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Open AccessJournal ArticleDOI

Molecular mechanisms of acquired resistance to third-generation EGFR-TKIs in EGFR T790M-mutant lung cancer

TLDR
The heterogeneity of the mechanisms that a tumour can develop to evade therapeutic pressure is revealed, as well as strategies currently being tested in clinical trials are discussed in light of these findings.
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This article is published in Annals of Oncology.The article was published on 2018-01-01 and is currently open access. It has received 94 citations till now. The article focuses on the topics: EGFR inhibitors & Osimertinib.

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Citations
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Journal ArticleDOI

Resistance mechanisms to osimertinib in EGFR-mutated non-small cell lung cancer.

TL;DR: The molecular mechanisms of resistance to osimertinib in patients with advanced EGFR-mutated NSCLC, including MET/HER2 amplification, activation of the RAS–mitogen-activated protein kinase (MAPK) or RAS-phosphatidylinositol 3-kinase (PI3K) pathways, novel fusion events and histological/phenotypic transformation are summarized.
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Making the first move in EGFR-driven or ALK-driven NSCLC: first-generation or next-generation TKI?

TL;DR: Preclinical and clinical evidence supporting both treatment strategies — the ‘historical’ sequential treatment strategy and the use of next-generation TKIs — as frontline therapies are described and the suitability of both strategies for patients with EGFR-driven or ALK-driven NSCLC is discussed.
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Trends in kinase drug discovery: targets, indications and inhibitor design.

TL;DR: In this paper, the authors analyzed the landscape of approved and investigational therapies that target kinases and trends within it, including the most popular targets of kinase inhibitors and their expanding range of indications.
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Overcoming therapy resistance in EGFR-mutant lung cancer

TL;DR: The mechanisms of acquired EGFR TKI resistance, the methods for monitoring its appearance, as well as current and future efforts to define treatment strategies to overcome resistance are reviewed.
References
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Journal ArticleDOI

Global cancer statistics, 2012

TL;DR: A substantial portion of cancer cases and deaths could be prevented by broadly applying effective prevention measures, such as tobacco control, vaccination, and the use of early detection tests.
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The clonal evolution of tumor cell populations

TL;DR: Each patient's cancer may require individual specific therapy, and even this may be thwarted by emergence of a genetically variant subline resistant to the treatment, which should be directed toward understanding and controlling the evolutionary process in tumors before it reaches the late stage usually seen in clinical cancer.
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Erlotinib versus standard chemotherapy as first-line treatment for European patients with advanced EGFR mutation-positive non-small-cell lung cancer (EURTAC): a multicentre, open-label, randomised phase 3 trial.

TL;DR: Erlotinib has been shown to improve progression-free survival compared with chemotherapy when given as first-line treatment for Asian patients with non-small-cell lung cancer (NSCLC) with activating EGFR mutations as discussed by the authors.
Journal ArticleDOI

MET Amplification Leads to Gefitinib Resistance in Lung Cancer by Activating ERBB3 Signaling

TL;DR: It is proposed that MET amplification may promote drug resistance in other ERBB-driven cancers as well after it was found that amplification of MET causes gefitinib resistance by driving ERBB3 (HER3)–dependent activation of PI3K, a pathway thought to be specific to EGFR/ERBB family receptors.
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