Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management

Non-small-cell lung cancer (NSCLC) constitutes 85% of patients diagnosed with lung cancer. In metastatic cases, its treatment classically consists of systemic cytotoxic chemotherapy, which resulted in a median overall survival of 7.9 months. However, over the last decade, improved understanding of d...

Full description

Bibliographic Details
Main Authors: Akhil Rajendra, Vanita Noronha, Amit Joshi, Vijay Maruti Patil, Nandini Menon, Kumar Prabhash
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Cancer Research, Statistics, and Treatment
Subjects:
Online Access:http://www.crstonline.com/article.asp?issn=2590-3233;year=2019;volume=2;issue=1;spage=36;epage=53;aulast=
_version_ 1818188314207846400
author Akhil Rajendra
Vanita Noronha
Amit Joshi
Vijay Maruti Patil
Nandini Menon
Kumar Prabhash
author_facet Akhil Rajendra
Vanita Noronha
Amit Joshi
Vijay Maruti Patil
Nandini Menon
Kumar Prabhash
author_sort Akhil Rajendra
collection DOAJ
description Non-small-cell lung cancer (NSCLC) constitutes 85% of patients diagnosed with lung cancer. In metastatic cases, its treatment classically consists of systemic cytotoxic chemotherapy, which resulted in a median overall survival of 7.9 months. However, over the last decade, improved understanding of driver mutations, especially identification of epidermal growth factor receptor (EGFR) mutation, has changed the treatment landscape of these patients. Our understanding of EGFR mutations has improved tremendously, and we now have three generations of EGFR tyrosine kinase inhibitors, have identified secondary resistance mutations, and have developed agents targeting these resistance mutations, making precision medicine a reality. We review these developments and try to propose an optimal approach toward the management of these patients with EGFR-mutated NSCLC.
first_indexed 2024-12-11T23:24:57Z
format Article
id doaj.art-b294490ef916463f88dbd40c2f91f852
institution Directory Open Access Journal
issn 2590-3233
2590-3225
language English
last_indexed 2024-12-11T23:24:57Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Cancer Research, Statistics, and Treatment
spelling doaj.art-b294490ef916463f88dbd40c2f91f8522022-12-22T00:46:15ZengWolters Kluwer Medknow PublicationsCancer Research, Statistics, and Treatment2590-32332590-32252019-01-0121365310.4103/CRST.CRST_51_19Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary managementAkhil RajendraVanita NoronhaAmit JoshiVijay Maruti PatilNandini MenonKumar PrabhashNon-small-cell lung cancer (NSCLC) constitutes 85% of patients diagnosed with lung cancer. In metastatic cases, its treatment classically consists of systemic cytotoxic chemotherapy, which resulted in a median overall survival of 7.9 months. However, over the last decade, improved understanding of driver mutations, especially identification of epidermal growth factor receptor (EGFR) mutation, has changed the treatment landscape of these patients. Our understanding of EGFR mutations has improved tremendously, and we now have three generations of EGFR tyrosine kinase inhibitors, have identified secondary resistance mutations, and have developed agents targeting these resistance mutations, making precision medicine a reality. We review these developments and try to propose an optimal approach toward the management of these patients with EGFR-mutated NSCLC.http://www.crstonline.com/article.asp?issn=2590-3233;year=2019;volume=2;issue=1;spage=36;epage=53;aulast=egfrlmicnsclcoral tki
spellingShingle Akhil Rajendra
Vanita Noronha
Amit Joshi
Vijay Maruti Patil
Nandini Menon
Kumar Prabhash
Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
Cancer Research, Statistics, and Treatment
egfr
lmic
nsclc
oral tki
title Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
title_full Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
title_fullStr Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
title_full_unstemmed Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
title_short Epidermal growth factor receptor-mutated non-small-cell lung cancer: A primer on contemporary management
title_sort epidermal growth factor receptor mutated non small cell lung cancer a primer on contemporary management
topic egfr
lmic
nsclc
oral tki
url http://www.crstonline.com/article.asp?issn=2590-3233;year=2019;volume=2;issue=1;spage=36;epage=53;aulast=
work_keys_str_mv AT akhilrajendra epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement
AT vanitanoronha epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement
AT amitjoshi epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement
AT vijaymarutipatil epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement
AT nandinimenon epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement
AT kumarprabhash epidermalgrowthfactorreceptormutatednonsmallcelllungcanceraprimeroncontemporarymanagement