Dados Bibliográficos

AUTOR(ES) Mauro Zukin
EDITOR(ES) A. A. Arantes
ANO 2012
TIPO Book
PERIÓDICO Revista da Associação Médica Brasileira (English Edition)
ISSN 2255-4823
EDITORA Elsevier BV
DOI 10.1016/s2255-4823(12)70190-x
ADICIONADO EM 2025-08-29
MD5 339dbd00bb7c7be7ab15570905d983a1

Resumo

This review discusses the current status and future perspectives of epidermal growth factor receptor (EGFR) inhibitors in non-small cell lung cancer (NSCLC). EGFR mutations are found in a significant subset of NSCLC patients, particularly those with adenocarcinoma histology, never-smoking history, and Asian ethnicity. EGFR tyrosine kinase inhibitors (TKIs), such as gefitinib, erlotinib, and afatinib, have demonstrated significant clinical benefit in patients with EGFR-mutant NSCLC, leading to improved progression-free survival and overall survival compared to standard chemotherapy. The review addresses mechanisms of resistance to EGFR-TKIs, including the emergence of secondary mutations like T790M, and explores strategies to overcome resistance, such as the development of next-generation EGFR-TKIs and combination therapies. The future of EGFR-targeted therapy in NSCLC involves identifying predictive biomarkers for response, developing more effective and less toxic therapies, and personalizing treatment strategies based on individual patient characteristics.

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