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A phase II trial of EGFR-TKI readministration with afatinib in advanced non-small-cell lung cancer harboring a sensitive non-T790M EGFR mutation: Okayama Lung Cancer Study Group trial 1403

Cancer Chemotherapy and Pharmacology Oct 04, 2018

Oda N, et al. - Among patients with non-small-cell lung cancer (NSCLC) with a sensitive non-T790M epidermal growth factor receptor (EGFR) mutation, researchers assessed the effectiveness of EGFR-tyrosine kinase inhibitor (TKI) readministration with afatinib in those treated with cytotoxic chemotherapy after developing resistance to EGFR-TKIs. Eligible participants had EGFR-mutant tumors resistant to first- or second-generation EGFR-TKIs and an EGFR-TKI-free period with cytotoxic agents. The estimated objective response rate was 17% and the disease control rate was 84%. They observed modest activity and tolerable toxicity with EGFR-TKI readministered with afatinib for sensitive EGFR-mutant NSCLC without T790M after resistance to a first- or second-generation EGFR-TKI. According to findings, for patients who do not possess T790M tumors, it might be one of the treatment options.

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