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Published on: June 26, 2019
Erlotinib and gefitinib for elderly patients with advanced non-small-cell lung cancer
Antonio Passaro, Daniele Alesini, Alessia Pochesci
1Division of Medical Oncology, Sapienza - University of Rome, Viale Regina Elena, 324 - 00161, Rome, Italy. a-passaro@hotmail.it.
Abstract:
Erlotinib and gefitinib are tyrosine kinase inhibitors (TKI) associated with the EGFR, which is involved in cell proliferation, growth, migration, invasion and survival, and has been found to be overexpressed in non-small-cell lung cancer. Erlotinib was the first target agent approved for the treatment of NSCLC in second- and third line, in patients unselected for EGFR mutations; gefitinib was the first EGFR tyrosine kinase inhibitor approved for the treatment of NSCLC in all lines of setting in patients harbouring EGFR mutations. In elderly patients, with a poor prognosis, and different co-morbidities, erlotinib and gefitinib could be considered as valid therapeutic options. This paper reviews the role of both drugs, in the management of elderly patients affected by advanced NSCLC based on an update analysis of randomised and non-randomised clinical trials.
Insights
Erlotinib and gefitinib are effective treatments for elderly patients with advanced non-small-cell lung cancer (NSCLC). These epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors offer valid therapeutic options for this patient group.
Area of Science:
- Oncology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR) is overexpressed in non-small-cell lung cancer (NSCLC), driving tumor progression.
- Erlotinib and gefitinib are EGFR tyrosine kinase inhibitors (TKIs) targeting key cellular processes.
Purpose of the Study:
- To review the efficacy and role of erlotinib and gefitinib in elderly patients with advanced NSCLC.
- To analyze randomized and non-randomized clinical trials for therapeutic options in this demographic.
Main Methods:
- Systematic review of clinical trials.
- Analysis of randomized and non-randomized studies on erlotinib and gefitinib in elderly NSCLC patients.
Main Results:
- Erlotinib and gefitinib are approved for NSCLC treatment in various lines of therapy.
- These TKIs show potential as valid therapeutic options for elderly patients with NSCLC, considering their comorbidities and prognosis.
Conclusions:
- Erlotinib and gefitinib represent important therapeutic options for elderly patients with advanced NSCLC.
- Further analysis supports their consideration in managing this patient population.
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