scholarly journals EVOLUTION OF TYROSINE KINASE RESISTANCE IN EGFR MUTATED NON-SMALL CELL LUNG CANCER

2018 ◽  
Vol 19 (2) ◽  
pp. 106-116 ◽  
Author(s):  
Fedor Moiseenko
Author(s):  
Alex Martinez-Marti ◽  
Enriqueta Felip ◽  
Francesco Mattia Mancuso ◽  
Ginevra Caratú ◽  
Judit Matito ◽  
...  

2020 ◽  
Vol 16 (16) ◽  
pp. 1115-1124
Author(s):  
Nicolas Girard ◽  
Denis Moro-Sibilot ◽  
Stéphane Bouée ◽  
Corinne Emery ◽  
Elodie Torreton ◽  
...  

Background: We aimed to assess the effectiveness and cost of patients with first line tyrosine kinase inhibitors (TKIs) sequence of first (1G) and second generation (2G) followed by osimertinib. Materials & methods: Using the French nationwide claims and hospitalization database, we analyzed non-small-cell lung cancer patients who had been treated with osimertinib between April 2015 and December 2017, after a first line treatment with a TKI-1G/2G. Results: The median time on treatment for sequential TKI-1G/2G followed by osimertinib was 34 months (95% CI: 31–46); 13 and 12months, respectively for TKI 1G or 2G and TKI 3G, respectively. The median overall survival for sequential TKI 1G or 2G followed by osimertinib was 37 months (95% CI: 34–42). The mean monthly costs per patient was €5162. Conclusion: These results, in line with those observed during clinical trials, confirm the effectiveness of the sequence TKI-1G/2G followed by osimertinib in EGFR-mutated non-small-cell lung cancer.


Biomolecules ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. 668 ◽  
Author(s):  
Isabelle Solassol ◽  
Frédéric Pinguet ◽  
Xavier Quantin

Non-small-cell lung cancer (NSCLC) is the most common form of primary lung cancer. The discovery of several oncogenic driver mutations in patients with NSCLC has allowed the development of personalized treatments based on these specific molecular alterations, in particular in the tyrosine kinase (TK) domain of the epidermal growth factor receptor (EGFR) gene. Gefitinib, erlotinib, afatinib, and osimertinib are TK inhibitors (TKIs) that specifically target EGFR and are currently approved by the Food and Drug Administration (FDA) and the European Medicines Agency (EMA) as first line treatment for sensitive EGFR-mutant patients. However, these four drugs are associated with severe adverse events (AEs) that can significantly impact patient health-related quality of life and patient monitoring. EGFR-TKIs are commonly used together with other types of medication that can substantially interact. Here, we review approaches used for the management of TKI-AEs in patients with advanced NSCLC to promote the benefits of treatments and minimize the risk of TKI treatment discontinuation. We also consider potential TKI–drug interactions and discuss the usefulness of plasma concentration monitoring TKIs based on chromatographic and mass spectrometry approaches to guide clinical decision-making. Adjusting the most appropriate therapeutic strategies and drug doses may improve the performance therapy and prognosis of patients with advanced EGFR-mutated NSCLC.


Immunotherapy ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1041-1045 ◽  
Author(s):  
Caterina Fumagalli ◽  
Elena Guerini-Rocco ◽  
Davide Vacirca ◽  
Antonio Passaro ◽  
Filippo de Marinis ◽  
...  

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