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在EGFR突变阳性的非小细胞肺癌中从第一代或第二代EGFR-TKI转换为奥希替尼治疗

Switching from first or second generation EGFR-TKI to osimertinib in mutation-positive NSCLC.

作者信息

Imamura Fumio, Inoue Takako, Kunimasa Kei, Kubota Aki, Kuhara Hanako, Tamiya Motohiro, Nishino Kazumi, Kimura Madoka, Kuno Kika, Kawachi Hayato, Kumagai Toru

机构信息

Department of Thoracic Oncology, Osaka International Cancer Institute 3-1-69 Otemae, Chio-ku, Osaka 541-8567, Japan.

Department of Biomedical Statistics & Bioinformatics, Kyoto University Graduate School of Medicine 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.

出版信息

Lung Cancer Manag. 2020 Mar 19;9(2):LMT29. doi: 10.2217/lmt-2020-0005.

Abstract

AIM

We evaluated the efficacy of a novel switch protocol for EGFR-TKIs for mutation-positive NSCLC.

MATERIALS & METHODS: Clinical records were collected from the patients who had received one of two sequential combination strategies of EGFR-TKIs: Salvage use of osimertinib for -mediated acquired resistance to an prior EGFR-TKI or switch use of osimertinib where an EGFR-TKI was switched to osimertinib before disease progression.

RESULTS

Progression-free survival of osimertinib and time from the start of treatment until progression to osimertinib was comparable between the salvage use and switch use of osimertinib.

CONCLUSION

Switch use of osimertinib seemed to produce improved efficacy for patients with activating mutations, because of the lack of patient selection via .

摘要

目的

我们评估了一种用于EGFR-TKIs的新型转换方案对突变阳性非小细胞肺癌(NSCLC)的疗效。

材料与方法

收集接受过两种EGFR-TKIs序贯联合策略之一的患者的临床记录:奥希替尼挽救性用于介导的对先前EGFR-TKI的获得性耐药,或在疾病进展前将EGFR-TKI转换为奥希替尼的奥希替尼转换使用。

结果

奥希替尼的无进展生存期以及从治疗开始到进展至奥希替尼的时间在奥希替尼的挽救性使用和转换使用之间具有可比性。

结论

奥希替尼的转换使用似乎对具有激活突变的患者产生了更好的疗效,因为缺乏通过进行患者选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaa/7186852/84f269636354/lmt-09-29-g1.jpg

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