Dealing with NSCLC EGFR mutation testing and treatment: A comprehensive review with an Italian real-world perspective.

Common mutations EGFR Molecular testing Non-small cell lung cancer Tyrosine kinase inhibitors Uncommon mutations

Journal

Critical reviews in oncology/hematology
ISSN: 1879-0461
Titre abrégé: Crit Rev Oncol Hematol
Pays: Netherlands
ID NLM: 8916049

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 29 12 2020
revised: 06 03 2021
accepted: 08 03 2021
pubmed: 22 3 2021
medline: 21 4 2021
entrez: 21 3 2021
Statut: ppublish

Résumé

Since their discovery, relevant efforts have been made to optimize the detection approaches to EGFR mutations as well as the clinical management of EGFR-mutated NSCLC. The recent shift from single gene testing to novel comprehensive detection platforms along with the development of new generation tyrosine kinase inhibitors, targeting both common and uncommon EGFR-mutations, is leading to a progressive increase in the number of patients who may benefit from targeted approaches, with subsequent impact on their long-term survival and quality of life. However, a prompt and adequate implementation of the most recent diagnostic and treatment advances in the routine practice often remains critical to be specifically addressed. In this review we provide a complete and updated overview of the different detection platforms and therapeutic options currently available for the clinical management of advanced EGFR-positive NSCLC, summarizing scientific evidence and describing molecular testing as well as treatment practice in the real-word scenario.

Identifiants

pubmed: 33744362
pii: S1040-8428(21)00088-3
doi: 10.1016/j.critrevonc.2021.103300
pii:
doi:

Substances chimiques

Protein Kinase Inhibitors 0
EGFR protein, human EC 2.7.10.1
ErbB Receptors EC 2.7.10.1

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103300

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Umberto Malapelle (U)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

Sara Pilotto (S)

U.O.C. of Oncology, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.

Francesco Passiglia (F)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Francesco Pepe (F)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

Pasquale Pisapia (P)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

Luisella Righi (L)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Angela Listì (A)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Paolo Bironzo (P)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Lorenzo Belluomini (L)

U.O.C. of Oncology, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.

Fabrizio Tabbò (F)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Maria Lucia Reale (ML)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy.

Gianluca Russo (G)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

Caterina De Luca (C)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

Silvia Novello (S)

Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy. Electronic address: silvia.novello@unito.it.

Giancarlo Troncone (G)

Department of Public Health, University of Naples Federico II, 80131, Naples, Italy.

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Classifications MeSH