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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
[Research Progress of Angiogenesis Inhibitors Plus EGFR-TKI in EGFR-mutated Advanced Non-small Cell Lung Cancer]
Bowen Li1, Jianchao Xue1, Yadong Wang1
1Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing 100730, China.
Abstract:
Lung cancer is one of the leading causes of cancer-related morbidity and mortality. Epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) have become the standard treatment for EGFR-mutated advanced non-small cell lung cancer (NSCLC). Unfortunately, drug resistance is inevitable in most cases. EGFR-TKI combined with angiogenesis inhibitors is a treatment scheme being explored to delay the therapeutic resistance, which is called "A+T treatment". Several clinical trials have demonstrated that the A+T treatment can improve the progression free survival (PFS) of the NSCLC patients. However, compared to EGFR-TKI monotherapy, the benefits of the A+T treatment based on different EGFR-TKIs, as well as its safety and exploration prospects are still unclear. Therefore, we reviewed the literature related to all three generations EGFR-TKIs combined with angiogenesis inhibitors, and summarized the mechanism, benefit, safety, optimal target population of A+T treatment. .
Insights
Combining epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) with angiogenesis inhibitors may improve progression-free survival in advanced non-small cell lung cancer (NSCLC). This review explores the benefits and safety of this combination therapy.
Area of Science:
- Oncology
- Pharmacology
- Medical Research
Background:
- Lung cancer remains a major cause of cancer mortality globally.
- Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are standard for EGFR-mutated advanced non-small cell lung cancer (NSCLC).
- Acquired resistance to EGFR-TKIs is a significant clinical challenge, limiting long-term efficacy.
Purpose of the Study:
- To review the efficacy and safety of combining EGFR-TKIs with angiogenesis inhibitors (A+T treatment) in advanced NSCLC.
- To explore the optimal target population and future prospects of A+T treatment.
- To clarify the benefits of A+T treatment across different generations of EGFR-TKIs compared to monotherapy.
Main Methods:
- Literature review of clinical trials involving EGFR-TKIs combined with angiogenesis inhibitors.
- Analysis of data on progression-free survival (PFS) and safety profiles.
- Synthesis of information on mechanisms of action and patient selection.
Main Results:
- Several clinical trials indicate that A+T treatment can enhance progression-free survival (PFS) in NSCLC patients.
- The specific benefits and safety profiles vary depending on the EGFR-TKI used in combination.
- Further research is needed to fully elucidate the advantages and optimal application of A+T therapy.
Conclusions:
- EGFR-TKI combined with angiogenesis inhibitors presents a promising strategy to overcome therapeutic resistance in advanced NSCLC.
- Understanding the nuances of different EGFR-TKIs and patient populations is crucial for maximizing treatment benefits.
- Continued investigation into A+T treatment is warranted to optimize outcomes for NSCLC patients.
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