Association between EGFR-TKI resistance and efficacy of radiotherapy for brain metastases from EGFR-mutant lung adenocarcinoma.

Abstract:

AIM:To clarify how patients with epidermal growth factor receptor (EGFR)-mutant lung adenocarcinoma with acquired resistance to EGFR-tyrosine kinase inhibitors (TKIs) respond to radiotherapy (RT) for brain metastases. PATIENTS AND METHODS:Forty-seven patients were divided into the following three groups: a TKI-naïve group with EGFR mutation (n=11), a TKI-resistant group with EGFR mutation (n=10), and an EGFR-wild-type group (n=26). Patients received stereotactic RT (n=23) or whole-brain RT (n=24). RESULTS:The response rate for patients with TKI-resistant tumor at three months after RT tended to be lower (11%) than that of those who were TKI-naïve (82%, p=0.006) and for patients with wild-type EGFR (48%, p=0.10). On univariate analysis, central nervous system progression-free and overall survival were significantly shorter for patients with TKI-resistant tumors than for those who were TKI-naïve (p=0.018 and p=0.005, respectively). Multivariate analysis showed that TKI resistance was an independent predictor of poorer overall survival (p=0.011). CONCLUSION:Acquired resistance to TKIs appears to be associated with low efficacy of brain RT.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Hirata H,Nakamura K,Kunitake N,Shioyama Y,Sasaki T,Ohga S,Nonoshita T,Yoshitake T,Asai K,Inoue K,Nagashima A,Ono M,Honda H

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

1649-55

issue

4

eissn

0250-7005

issn

1791-7530

pii

33/4/1649

journal_volume

33

pub_type

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