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表皮生长因子受体酪氨酸激酶抑制剂用于非小细胞肺癌术后辅助治疗的研究进展[J]. 肿瘤防治研究, 2016, 43(4): 300-304. DOI: 10.3971/j.issn.1000-8578.2016.04.013
引用本文: 表皮生长因子受体酪氨酸激酶抑制剂用于非小细胞肺癌术后辅助治疗的研究进展[J]. 肿瘤防治研究, 2016, 43(4): 300-304. DOI: 10.3971/j.issn.1000-8578.2016.04.013
Review of Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors in Adjuvant Treatment of Non-small Cell Lung Cancer[J]. Cancer Research on Prevention and Treatment, 2016, 43(4): 300-304. DOI: 10.3971/j.issn.1000-8578.2016.04.013
Citation: Review of Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors in Adjuvant Treatment of Non-small Cell Lung Cancer[J]. Cancer Research on Prevention and Treatment, 2016, 43(4): 300-304. DOI: 10.3971/j.issn.1000-8578.2016.04.013

表皮生长因子受体酪氨酸激酶抑制剂用于非小细胞肺癌术后辅助治疗的研究进展

Review of Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors in Adjuvant Treatment of Non-small Cell Lung Cancer

  • 摘要: 表皮生长因子受体酪氨酸激酶抑制剂(epidermal growth factor receptor tyrosine kinase inhibitors, EGFR-TKI)在晚期EGFR突变阳性的非小细胞肺癌(non-small cell lung cancer, NSCLC)患者中的疗效肯定,但EGFR-TKI能否提高完全切除的NSCLC术后辅助治疗疗效不确切。部分研究发现在可切除的Ⅰ~Ⅲ期EGFR敏感突变肺腺癌患者中,辅助TKI治疗有使无疾病生存(disease free survival,DFS)获益的趋势,另一部分临床研究未能证实EGFR-TKI在术后辅助治疗有获益。造成各研究结果不一的原因很多,如人群选择、EGFR-TKI使用时长、耐药等。国内外目前一些设计比较合理的,对比EGFR-TKI化疗辅助治疗Ⅱ~ⅢA期EGFR敏感突变的NSCLC临床研究正在进行,值得期待。目前,早期NSCLC术后TKI辅助治疗仅限于临床试验,不建议作为临床常规治疗。

     

    Abstract: Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI) show great efficacy on advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations. But whether adjuvant treatment with EGFR-TKI could improve the outcomes of patients with fully resected NSCLC remains unknown. Some studies show a trend toward improvement in disease free survival (DFS) among individuals with resected stage Ⅰ-Ⅲ lung adenocarcinomas harboring mutations in EGFR exons 19 or 21 who received EGFR-TKIs as adjuvant therapy. In other exploratory clinical trials, the patients treated with EGFR-TKIs as adjuvant therapy did not show any survival benefit. To date, there are different research results of adjuvant EGFR-TKIs treatment on NSCLC patients because of patients selection, EGFR-TKIs duration and drug resistance. There are several ongoing prospective clinical trials of adjuvant therapy with EGFR-TKIs on patients with resected stage Ⅱ-ⅢA NSCLC harboring EGFR mutations and the results are worth expecting. Till now, adjuvant EGFR-TKIs treatment can not be routinely recommended in clinical practice but only in clinical trials.

     

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