reviewBritish Journal of CancerSep 29, 2019HYBRID OA

Resistance mechanisms to osimertinib in EGFR-mutated non-small cell lung cancer

University of Parma · Amsterdam UMC Location Vrije Universiteit Amsterdam · +2 more institutions

PubMed
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Abstract

Osimertinib is an irreversible, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor that is highly selective for EGFR-activating mutations as well as the EGFR T790M mutation in patients with advanced non-small cell lung cancer (NSCLC) with EGFR oncogene addiction. Despite the documented efficacy of osimertinib in first- and second-line settings, patients inevitably develop resistance, with no further clear-cut therapeutic options to date other than chemotherapy and locally ablative therapy for selected individuals. On account of the high degree of tumour heterogeneity and adaptive cellular signalling pathways in NSCLC, the acquired osimertinib resistance is highly heterogeneous,…

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