cheng, Y. ;
Lu, S. ;
Chen, G. -Y. ;
Huang, C. ;
Huang, Y. -S. ;
Yan, H. -H. ;
Ren, S. ;
Liu, Y. ;
Yang, J. -J. .
ANNALS OF ONCOLOGY, 2013, 24 (04) :993-999
[7]   BRAIN: A Phase III Trial Comparing WBI and Chemotherapy with Icotinib in NSCLC with Brain Metastases Harboring EGFR Mutations (CTONG 1201) [J].
Wu, Yi Long ;
Yang, Jin-Ji ;
Zhou, Caicun ;
Feng, Jifeng ;
Lu, Shun ;
Song, Yong ;
Huang, Cheng ;
Wu, Gang ;
Cheng, Ying ;
Zhang, Li ;
Hu, Chengping ;
Chen, Gongyan ;
Zhang, Li ;
Liu, Xiaoqing ;
Yan, Hong-Hong ;
Tan, Fenlai ;
Huang, Yi-Sheng .
JOURNAL OF THORACIC ONCOLOGY, 2017, 12 (01) :S6-S6