Making the first move in EGFR-driven or ALK-driven NSCLC: first-generation or next-generation TKI? - Archive ouverte HAL
Article Dans Une Revue Nature Reviews Clinical Oncology Année : 2018

Making the first move in EGFR-driven or ALK-driven NSCLC: first-generation or next-generation TKI?

Making the first move in EGFR-driven or ALK-driven NSCLC: first-generation or next-generation TKI?

Résumé

The traditional approach to the treatment of patients with advanced-stage non-small-cell lung carcinoma (NSCLC) harbouring ALK rearrangements or EGFR mutations has been the sequential administration of therapies (sequential treatment approach), in which patients first receive first-generation tyrosine-kinase inhibitors (TKIs), which are eventually replaced by next-generation TKIs and/or chemotherapy upon disease progression, in a decision optionally guided by tumour molecular profiling. In the past few years, this strategy has been challenged by clinical evidence showing improved progression-free survival, improved intracranial disease control and a generally favourable toxicity profile when next-generation EGFR and ALK TKIs are used in the first-line setting. In this Review, we describe the existing preclinical and clinical evidence supporting both treatment strategies - the 'historical' sequential treatment strategy and the use of next-generation TKIs - as frontline therapies and discuss the suitability of both strategies for patients with EGFR-driven or ALK-driven NSCLC.
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Dates et versions

hal-04500214 , version 1 (11-03-2024)

Identifiants

Citer

Gonzalo Recondo, Francesco Facchinetti, Ken Olaussen, Benjamin Besse, Luc Friboulet. Making the first move in EGFR-driven or ALK-driven NSCLC: first-generation or next-generation TKI?. Nature Reviews Clinical Oncology, 2018, 15 (11), pp.694-708. ⟨10.1038/s41571-018-0081-4⟩. ⟨hal-04500214⟩
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