Candidate mechanisms of acquired resistance to first-line osimertinib in EGFR-mutated advanced non-small cell lung cancer.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
27 02 2023
Historique:
received: 28 07 2021
accepted: 10 01 2023
entrez: 27 2 2023
pubmed: 28 2 2023
medline: 3 3 2023
Statut: epublish

Résumé

Osimertinib, an epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI), potently and selectively inhibits EGFR-TKI-sensitizing and EGFR T790M resistance mutations. In the Phase III FLAURA study (NCT02296125), first-line osimertinib improved outcomes vs comparator EGFR-TKIs in EGFRm advanced non-small cell lung cancer. This analysis identifies acquired resistance mechanisms to first-line osimertinib. Next-generation sequencing assesses circulating-tumor DNA from paired plasma samples (baseline and disease progression/treatment discontinuation) in patients with baseline EGFRm. No EGFR T790M-mediated acquired resistance are observed; most frequent resistance mechanisms are MET amplification (n = 17; 16%) and EGFR C797S mutations (n = 7; 6%). Future research investigating non-genetic acquired resistance mechanisms is warranted.

Identifiants

pubmed: 36849494
doi: 10.1038/s41467-023-35961-y
pii: 10.1038/s41467-023-35961-y
pmc: PMC9971254
doi:

Substances chimiques

osimertinib 3C06JJ0Z2O
ErbB Receptors EC 2.7.10.1
Protein Kinase Inhibitors 0
EGFR protein, human EC 2.7.10.1

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1070

Subventions

Organisme : NCI NIH HHS
ID : P30 CA138292
Pays : United States

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2023. The Author(s).

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Auteurs

Juliann Chmielecki (J)

Translational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.

Jhanelle E Gray (JE)

Department of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA. Jhanelle.Gray@moffitt.org.

Ying Cheng (Y)

Jilin Provincial Cancer Hospital, Changchun, China.

Yuichiro Ohe (Y)

Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.

Fumio Imamura (F)

Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.

Byoung Chul Cho (BC)

Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.

Meng-Chih Lin (MC)

Division of Pulmonary and Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, Kaohsiung, Taiwan.

Margarita Majem (M)

Medical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Riyaz Shah (R)

Kent Oncology Centre, Maidstone Hospital, Maidstone and Tunbridge Wells NHS Trust, Maidstone, UK.

Yuri Rukazenkov (Y)

Oncology R&D, AstraZeneca, Cambridge, UK.

Alexander Todd (A)

Oncology Biometrics, Oncology R&D, AstraZeneca, Cambridge, UK.

Aleksandra Markovets (A)

Translational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.

J Carl Barrett (JC)

Translational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.

Ryan J Hartmaier (RJ)

Translational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.

Suresh S Ramalingam (SS)

Winship Cancer Institute, Emory University, Atlanta, GA, USA.

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Classifications MeSH