关键词: Adjuvant Case report NSCLC Osimertinib Resistance

Mesh : Humans Lung Neoplasms / drug therapy Carcinoma, Non-Small-Cell Lung / drug therapy ErbB Receptors / genetics Aniline Compounds / pharmacology therapeutic use Recurrence Mutation Protein Kinase Inhibitors Acrylamides Indoles Pyrimidines

来  源:   DOI:10.1016/j.jtho.2024.01.001

Abstract:
Adjuvant osimertinib represents a recent paradigm shift in the management of resected EGFR-mutated lung cancer. The optimal subsequent treatment of patients who relapse after completion of 3 years of adjuvant osimertinib is unknown. Here, we report two cases of complete response to osimertinib rechallenge after relapse from previous adjuvant osimertinib use, and a serial molecular panel exhibiting a lack of acquired resistance mechanisms. Future prospective studies are warranted to confirm the optimal treatment of patients who relapse after previous adjuvant osimertinib.
摘要:
佐剂奥希替尼代表了切除的EGFR突变肺癌的管理的最新范式转变。奥希替尼辅助治疗3年后复发的患者的最佳后续治疗尚不清楚。这里,我们报告了两例奥希替尼再次攻击完全缓解的病例,这些病例是以前使用奥希替尼辅助治疗后复发的结果,以及缺乏获得性抗性机制的系列分子小组。有必要进行未来的前瞻性研究,以确认先前使用奥希替尼辅助治疗后复发的患者的最佳治疗方法。
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