Highest response rates to TKIs in patients with EGFR-TK mutatio

來源: 26484915 2014-11-11 11:56:18 [] [博客] [舊帖] [給我悄悄話] 本文已被閱讀: 次 (784 bytes)
本文內容已被 [ 26484915 ] 在 2014-11-11 12:01:02 編輯過。如有問題,請報告版主或論壇管理刪除.
EGFR is expressed on the cell surface of a substantial percentage of NSCLCs. Initial studies with the EGFR tyrosine kinase inhibitors (TKIs) gefitinib (Iressa) and erlotinib (Tarceva) demonstrated biologic and clinical activity in only a relatively limited subset of lung cancers.[4]

Further investigation demonstrated that the highest response rates to these TKIs were seen in patients with somatic mutations within the EGFR-TK domain, particularly exon 19 deletion, exon 21 L858R, and exon 18 G719X.[5]

By contrast, the exon 20 T790M mutation is associated with acquired resistance to TKI therapy.[6]

http://emedicine.medscape.com/article/1689988-overview

所有跟帖: 

能否明言是否有效?引文看起來太難。 -litianxin- 給 litianxin 發送悄悄話 (0 bytes) () 11/11/2014 postreply 11:59:06

Iressa/Tarceva 對有 EGFR exon 21 突變者有效率高。 -26484915- 給 26484915 發送悄悄話 26484915 的博客首頁 (6 bytes) () 11/11/2014 postreply 12:00:41

國內建議特羅凱?有效嗎? -litianxin- 給 litianxin 發送悄悄話 (0 bytes) () 11/11/2014 postreply 12:02:55

易瑞沙和特羅凱. 特羅凱= Tarceva -26484915- 給 26484915 發送悄悄話 26484915 的博客首頁 (0 bytes) () 11/11/2014 postreply 12:04:44

2種藥都是口服藥,沒有必要住院。 -26484915- 給 26484915 發送悄悄話 26484915 的博客首頁 (0 bytes) () 11/11/2014 postreply 12:40:00

用周邊血檢測的基因突變,而不是活檢,是否準確? -litianxin- 給 litianxin 發送悄悄話 (0 bytes) () 11/11/2014 postreply 12:09:11

血檢說有突變那就是有。血檢說沒有不一定沒有。 -26484915- 給 26484915 發送悄悄話 26484915 的博客首頁 (0 bytes) () 11/11/2014 postreply 12:11:50

多謝 -litianxin- 給 litianxin 發送悄悄話 (0 bytes) () 11/11/2014 postreply 12:12:58

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