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therascreen® EGFR RGQ PCR试剂盒:非小细胞肺癌中阿法替尼和吉非替尼的伴随诊断试剂

therascreen® EGFR RGQ PCR Kit: A Companion Diagnostic for Afatinib and Gefitinib in Non-Small Cell Lung Cancer.

作者信息

Syed Yahiya Y

机构信息

Springer, Private Bag 65901, Mairangi Bay 0754, Auckland, New Zealand.

出版信息

Mol Diagn Ther. 2016 Apr;20(2):191-8. doi: 10.1007/s40291-016-0189-0.

Abstract

therascreen(®) EGFR RGQ PCR Kit is a real-time polymerase chain reaction test kit for the qualitative detection of exon 19 deletions and L858R mutation of the human EGFR gene in formalin-fixed paraffin-embedded non-small cell lung cancer (NSCLC) tissue. The US FDA has approved the kit for selecting patients with NSCLC for treatment with afatinib or gefitinib. The test has good analytical sensitivity and specificity. It requires only two 5 µm tissue sections, is easy to use, provides automated interpretation of results and can be performed in <8 h. There is good concordance between EGFR mutation test results obtained with this kit and several other assays. The clinical utility of the kit has been validated in phase 3 or 4 trials in which NSCLC patients with EGFR mutations as detected by the kit had greater clinical benefits with afatinib or gefitinib than with standard chemotherapy.

摘要

therascreen(®) EGFR RGQ PCR试剂盒是一种实时聚合酶链反应检测试剂盒,用于在福尔马林固定石蜡包埋的非小细胞肺癌(NSCLC)组织中定性检测人EGFR基因的19外显子缺失和L858R突变。美国食品药品监督管理局(US FDA)已批准该试剂盒用于选择接受阿法替尼或吉非替尼治疗的NSCLC患者。该检测具有良好的分析灵敏度和特异性。它仅需要两张5微米厚的组织切片,使用方便,能自动解读结果,且可在8小时内完成检测。使用该试剂盒获得的EGFR突变检测结果与其他几种检测方法具有良好的一致性。该试剂盒的临床实用性已在3期或4期试验中得到验证,在这些试验中,经该试剂盒检测出EGFR突变的NSCLC患者使用阿法替尼或吉非替尼比使用标准化疗具有更大的临床获益。

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