“Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients

EGFR TKIs are not curative, and targeted resistance inevitably results in therapeutic failure. Additionally, there are numerous uncommon EGFR mutations that are insensitive to EGFR TKIs, and there is a lack of clinical strategies to overcome these limitations. EGFR TKI and mAbs target EGFR at differ...

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Main Authors: Guoqing Zhang, Beibei Yan, Yanan Guo, Hang Yang, Jindong Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.952939/full
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author Guoqing Zhang
Beibei Yan
Yanan Guo
Hang Yang
Jindong Li
author_facet Guoqing Zhang
Beibei Yan
Yanan Guo
Hang Yang
Jindong Li
author_sort Guoqing Zhang
collection DOAJ
description EGFR TKIs are not curative, and targeted resistance inevitably results in therapeutic failure. Additionally, there are numerous uncommon EGFR mutations that are insensitive to EGFR TKIs, and there is a lack of clinical strategies to overcome these limitations. EGFR TKI and mAbs target EGFR at different sites, and a combination regimen for delaying/preventing resistance to targeted therapy or obtaining more intensive inhibition for uncommon mutations at cellular, animal and human levels has been explored. This review critically focuses on a combination strategy for uncommon EGFR mutation-positive NSCLC, and discuss the preclinical data, clinical implications, limitations and future prospects of the combination strategy.
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spelling doaj.art-55743c314f8049c38fbc24faac6cede12022-12-22T00:57:34ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-07-011210.3389/fonc.2022.952939952939“Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected PatientsGuoqing ZhangBeibei YanYanan GuoHang YangJindong LiEGFR TKIs are not curative, and targeted resistance inevitably results in therapeutic failure. Additionally, there are numerous uncommon EGFR mutations that are insensitive to EGFR TKIs, and there is a lack of clinical strategies to overcome these limitations. EGFR TKI and mAbs target EGFR at different sites, and a combination regimen for delaying/preventing resistance to targeted therapy or obtaining more intensive inhibition for uncommon mutations at cellular, animal and human levels has been explored. This review critically focuses on a combination strategy for uncommon EGFR mutation-positive NSCLC, and discuss the preclinical data, clinical implications, limitations and future prospects of the combination strategy.https://www.frontiersin.org/articles/10.3389/fonc.2022.952939/fullepidermal growth factor receptortyrosine kinase inhibitoruncommon mutationNSCLCdrug resistance
spellingShingle Guoqing Zhang
Beibei Yan
Yanan Guo
Hang Yang
Jindong Li
“Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
Frontiers in Oncology
epidermal growth factor receptor
tyrosine kinase inhibitor
uncommon mutation
NSCLC
drug resistance
title “Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
title_full “Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
title_fullStr “Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
title_full_unstemmed “Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
title_short “Sandwich” Strategy to Intensify EGFR Blockade by Concurrent Tyrosine Kinase Inhibitor and Monoclonal Antibody Treatment in Highly Selected Patients
title_sort sandwich strategy to intensify egfr blockade by concurrent tyrosine kinase inhibitor and monoclonal antibody treatment in highly selected patients
topic epidermal growth factor receptor
tyrosine kinase inhibitor
uncommon mutation
NSCLC
drug resistance
url https://www.frontiersin.org/articles/10.3389/fonc.2022.952939/full
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