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奥希替尼诱发间质性肺病后使用阿美替尼成功治疗表皮生长因子受体外显子19缺失型非小细胞肺癌:一例报告

Successful treatment of epidermal growth factor receptor exon 19 deletion non-small cell lung cancer with almonertinib after osimertinib-induced interstitial lung disease: A case report.

作者信息

Li Zhichao, Wang Gang, Xue Guoliang, Wang Nan, Hu Yanting, Cao Pikun, Cai Hongchao, Wei Zhigang, Ye Xin

机构信息

Department of Oncology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Shandong, China.

出版信息

J Cancer Res Ther. 2024 Dec 1;20(7):2148-2151. doi: 10.4103/jcrt.jcrt_2235_24. Epub 2025 Jan 10.

Abstract

Osimertinib, a third-generation epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI), has revolutionized one of the standard most efficient treatments for EGFR mutation-positive non-small cell lung cancer (NSCLC). Osimertinib, a third-generation EGFR-TKI, is currently one of most efficient treatments in clinical practice. However, it has a potentially fatal side effect: interstitial lung disease (ILD). When severe ILD occurs, a drug substitution is often required, and there is a rising concern about which drug to choose to inhibit the progression of NSCLC and avoid aggravating while alleviating ILD. Herein, we report an NSCLC case with osimertinib-induced ILD successfully rechallenged by almonertinib. In addition, we conducted a literature review on the clinical efficacy and adverse effects of almonertinib, hoping to provide insight into NSCLC treatment.

摘要

奥希替尼是一种第三代表皮生长因子受体(EGFR)-酪氨酸激酶抑制剂(TKI),它彻底改变了EGFR突变阳性非小细胞肺癌(NSCLC)最有效的标准治疗方法之一。奥希替尼作为第三代EGFR-TKI,是目前临床实践中最有效的治疗方法之一。然而,它有一个潜在的致命副作用:间质性肺病(ILD)。当发生严重ILD时,通常需要更换药物,人们越来越关注选择哪种药物来抑制NSCLC的进展并在缓解ILD的同时避免病情加重。在此,我们报告1例奥希替尼诱发ILD的NSCLC病例,成功换用阿美替尼再次挑战治疗。此外,我们对阿美替尼的临床疗效和不良反应进行了文献综述,希望能为NSCLC治疗提供参考。

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