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甲磺酸伏美替尼治疗非小细胞肺癌的研究进展

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非小细胞肺癌(non-small cell lung cancer,NSCLC)约占肺癌的80%~85%,表皮生长因子受体(epidermal growth factor receptor,EGFR)基因突变是最常见的驱动基因突变.EGFR酪氨酸激酶抑制剂(EGFR-tyrosine ki-nase inhibitor,EGFR-TKI)是EGFR敏感突变晚期NSCLC患者的一线标准治疗.甲磺酸伏美替尼是我国自主研发的第三代EGFR-TKI,具有双活性、高选择、强效缩瘤以及安全性好的特点.目前甲磺酸伏美替尼在治疗EGFR T790M突变、EGFR敏感突变、EGFR外显子20插入突变以及中枢神经系统转移NSCLC均显示出确切的疗效.与此同时,围手术期治疗和三代EGFR-TKI耐药后采用甲磺酸伏美替尼再挑战的相关探索和研究也日益广泛.全文就甲磺酸伏美替尼在EGFR突变NSCLC治疗中的最新进展和临床研究进行综述,以期为甲磺酸伏美替尼临床应用提供更多参考.
Research Progress on Furmonertinib in Treatment of Non-Small Cell Lung Cancer
Non-small cell lung cancer(NSCLC)accounts for 80%~85%of lung cancer cases,and epidermal growth factor receptor(EGFR)gene mutations are the most common driver mutations in NSCLC.EGFR-tyrosine kinase in-hibitors(EGFR-TKI)have been the standard first-line treatment for advanced NSCLC with EGFR-sensitive mutations.Furmonertinib is a third-generation EGFR-TKI developed in China,characterized by dual activity,high selectivity,strong tumor shrinkage effects and good safety.Furmonertinib has demonstrated definite efficacy in the treatment of NSCLC with EGFR T790M mutation,EGFR-sensitive mutation,EGFR exon 20 insertion mutation and central ner-vous system metastasis.Meanwhile,exploration and research on perioperative treatment and rechallenge with fur-monertinib after resistance to third-generation EGFR-TKI are also increasingly prevalent.This paper reviews the progress and clinical studies on the use of furmonertinib in the treatment of EGFR-mutated NSCLC to provide refe-rence for its clinical application.

non-small cell lung cancerfurmonertinibepidermal growth factor receptortyrosine kinase in-hibitor

王俊、冉凤鸣、钱羽

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华中科技大学同济医学院附属肿瘤医院,湖北省肿瘤医院,湖北武汉 430079

非小细胞肺癌 甲磺酸伏美替尼 表皮生长因子受体 酪氨酸激酶抑制剂

希思科-艾力斯肺癌靶向治疗研究基金项目(2021年度)

2024

肿瘤学杂志
浙江省肿瘤医院 浙江省抗癌协会

肿瘤学杂志

CSTPCD
影响因子:0.83
ISSN:1671-170X
年,卷(期):2024.30(9)
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