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.

Frontiers in Pharmacology
|December 5, 2022
PubMed

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.