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Acquired Resistance to Osimertinib in EGFR-Mutated Non-Small Cell Lung Cancer: How Do We Overcome It?
Elisa Bertoli1,2, Elisa De Carlo1, Alessandro Del Conte1
1Dipartimento di Oncologia Medica, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, 33081 Aviano, Italy.
Abstract:
Osimertinib is currently the preferred first-line therapy in patients with non-small cell lung cancer (NSCLC) with common epidermal growth factor receptor (EGFR) mutation and the standard second-line therapy in T790M-positive patients in progression to previous EGFR tyrosine kinase inhibitor. Osimertinib is a highly effective treatment that shows a high response rate and long-lasting disease control. However, a resistance to the treatment inevitably develops among patients. Understanding the secondary mechanisms of resistance and the possible therapeutic options available is crucial to define the best management of patients in progression to osimertinib. We provide a comprehensive review of the emerging molecular resistance mechanism in EGFR-mutated NSCLC pre-treated with osimertinib and its future treatment applications.
Insights
Osimertinib is a key treatment for EGFR-mutated non-small cell lung cancer (NSCLC). This review explores resistance mechanisms and future therapies for patients who develop resistance to osimertinib.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Osimertinib is a preferred first-line and standard second-line therapy for EGFR-mutated non-small cell lung cancer (NSCLC).
- While effective, acquired resistance to osimertinib inevitably develops in patients.
- Understanding resistance mechanisms is critical for managing treatment progression.
Purpose of the Study:
- To review emerging molecular resistance mechanisms in EGFR-mutated NSCLC after osimertinib treatment.
- To discuss potential future therapeutic strategies for patients progressing on osimertinib.
Main Methods:
- Comprehensive literature review.
- Analysis of published studies on osimertinib resistance in NSCLC.
Main Results:
- Identified key secondary molecular resistance mechanisms.
- Highlighted the clinical implications of these resistance pathways.
Conclusions:
- Resistance to osimertinib is a significant clinical challenge in EGFR-mutated NSCLC.
- Further research into novel therapeutic approaches is essential to overcome resistance and improve patient outcomes.
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