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Published on: June 26, 2019
Overcoming Osimertinib Resistance in Advanced Non-small Cell Lung Cancer
1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Abstract:
Osimertinib is used as a first-line treatment for metastatic non-small cell lung cancer with positive epidermal growth factor receptor mutations based on the results of the FLAURA trial. However, as with any other epidermal growth factor receptor tyrosine kinase inhibitor, resistance also develops for osimertinib. Various genetic aberrations associated with the molecular heterogeneity of cancer cells contribute to osimertinib resistance. It is also important to choose an appropriate subsequent treatment for osimertinib-resistant non-small cell lung cancer. In this overview, we discuss the underlying mechanisms of osimertinib resistance and the efficacy of possible subsequent treatment measures.
Insights
Osimertinib effectively treats EGFR-mutated non-small cell lung cancer. This review explores mechanisms of resistance to osimertinib and discusses subsequent treatment options for patients with non-small cell lung cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Osimertinib is a first-line treatment for metastatic non-small cell lung cancer (NSCLC) with EGFR mutations, as shown in the FLAURA trial.
- Resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR TKIs), including osimertinib, is a significant clinical challenge in NSCLC management.
Purpose of the Study:
- To review the mechanisms underlying osimertinib resistance in NSCLC.
- To discuss the efficacy of potential subsequent treatment strategies for patients who develop osimertinib resistance.
Main Methods:
- Literature review of studies on osimertinib resistance mechanisms.
- Analysis of clinical trial data and research on subsequent therapies for resistant NSCLC.
Main Results:
- Osimertinib resistance arises from diverse genetic aberrations and cancer cell molecular heterogeneity.
- Various treatment strategies are being investigated for osimertinib-resistant NSCLC.
Conclusions:
- Understanding resistance mechanisms is crucial for optimizing NSCLC treatment.
- Appropriate selection of subsequent therapies is vital for improving outcomes in osimertinib-resistant NSCLC patients.
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