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《中国表皮生长因子受体第20外显子插入突变非小细胞肺癌标准化诊疗专家共识(2024年版)》

[Chinese Expert Consensus on the Standardized Diagnosis and Treatment of 
Non‑small Cell Lung Cancer with EGFR Exon 20 Insertion Mutations (2024 Edition)].

出版信息

Zhongguo Fei Ai Za Zhi. 2024 Jul 20;27(7):485-494. doi: 10.3779/j.issn.1009-3419.2024.102.27.

DOI:10.3779/j.issn.1009-3419.2024.102.27
PMID:39147702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11331255/
Abstract

The standard clinical practice of managing the non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 20 insertion (ex20ins) mutations was elaborated in Chinese expert consensus on non‑small cell lung cancer with EGFR exon 20 insertion mutations (2023 edition), and this rare subset has gradually attracted attention recently. With the deepening of treatment area exploration and the approval of new targeted drugs, there are more options for the diagnosis and treatment of EGFR ex20ins positive NSCLC patients. Therefore, based on the previous version of consensus, the expert panel has updated this consensus on the standardized clinical diagnosis and treatment of EGFR ex20ins mutation NSCLC through reference to literature and clinical data, and combined with the experts' own clinical experience. The updated recommendations includes disease congnition, testing methods, therapy and recent relevant clinical trials for NSCLC patients with EGFR ex20ins mutation, in order to provide better medication reference for clinical physicians.
.

摘要

《中国表皮生长因子受体(EGFR)外显子20插入(ex20ins)突变非小细胞肺癌诊疗专家共识(2023年版)》阐述了非小细胞肺癌(NSCLC)伴EGFR外显子20插入突变的标准临床诊疗实践,这一罕见亚组近来逐渐受到关注。随着治疗领域探索的深入以及新靶向药物的获批,EGFR ex20ins阳性NSCLC患者的诊断和治疗有了更多选择。因此,专家小组在前一版共识的基础上,通过参考文献和临床数据,并结合专家自身临床经验,对EGFR ex20ins突变NSCLC的标准化临床诊疗共识进行了更新。更新后的推荐内容涵盖了EGFR ex20ins突变NSCLC患者的疾病认知、检测方法、治疗以及近期相关临床试验,旨在为临床医生提供更好的用药参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27a5/11331255/d4f37f8d7311/img_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27a5/11331255/d4f37f8d7311/img_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27a5/11331255/d4f37f8d7311/img_1.jpg

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本文引用的文献

1
[Expert consensus on clinical practice of EGFR exon20 insertion detection in non-small cell lung cancer in China (2024 edition)].中国非小细胞肺癌EGFR外显子20插入检测临床实践专家共识(2024年版)
Zhonghua Zhong Liu Za Zhi. 2024 Mar 23;46(3):179-188. doi: 10.3760/cma.j.cn112152-20230905-00125.
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Sunvozertinib for patients in China with platinum-pretreated locally advanced or metastatic non-small-cell lung cancer and EGFR exon 20 insertion mutation (WU-KONG6): single-arm, open-label, multicentre, phase 2 trial.舒沃替尼用于中国铂类经治的局部晚期或转移性非小细胞肺癌及表皮生长因子受体第20外显子插入突变患者(WU-KONG6):单臂、开放标签、多中心、2期试验
Lancet Respir Med. 2024 Mar;12(3):217-224. doi: 10.1016/S2213-2600(23)00379-X. Epub 2023 Dec 12.
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Amivantamab plus Chemotherapy in NSCLC with Exon 20 Insertions.Amivantamab 联合化疗治疗伴有 20 外显子插入的 NSCLC
N Engl J Med. 2023 Nov 30;389(22):2039-2051. doi: 10.1056/NEJMoa2306441. Epub 2023 Oct 21.
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Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of YK-029A in Treatment-Naive Patients With Advanced NSCLC Harboring EGFR Exon 20 Insertion Mutations: A Phase 1 Trial.YK-029A治疗初治的携带EGFR外显子20插入突变的晚期非小细胞肺癌患者的安全性、耐受性、药代动力学及初步疗效:一项1期试验
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5
Real-World Response and Outcomes in Patients With NSCLC With Exon 20 Insertion Mutations.非小细胞肺癌伴外显子20插入突变患者的真实世界反应和结局
JTO Clin Res Rep. 2023 Aug 16;4(10):100558. doi: 10.1016/j.jtocrr.2023.100558. eCollection 2023 Oct.
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Safety, Tolerability, and Antitumor Activity of Zipalertinib Among Patients With Non-Small-Cell Lung Cancer Harboring Epidermal Growth Factor Receptor Exon 20 Insertions.表皮生长因子受体 20 号外显子插入的非小细胞肺癌患者中 Zipalertinib 的安全性、耐受性和抗肿瘤活性。
J Clin Oncol. 2023 Sep 10;41(26):4218-4225. doi: 10.1200/JCO.23.00152. Epub 2023 Jun 29.
7
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J Thorac Oncol. 2023 Jun;18(6):744-754. doi: 10.1016/j.jtho.2023.01.086. Epub 2023 Feb 3.