Neoadjuvant targeted therapy for resectable EGFR-mutant non-small cell lung cancer: Current status and future considerations
- PMID: 36467102
- PMCID: PMC9712740
- DOI: 10.3389/fphar.2022.1036334
Neoadjuvant targeted therapy for resectable EGFR-mutant non-small cell lung cancer: Current status and future considerations
Abstract
Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) targeted therapy has become the standard of care for patients with EGFR-mutated metastatic non-small cell lung cancer (NSCLC) on the basis of improved prognosis and reduced toxicities compared with chemotherapy. In view of the therapeutic potential of EGFR-TKIs in EGFR-mutated advanced NSCLC, several scholars have explored the value of preoperative use of EGFR-TKIs in patients with EGFR-mutated resectable NSCLC. However, the field of neoadjuvant targeted therapy for EGFR-mutated resectable NSCLC is currently in its infancy. In this mini-review, we summarize the current evidence on neoadjuvant EGFR-TKIs targeted therapy for resectable EGFR-mutated NSCLC and focus on discussing potential clinical strategies of treating resectable EGFR-mutated patients by preoperative administration of EGFR-TKIs-based multimodality therapy.
Keywords: CtDNA; EGFR; neoadjuvant targeted therapy; non-small cell lung cancer; tyrosine kinase inhibitor.
Copyright © 2022 Liu, Ren, Xiao, Yang, Zeng and Hu.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
-
- Blakely. C., Urisman A., Kerr D., Wu W., Bacaltos B., Rotow J., et al. (2021). P26.02 A phase II trial of neoadjuvant osimertinib for surgically resectable EGFR-mutant non-small cell lung cancer: Updated results. J. Thorac. Oncol. 16 (10), S1039–S1040. 10.1016/j.jtho.2021.08.383 - DOI
-
- Chen W., Li P., Wang Q., Zhang Y., Li H., Jin X., et al. (2018). A randomized controlled study of erlotinib versus pemetrexed combined with cisplatin in neoadjuvant therapy of stage IIIA EGFR-mutant lung adenocarcinoma. Chin. J. Oncol. 40 (2), 133–137. 10.3760/cma.j.issn.0253-3766.2018.02.010 - DOI - PubMed
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