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Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Neoadjuvant targeted therapy for resectable EGFR-mutant non-small cell lung cancer: Current status and future
Wenliang Liu1, Siying Ren2, Ying Xiao2
1Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China.
Abstract:
Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) targeted therapy has become the standard of care for patients with EGFR-mutated metastatic non-small cell lung cancer (NSCLC) on the basis of improved prognosis and reduced toxicities compared with chemotherapy. In view of the therapeutic potential of EGFR-TKIs in EGFR-mutated advanced NSCLC, several scholars have explored the value of preoperative use of EGFR-TKIs in patients with EGFR-mutated resectable NSCLC. However, the field of neoadjuvant targeted therapy for EGFR-mutated resectable NSCLC is currently in its infancy. In this mini-review, we summarize the current evidence on neoadjuvant EGFR-TKIs targeted therapy for resectable EGFR-mutated NSCLC and focus on discussing potential clinical strategies of treating resectable EGFR-mutated patients by preoperative administration of EGFR-TKIs-based multimodality therapy.
Insights
Neoadjuvant epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) show promise for EGFR-mutated resectable non-small cell lung cancer (NSCLC). This review explores current evidence and strategies for preoperative EGFR-TKI-based multimodality therapy in resectable NSCLC.
Area of Science:
- Oncology
- Pharmacology
Background:
- Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) are standard for metastatic non-small cell lung cancer (NSCLC) with EGFR mutations.
- EGFR-TKIs offer improved prognosis and reduced toxicity compared to chemotherapy.
- The preoperative use of EGFR-TKIs in resectable NSCLC is an emerging area of research.
Purpose of the Study:
- To review current evidence on neoadjuvant EGFR-TKIs for resectable EGFR-mutated NSCLC.
- To discuss potential clinical strategies for preoperative EGFR-TKI-based multimodality therapy.
Main Methods:
- Mini-review of existing literature on neoadjuvant EGFR-TKIs in resectable NSCLC.
- Analysis of potential treatment strategies.
Main Results:
- The field of neoadjuvant targeted therapy for EGFR-mutated resectable NSCLC is still developing.
- Evidence suggests potential benefits of preoperative EGFR-TKI administration.
Conclusions:
- Neoadjuvant EGFR-TKIs represent a promising therapeutic avenue for resectable EGFR-mutated NSCLC.
- Further research is needed to establish optimal preoperative EGFR-TKI-based multimodality treatment strategies.
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