Gefitinib Resensitization After a TKI-Free Interval in Osimertinib Resistant Non–Small-Cell Lung Cancer: A Glimpse of Hope in Time of Crisis?

•After osimertinib resistance some patients are still sensitive to EGFR blockage.•Gefitinib rechallenge seems effective after a TKI-free interval.•Liquid biopsy can track clonal evolution of EGFR mutated NSCLCs.•Detection of EGFR mutations on ctDNA can identify patients for this strategy.

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Veröffentlicht in:Clinical lung cancer 2024-09, Vol.25 (6), p.e262-e267
Hauptverfasser: Muscolino, Paola, Scimone, Claudia, Sapuppo, Elena, Micali, Vincenzo, Vasta, Ignazio, Santacaterina, Anna, Santarpia, Mariacarmela, Russo, Alessandro
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container_end_page e267
container_issue 6
container_start_page e262
container_title Clinical lung cancer
container_volume 25
creator Muscolino, Paola
Scimone, Claudia
Sapuppo, Elena
Micali, Vincenzo
Vasta, Ignazio
Santacaterina, Anna
Santarpia, Mariacarmela
Russo, Alessandro
description •After osimertinib resistance some patients are still sensitive to EGFR blockage.•Gefitinib rechallenge seems effective after a TKI-free interval.•Liquid biopsy can track clonal evolution of EGFR mutated NSCLCs.•Detection of EGFR mutations on ctDNA can identify patients for this strategy.
doi_str_mv 10.1016/j.cllc.2024.06.003
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subjects Acrylamides - therapeutic use
Aniline Compounds - therapeutic use
Antineoplastic Agents - therapeutic use
C797S
Carcinoma, Non-Small-Cell Lung - drug therapy
Drug Resistance, Neoplasm
EGFR
ErbB Receptors - antagonists & inhibitors
ErbB Receptors - genetics
Gefitinib
Gefitinib - therapeutic use
Humans
Indoles
Lung Neoplasms - drug therapy
Osimertinib resistance
Protein Kinase Inhibitors - therapeutic use
Pyrimidines
Rechallenge
title Gefitinib Resensitization After a TKI-Free Interval in Osimertinib Resistant Non–Small-Cell Lung Cancer: A Glimpse of Hope in Time of Crisis?
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