[Optimal therapeutic strategy for non-small cell lung cancer with mutated epidermal growth factor receptor]

Zhongguo Fei Ai Za Zhi. 2015 Feb;18(2):110-6. doi: 10.3779/j.issn.1009-3419.2015.02.11.
[Article in Chinese]

Abstract

Although epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) have been widely used in non-small cell lung cancer (NSCLC) patients, it is still controversial about how to combine EGFR-TKI with chemotherapy and other targeted drugs. We have made a summary on the current therapeutic models of EGFR-TKI combined with chemotherapy/bevacizumab in this review and aimed to find the optimal therapeutic strategy for NSCLC patients with EGFR mutation.

目前表皮生长因子酪氨酸激酶抑制剂(epidermal growth factor receptor tyrosine kinase inhibitor, EGFR-TKI)已广泛应用于非小细胞肺癌(non-small cell lung cancer, NSCLC)患者,但如何将EGFR-TKI与化疗及其他靶向药物结合仍存在诸多争议。本综述阐述了EGFR-TKI与化疗的3种不同联合模式:前后序贯治疗、同步联合治疗及间插联合治疗;分析EGFR-TKI与贝伐珠单抗联合治疗的优劣性;初步探讨了EGFR突变患者的最佳治疗模式。

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Carcinoma, Non-Small-Cell Lung / enzymology
  • Carcinoma, Non-Small-Cell Lung / genetics
  • Clinical Trials as Topic
  • Enzyme Inhibitors / therapeutic use*
  • ErbB Receptors / genetics*
  • ErbB Receptors / metabolism
  • Humans
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / enzymology
  • Lung Neoplasms / genetics
  • Mutation

Substances

  • Enzyme Inhibitors
  • ErbB Receptors

Grants and funding

本研究受浙江省自然科学基金项目(No.Y13H310009)资助