EGFR-directed therapy in lung cancer:

Epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC) is a clinically important driver alteration affecting approximately one-third of lung cancer patients. Treatments for EGFR-exon 19 deletion and exon 21 L858R NSCLC have evolved over the last decade from first-generatio...

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Hauptverfasser: Kim, So Yeon ca. 20./21. Jh (VerfasserIn), Costa, Daniel B. ca. 20./21. Jh (VerfasserIn), Shibahara, Daisuke ca. 20./21. Jh (VerfasserIn), Kobayashi, Susumu ca. 20./21. Jh (VerfasserIn), Halmos, Balazs ca. 20./21. Jh (VerfasserIn)
Format: Buch
Sprache:English
Veröffentlicht: Cambridge, United Kingdom ; New York, NY, USA Cambridge University Press 2023
Schriftenreihe:Cambridge elements: elements in molecular oncology
Schlagworte:
Zusammenfassung:Epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC) is a clinically important driver alteration affecting approximately one-third of lung cancer patients. Treatments for EGFR-exon 19 deletion and exon 21 L858R NSCLC have evolved over the last decade from first-generation reversible tyrosine kinase inhibitors (TKI) to third-generation irreversible TKIs, of which osimertinib has been the widely accepted as first-line therapy. Despite survival improvement seen with osimertinib and its efficacy against acquired T790M mutation, resistance through on-target and off-target pathways eventually develop. This Element describes the structural biology and pathophysiology of EGFR-mutant NSCLC and discusses past, current, and future treatment options in the metastatic, neoadjuvant, and adjuvant settings. It describes the biology and recently approved treatment for EGFR-exon 20 insertion mutation and the treatment for the uncommon exon 18 (G719X), 20 (S768I), and 21 (L861Q) mutations. It also outlines the promising clinical applications of circulating tumor DNA (ctDNA)
Beschreibung:35 Seiten Illustrationen, Diagramme 152 x 228 mm
ISBN:9781009342308
1009342304

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