Australian recommendations for EGFR T790M testing in advanced non-small cell lung cancer.

Abstract:

:First-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are used as first-line therapy in patients with non-small cell lung cancer (NSCLC) harboring a sensitizing mutation in the EGFR gene. Unfortunately, resistance to these therapies often occurs within 10 months of commencing treatment and is mostly commonly due to the development of the EGFR T790M mutation. Treatment with the third-generation EGFR TKI, osimertinib can prolong progression free survival in patients with the T790M mutation, so it is important to determine the resistance mechanism in order to plan ongoing therapeutic strategies. Here we review the evidence and make recommendations for the timing of T790M mutation testing, the most appropriate specimens to test and the available testing methods in patients progressing during treatment with first line EGFR TKIs for NSCLC.

journal_name

Asia Pac J Clin Oncol

authors

John T,Bowden JJ,Clarke S,Fox SB,Garrett K,Horwood K,Karapetis CS

doi

10.1111/ajco.12699

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

296-303

issue

4

eissn

1743-7555

issn

1743-7563

journal_volume

13

pub_type

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