Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor–Resistant Disease
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Purpose: EGFR-mutant lung cancer was first described as a new clinical entity in 2004. Here, we present an update on new controversies and conclusions regarding the disease. Methods: This article reviews the clinical implications of EGFR mutations in lung cancer with a focus on epidermal growth factor receptor tyrosine kinase inhibitor resistance. Results: The discovery of EGFR mutations has altered the ways in which we consider and treat non–small-cell lung cancer (NSCLC). Patients whose metastatic tumors harbor EGFR mutations are expected to live longer than 2 years, more than double the previous survival rates for lung cancer. Conclusion: The information presented in this review can guide practitioners and help them inform their patients about EGFR mutations and their impact on the treatment of NSCLC. Efforts should now concentrate on making EGFR-mutant lung cancer a chronic rather than fatal disease.
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Resistance to EGFR tyrosine kinase inhibitors invariably develops, with disease progression after an average of approximately 12 months of continuous treatment.
“Despite initial efficacy, resistance to TKIs invariably develops, with disease progression after an average of approximately 12 months6.”
From RB loss in resistant EGFR mutant lung adenocarcinomas that transform to small-cell lung cancer (2015) · cites this paper as [6]
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- Authors
- Ohashi, K., Maruvka, Y. E., Michor, F., & Pao, W.
- Affiliations
- Harvard University (US)
- Kadoaki Ohashi and William Pao, Vanderbilt University School of Medicine, Nashville, TN; and Yosef E. Maruvka and Franziska Michor, Dana-Farber Cancer Institute and Harvard School of Public Health, Boston, MA.
- Venue
- Journal of Clinical Oncology
- Published
- 2013-03-10
- Volume
- 31
- Issue
- 8
- Pages
- 1070-1080
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC3589701
- OpenAlex
- W2081801534
- Cited by
- 467
- References
- 128
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 13 · 2023: 19 · 2022: 28 · 2021: 23 · 2020: 31 · 2019: 34 · 2018: 42 · 2017: 58 · 2016: 44 · 2015: 66 · 2014: 54 · 2013: 30
- FWCI
- 10.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (CA68485, CA129243, CA143798)
- National Cancer Institute (P30 CA 68485, R01CA121210, P01CA129243, CA68485, CA129243, U54CA143798, CA143798, P30CA068485)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Keywords
- EGFR mutation, non-small cell lung cancer, EGFR tyrosine kinase inhibitors, drug resistance, metastatic lung cancer, survival outcomes, targeted therapy
- MeSH terms
- Antineoplastic Agents, Carcinoma, Non-Small-Cell Lung, Chronic Disease, Humans, Lung Neoplasms, Mutation, Disease Progression, Disease-Free Survival, Drug Resistance, Neoplasm, Protein Kinase Inhibitors, ErbB Receptors
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