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Neoadjuvant Afatinib for stage III EGFR-mutant non-small cell lung cancer: a phase II study.阿法替尼新辅助治疗 III 期 EGFR 突变非小细胞肺癌:一项 II 期研究。
Nat Commun. 2023 Aug 3;14(1):4655. doi: 10.1038/s41467-023-40349-z.
2
Neoadjuvant Targeted Therapy in Resectable NSCLC: Current and Future Perspectives.可切除 NSCLC 的新辅助靶向治疗:现状与未来展望。
J Thorac Oncol. 2023 Nov;18(11):1458-1477. doi: 10.1016/j.jtho.2023.07.006. Epub 2023 Jul 13.
3
Randomized phase II adjuvant trial to compare two treatment durations of icotinib (2 years versus 1 year) for stage II-IIIA EGFR-positive lung adenocarcinoma patients (ICOMPARE study).随机 II 期辅助试验比较了厄洛替尼(2 年与 1 年)用于 II-IIIA 期 EGFR 阳性肺腺癌患者的两种治疗持续时间(ICOMPARE 研究)。
ESMO Open. 2023 Aug;8(4):101565. doi: 10.1016/j.esmoop.2023.101565. Epub 2023 Jun 20.
4
Osimertinib as neoadjuvant therapy in patients with EGFR-mutant resectable stage II-IIIB lung adenocarcinoma (NEOS): A multicenter, single-arm, open-label phase 2b trial.奥希替尼作为可切除 II-IIIB 期 EGFR 突变肺腺癌患者的新辅助治疗(NEOS):一项多中心、单臂、开放标签的 2b 期临床试验。
Lung Cancer. 2023 Apr;178:151-156. doi: 10.1016/j.lungcan.2023.02.011. Epub 2023 Feb 17.
5
Adjuvant icotinib versus observation in patients with completely resected EGFR-mutated stage IB NSCLC (GASTO1003, CORIN): a randomised, open-label, phase 2 trial.完全切除的EGFR突变IB期非小细胞肺癌患者辅助使用埃克替尼与观察对比研究(GASTO1003,CORIN):一项随机、开放标签的2期试验
EClinicalMedicine. 2023 Feb 3;57:101839. doi: 10.1016/j.eclinm.2023.101839. eCollection 2023 Mar.
6
Adjuvant Osimertinib for Resected EGFR-Mutated Stage IB-IIIA Non-Small-Cell Lung Cancer: Updated Results From the Phase III Randomized ADAURA Trial.辅助奥希替尼治疗 EGFR 突变型 IB-IIIA 期非小细胞肺癌:III 期随机 ADAURA 试验的更新结果。
J Clin Oncol. 2023 Apr 1;41(10):1830-1840. doi: 10.1200/JCO.22.02186. Epub 2023 Jan 31.
7
Association of Clinicopathologic and Molecular Tumor Features With Recurrence in Resected Early-Stage Epidermal Growth Factor Receptor-Positive Non-Small Cell Lung Cancer.早期表皮生长因子受体阳性非小细胞肺癌切除术后复发的临床病理和分子肿瘤特征的相关性研究。
JAMA Netw Open. 2021 Nov 1;4(11):e2131892. doi: 10.1001/jamanetworkopen.2021.31892.
8
Randomized Phase III Study of Gefitinib Versus Cisplatin Plus Vinorelbine for Patients With Resected Stage II-IIIA Non-Small-Cell Lung Cancer With Mutation (IMPACT).吉非替尼对比顺铂联合长春瑞滨用于可切除的II-IIIA期非小细胞肺癌伴突变患者的随机III期研究(IMPACT)
J Clin Oncol. 2022 Jan 20;40(3):231-241. doi: 10.1200/JCO.21.01729. Epub 2021 Nov 2.
9
Icotinib versus chemotherapy as adjuvant treatment for stage II-IIIA EGFR-mutant non-small-cell lung cancer (EVIDENCE): a randomised, open-label, phase 3 trial.厄洛替尼对比化疗用于 EGFR 突变型 II-IIIA 期非小细胞肺癌辅助治疗(EVIDENCE):一项随机、开放标签、III 期临床试验。
Lancet Respir Med. 2021 Sep;9(9):1021-1029. doi: 10.1016/S2213-2600(21)00134-X. Epub 2021 Jul 21.
10
Neoadjuvant osimertinib with/without chemotherapy versus chemotherapy alone for -mutated resectable non-small-cell lung cancer: NeoADAURA.奥希替尼新辅助治疗联合/不联合化疗对比单纯化疗用于可切除 - 突变型非小细胞肺癌:NeoADAURA 研究。
Future Oncol. 2021 Nov;17(31):4045-4055. doi: 10.2217/fon-2021-0549. Epub 2021 Jul 19.

[表皮生长因子受体(EGFR)突变的可切除非小细胞肺癌患者围手术期靶向治疗的进展与讨论]

[Progress and Discussion of Perioperative Targeted Therapy in Patients 
with EGFR-mutated Resectable Non-small Cell Lung Cancer].

作者信息

Song Peng, Cui Yong

机构信息

Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2024 May 20;27(5):383-390. doi: 10.3779/j.issn.1009-3419.2024.106.11.

DOI:10.3779/j.issn.1009-3419.2024.106.11
PMID:38880926
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11183319/
Abstract

Lung cancer is still the leading cause of cancer death worldwide. Non-small cell lung cancer (NSCLC) is the main pathological type of lung cancer, accounting for about 80%. Approximately 30% of all patients with NSCLC have resectable early and middle stage disease at the time of diagnosis. Recently, the epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) have made a major breakthrough in the adjuvant targeted therapy of EGFR-mutated resectable NSCLC, and are recommended by the guidelines for clinical use. In this review, we summarize the clinical research progress of perioperative adjuvant targeted therapy for EGFR-mutated resectable NSCLC, and discuss the key issues in the clinical researches.
.

摘要

肺癌仍是全球癌症死亡的主要原因。非小细胞肺癌(NSCLC)是肺癌的主要病理类型,约占80%。所有NSCLC患者中,约30%在诊断时患有可切除的早中期疾病。近年来,表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)在EGFR突变的可切除NSCLC辅助靶向治疗方面取得了重大突破,并被指南推荐用于临床。在本综述中,我们总结了EGFR突变的可切除NSCLC围手术期辅助靶向治疗的临床研究进展,并讨论了临床研究中的关键问题。