Cited by 33Lung Cancer Treatments and MutationsHER2/EGFR in Cancer ResearchLung Cancer Diagnosis and Treatment

AZD9291 in EGFR -Mutant Advanced Non-Small-Cell Lung Cancer Patients

Remon, Jordi, Planchard, David·2015·Future Oncology

Abstract

Non-small-cell lung cancer (NSCLC) patients whose tumors have an EGFR-activating mutation develop acquired resistance after a median of 9-11 months from the beginning of treatment with erlotinib, gefitinib and afatinib. T790M mutation is the cause of this resistance in approximately 60% of cases. AZD9291 is an oral, irreversible, mutant-selective EGF receptor (EGFR) tyrosine kinase inhibitor (TKI) developed to have potency against EGFR mutations, including T790M mutation, while sparing wild-type EGFR. A Phase I trial of AZD9291 in EGFR-mutant NSCLC patients, demonstrated high activity, essentially among T790M-mutant tumors, with a manageable tolerability profile. Ongoing Phase III trials are evaluating AZD9291 in EGFR-mutant patients as first-line treatment compared with erlotinib and gefitinib; and as second-line treatment compared with chemotherapy after progression on EGFR TKI in T790M-mutant tumors. Better identification of T790M-mutant tumors post EGFR TKI relapse and mechanisms of resistance to AZD9291 are the future challenges. This article reviews the emerging data regarding AZD9291 in the treatment of patients with advanced NSCLC.

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Crossref · 10.2217/fon.15.250

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  • Compared to standard treatments of erlotinib or gefitinib, osimertinib has demonstrated significant benefits in median progression-free survival and median duration of response in NSCLC patients with EGFR exon deletion 19 or L858R mutations.

    “Compared to the standard treatments of erlotinib or gefitin, osimertinib has demonstrated significant benefits in terms of both median progression-free survival and median duration of response in NSCLC patients with EGFR exon deletion 19 or L858R mutations.133”

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Authors
Remon, J., & Planchard, D.
Affiliations
  • Gustave Roussy, Medical Oncology Department, Villejuif, France
  • Institut Gustave Roussy (FR)
Venue
Future Oncology
Published
2015-10-09
Volume
11
Issue
22
Pages
3069-3081
ISSN
  • 1479-6694 (ISSN-L)
  • 1744-8301
OpenAlex
W1937437568
Cited by
33
References
68
Citations by year
2026: 1 · 2025: 5 · 2024: 3 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 6 · 2015: 1
FWCI
0.89
Type
journal article
Language
en
Open access
closed
Locations
  • Future Oncology (publishedVersion)
  • PubMed (publishedVersion)
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
osimertinib, EGFR-mutant non-small cell lung cancer, T790M mutation, EGFR tyrosine kinase inhibitors, acquired drug resistance, erlotinib, gefitinib, afatinib, irreversible tyrosine kinase inhibitor, first-line therapy, second-line therapy, resistance mechanisms
MeSH terms
Acrylamides, Aniline Compounds, Animals, Brain Neoplasms, Carcinoma, Non-Small-Cell Lung, Drug Evaluation, Preclinical, Humans, Indoles, Lung Neoplasms, Mutation, Neoplasm Recurrence, Local, Neoplasm Staging, Pyrimidines, Treatment Outcome, Clinical Trials, Phase I as Topic, Clinical Trials, Phase II as Topic, Clinical Trials, Phase III as Topic, Disease Progression, Drug Resistance, Neoplasm, Retreatment, Protein Kinase Inhibitors, ErbB Receptors

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