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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
[Clinical developments for the EGFR-TKI combined with radiotherapy in advanced non-small cell lung cancer]
1Peking University Renmin Hospital, Beijing 100044, China.
Abstract:
Lung cancer is one of the most common malignant tumor in the world, severely threatening human life. Recently, targeted therapy such as the epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) made huge progress in treatment of lung cancer. EGFR-TKIs, with its high selectivity and low toxicity, is the first choice for EGFR-mutated patients in stage IV non-small cell lung cancer (NSCLC). However, secondary drug resistance becomes a clinical problem to be urgently resolved. In recent years, a series of preclinical studies showed that EGFR-TKI can enhance the antitumor activity of ionizing radiation. Therefore, EGFR-TKI combined with radiation is extremely promising therapy pattern for advanced NSCLC. This review will discuss the research status in EGFR-TKI and radiotherapy for advanced NSCLC.
Insights
Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) show promise for advanced non-small cell lung cancer (NSCLC). Combining EGFR-TKIs with radiation may overcome drug resistance and improve treatment outcomes.
Area of Science:
- Oncology
- Medical Physics
Background:
- Lung cancer is a leading cause of cancer death worldwide.
- Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are effective targeted therapies for EGFR-mutated stage IV non-small cell lung cancer (NSCLC).
- Acquired resistance to EGFR-TKIs is a significant clinical challenge in advanced NSCLC treatment.
Purpose of the Study:
- To review the current research on the combination of EGFR-TKIs and radiotherapy for advanced NSCLC.
- To explore the potential of combined EGFR-TKI and radiation therapy in overcoming drug resistance.
Main Methods:
- Literature review of preclinical studies and clinical trials.
- Analysis of research investigating the synergistic effects of EGFR-TKIs and ionizing radiation.
- Discussion of treatment strategies for advanced NSCLC.
Main Results:
- Preclinical studies indicate that EGFR-TKIs can potentiate the antitumor effects of ionizing radiation.
- The combination therapy shows promise in preclinical models for overcoming acquired resistance to EGFR-TKIs.
- EGFR-TKI and radiotherapy combination is a promising therapeutic strategy for advanced NSCLC.
Conclusions:
- The combination of EGFR-TKIs and radiotherapy presents a highly promising therapeutic approach for advanced NSCLC.
- This combined modality may offer a strategy to overcome acquired resistance to targeted therapy.
- Further clinical investigation is warranted to establish the efficacy and safety of this combination therapy.
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