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Rociletinib in EGFR-Mutated Non–Small-Cell Lung Cancer
Ist Teil von
The New England journal of medicine, 2015-04, Vol.372 (18), p.1700-1709
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
Patients with non–small-cell lung cancer and mutated epidermal growth factor receptors who develop resistance to EGFR inhibitors through a particular mutation (T790M) are responsive to rociletinib.
Increasingly, treatment decisions for patients with non–small-cell lung cancer (NSCLC) are based on the driver mutation rather than the histologic subtype, when such mutations are present. Mutations in the gene encoding epidermal growth factor receptor (
EGFR
) are among the most common oncogenic mutations in lung adenocarcinoma and are present in approximately 10 to 15% of Western patients and 30 to 35% of Asian patients.
1
At the time of diagnosis, approximately 90% of
EGFR
-mutation–positive patients have one of two activating mutations, an in-frame deletion in exon 19 or an L858R point mutation in exon 21.
1
The first-generation and . . .