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Updated: Sep 20, 2026

Establishing Dual Resistance to EGFR-TKI and MET-TKI in Lung Adenocarcinoma Cells In Vitro with a 2-step Dose-escalation Procedure
Published on: August 11, 2017
Carcinomas unresponsive to either cisplatinum or anti-EGFR therapy can be growth inhibited by combination therapy of
1Department of Otorhinolaryngology, University of Frankfurt, Medical School, 60590 Frankfurt/M., Germany.
Background:
Previously we demonstrated that the antitumor efficacy of monoclonal antibodies against the EGFR (epidermal growth factor receptor) of human tumor xenografts mainly depends on the EGFR content of tumors rather than on the tumors' entity. In this study we wanted to elucidate whether the described cumulative effect of cisplatin and Anti-EGFR therapy also depends on the EGFR expression.
Materials And Methods:
Xenotransplanted carcinomas with different EGFR levels were treated with monoclonal antibodies against the EGFR (EMD 72000 and EMD 55900), cisplatinum and a combination of both.
Results:
Each monoclonal antibody alone led to an EGFR-dependent significant tumor growth reduction. Cisplatinum alone had no growth inhibitory effects on tumors with high content in contrast to those with low EGFR content. The combination of antibodies with cisplatinum resulted in an EGFR-independent tumor growth inhibition which was stronger than observed in the case of monotherapy.
Discussion:
The obtained results may address upcoming phase I/II trials to use Anti-EGFR/Cisplatinum therapy regardless of the EGFR content of tumors.
Insights
Combining cisplatin with anti-epidermal growth factor receptor (EGFR) therapy shows enhanced tumor growth inhibition. This combined approach demonstrates efficacy regardless of EGFR expression levels, suggesting broader applicability in cancer treatment.
Area of Science:
- Oncology
- Cancer Research
- Pharmacology
Background:
- Previous studies indicated antitumor efficacy of monoclonal antibodies against EGFR is EGFR-content dependent.
- The current study investigates if the cumulative effect of cisplatin and anti-EGFR therapy is also dependent on EGFR expression.
Purpose of the Study:
- To determine if the combined therapeutic effect of cisplatin and anti-EGFR antibodies is influenced by EGFR expression levels in tumors.
- To evaluate the efficacy of combination therapy compared to monotherapy.
Main Methods:
- Utilized xenotransplanted carcinomas with varying EGFR expression levels.
- Administered monoclonal antibodies against EGFR (EMD 72000, EMD 55900), cisplatin, and a combination of both treatments.
Main Results:
- Monoclonal antibodies alone achieved EGFR-dependent tumor growth reduction.
- Cisplatin monotherapy showed differential effects based on EGFR content (inhibitory on low EGFR, no effect on high EGFR).
- Combination therapy resulted in significant tumor growth inhibition independent of EGFR expression, surpassing monotherapy effects.
Conclusions:
- The combination of anti-EGFR antibodies and cisplatin offers a potent therapeutic strategy.
- This combination therapy's EGFR-independent efficacy suggests potential for broader clinical application in upcoming trials.
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