目的比较埃克替尼和其他表皮细胞生长因子受体(EGFR)酪氨酸激酶抑制剂(TKIs)类药物在治疗非小细胞肺癌(NSCLC)的有效性及安全性。方法检索Pub Med、Em Base、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万...目的比较埃克替尼和其他表皮细胞生长因子受体(EGFR)酪氨酸激酶抑制剂(TKIs)类药物在治疗非小细胞肺癌(NSCLC)的有效性及安全性。方法检索Pub Med、Em Base、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普中文生物医学期刊数据库,纳入埃克替尼与其他EGFR-TKI治疗非小细胞肺癌患者的随机对照试验(RCT),检索时限为建库至2016年3月。由2位研究者独立对纳入的文献进行筛选、提取资料,然后用Rev Man 5.3软件进行分析。结果共纳入符合标准的RCTs共5项,共涉及633例病例,其中试验组(埃克替尼组)318例,对照组(其他EGFR-TKIs治疗组)315例。Meta分析显示,组间异质性检验结果良好,可用固定效应模型进行分析。试验组与对照组在有效率、疾病控制率方面差异均无统计学意义(均P>0.05)。2组药物不良反应主要以皮疹和腹泻为主,且有肝功能损伤等其他药物不良反应的报道,差异均无统计学意义(均P>0.05)。结论在治疗非小细胞肺癌的有效性及安全性方面,埃克替尼与其他EGFR-TKI(如吉非替尼、厄洛替尼)相当。展开更多
First-generation epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs), including gefitinib and erlotinib, have proven to be highly effective agents for advanced non-small cell lung cancer(NSCLC) in p...First-generation epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs), including gefitinib and erlotinib, have proven to be highly effective agents for advanced non-small cell lung cancer(NSCLC) in patients harboring an activating EGFR mutation such as the exon 19 deletion mutation and L858 R. Although those reversible small molecular targeted agents provide a significant response and survival benefit, all responders eventually acquire resistance. Secondgeneration EGFR-targeting agents, such as irreversible EGFR/HER2 tyrosine kinase inhibitors and pan-HER TKIs, may improve survival further and be useful for patients who acquired resistance to first-generation EGFR-TKIs. This review discusses novel therapeutic strategies for EGFR-mutated advanced NSCLC using first- and second-generation EGFR-TKIs.展开更多
文摘目的比较埃克替尼和其他表皮细胞生长因子受体(EGFR)酪氨酸激酶抑制剂(TKIs)类药物在治疗非小细胞肺癌(NSCLC)的有效性及安全性。方法检索Pub Med、Em Base、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普中文生物医学期刊数据库,纳入埃克替尼与其他EGFR-TKI治疗非小细胞肺癌患者的随机对照试验(RCT),检索时限为建库至2016年3月。由2位研究者独立对纳入的文献进行筛选、提取资料,然后用Rev Man 5.3软件进行分析。结果共纳入符合标准的RCTs共5项,共涉及633例病例,其中试验组(埃克替尼组)318例,对照组(其他EGFR-TKIs治疗组)315例。Meta分析显示,组间异质性检验结果良好,可用固定效应模型进行分析。试验组与对照组在有效率、疾病控制率方面差异均无统计学意义(均P>0.05)。2组药物不良反应主要以皮疹和腹泻为主,且有肝功能损伤等其他药物不良反应的报道,差异均无统计学意义(均P>0.05)。结论在治疗非小细胞肺癌的有效性及安全性方面,埃克替尼与其他EGFR-TKI(如吉非替尼、厄洛替尼)相当。
文摘First-generation epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs), including gefitinib and erlotinib, have proven to be highly effective agents for advanced non-small cell lung cancer(NSCLC) in patients harboring an activating EGFR mutation such as the exon 19 deletion mutation and L858 R. Although those reversible small molecular targeted agents provide a significant response and survival benefit, all responders eventually acquire resistance. Secondgeneration EGFR-targeting agents, such as irreversible EGFR/HER2 tyrosine kinase inhibitors and pan-HER TKIs, may improve survival further and be useful for patients who acquired resistance to first-generation EGFR-TKIs. This review discusses novel therapeutic strategies for EGFR-mutated advanced NSCLC using first- and second-generation EGFR-TKIs.
