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奥木替尼:全球首次获批。

Olmutinib: First Global Approval.

机构信息

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

出版信息

Drugs. 2016 Jul;76(11):1153-7. doi: 10.1007/s40265-016-0606-z.

DOI:10.1007/s40265-016-0606-z
PMID:27357069
Abstract

Olmutinib (Olita(TM)) is an oral, third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI) that is being developed by Boehringer Ingelheim and Hanmi Pharmaceutical Co. Ltd for the treatment of non-small cell lung cancer (NSCLC). Third-generation EGFR TKIs with covalent binding to the receptors demonstrate irreversible enzymatic inhibition of activating EGFR mutations and T790M mutation (a common reason for acquired EGFR TKI resistance), while sparing wild-type EGFR. In December 2015, olmutinib was granted breakthrough therapy designation in NSCLC by the US FDA. In May 2016, olmutinib received its first global approval in South Korea for the treatment of patients with locally advanced or metastatic EGFR T790M mutation-positive NSCLC. This article summarizes the milestones in the development of olmutinib leading to this first approval.

摘要

奥希替尼(Olita(TM)) 是一种口服的第三代表皮生长因子受体酪氨酸激酶抑制剂(EGFR TKI),由勃林格殷格翰和韩美制药有限公司共同开发,用于治疗非小细胞肺癌(NSCLC)。具有共价结合受体的第三代 EGFR TKI 可对激活 EGFR 突变和 T790M 突变(获得性 EGFR TKI 耐药的常见原因)进行不可逆的酶抑制,同时保留野生型 EGFR。2015 年 12 月,奥希替尼被美国 FDA 授予 NSCLC 突破性治疗药物认定。2016 年 5 月,奥希替尼在韩国获得全球首次批准,用于治疗局部晚期或转移性 EGFR T790M 突变阳性 NSCLC 患者。本文总结了奥希替尼开发过程中的重要里程碑,直至获得首次批准。

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本文引用的文献

1
Non-small-cell lung cancer.非小细胞肺癌。
Nat Rev Dis Primers. 2015 May 21;1:15009. doi: 10.1038/nrdp.2015.9.
2
Treatment approaches for EGFR-inhibitor-resistant patients with non-small-cell lung cancer.针对非小细胞肺癌中表皮生长因子受体抑制剂耐药患者的治疗方法。
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Second and third-generation epidermal growth factor receptor tyrosine kinase inhibitors in advanced nonsmall cell lung cancer.第二代和第三代表皮生长因子受体酪氨酸激酶抑制剂用于晚期非小细胞肺癌的治疗
非小细胞肺癌中外显子突变的靶向治疗:LAG-3、TIM-3通路的临床见解及第四代EGFR-TKIs的进展
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Design, synthesis and antitumour activity of pyrimidine derivatives as novel selective EGFR kinase inhibitors.嘧啶衍生物作为新型选择性表皮生长因子受体激酶抑制剂的设计、合成及抗肿瘤活性
Mol Divers. 2025 Jan 20. doi: 10.1007/s11030-024-11048-8.
5
Itraconazole Reversing Acquired Resistance to Osimertinib in NSCLC by Inhibiting the SHH/DUSP13B/p-STAT3 Axis.伊曲康唑通过抑制SHH/DUSP13B/p-STAT3轴逆转非小细胞肺癌对奥希替尼的获得性耐药。
Adv Sci (Weinh). 2025 Feb;12(7):e2409416. doi: 10.1002/advs.202409416. Epub 2024 Dec 25.
6
EGFR-Targeted Therapies: A Literature Review.表皮生长因子受体靶向治疗:文献综述
J Clin Med. 2024 Oct 25;13(21):6391. doi: 10.3390/jcm13216391.
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Synthetic Routes and Clinical Application of Representative Small-Molecule EGFR Inhibitors for Cancer Therapy.代表性小分子表皮生长因子受体抑制剂的合成路线及其在癌症治疗中的临床应用。
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Bioimpacts. 2024;14(1):27774. doi: 10.34172/bi.2023.27774. Epub 2023 Aug 19.
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