Necitumumab in the treatment of non-small-cell lung cancer: clinical controversies

被引:13
作者
di Noia, Vincenzo [1 ]
D'Argento, Ettore [1 ]
Pilotto, Sara [2 ]
Grizzi, Giulia [2 ]
Caccese, Mario [2 ]
Iacovelli, Roberto [2 ]
Tortora, Giampaolo [2 ]
Bria, Emilio [1 ]
机构
[1] Univ Cattolica Sacro Cuore, UOC Oncol Med, Fdn Policlin Univ Agostino Gemelli IRCCS, Rome, Italy
[2] Univ Verona, UOC Oncol, Dept Med, Azienda Osped Univ Integrata, Verona, Italy
关键词
Necitumumab; EGFR; monoclonal antibody; squamous; NSCLC; CHEMOTHERAPY PLUS CETUXIMAB; GROWTH-FACTOR RECEPTOR; PHASE-III TRIAL; OPEN-LABEL; 1ST-LINE TREATMENT; EGFR-EXPRESSION; THERAPY; MULTICENTER; CISPLATIN; ANTIBODY;
D O I
10.1080/14712598.2018.1508445
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Introduction: Over the last decade, epidermal growth factor receptor (EGFR) signaling was investigated as a potential target for tyrosine kinase inhibitors in the treatment of non-small-cell lung cancer (NSCLC). Necitumumab is a fully humanized IgG1 monoclonal antibody directed against the binding domain of EGFR, approved in combination with cisplatin-gemcitabine for the first-line treatment of squamous NSCLC.Areas covered: The purpose of this manuscript is to systematically review the state of the art of necitumumab for the treatment of metastatic NSCLC, focusing on predictive factors, cost-effectiveness, and future potential combinations with additional agents.Expert opinion: Despite recent therapeutic advances, platinum-based chemotherapy still represents the most widely used first-line treatment for advanced NSCLC, particularly for the squamous histotype. Necitumumab is nowadays the first targeted agent providing an (statistically significant) additional survival gain to squamous NSCLC patients when combined with first-line chemotherapy at the cost of an increased (although manageable) toxicity, as shown in the SQUIRE trial. Hopefully, improvement in patients' selection by identifying reliable predictive markers and the combination with new agents may help to maximize the benefit of this targeted treatment, which is currently limited by a not optimal cost-benefit ratio.
引用
收藏
页码:937 / 945
页数:9
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