6.Targeted treatments for known oncogenic drivers (see Chapter 7) should be given until resistance, before proceeding with chemotherapy with or without immunotherapy.
7.Likewise, BRAF-mutant tumors have higher RR and longer PFS on ICIs than other oncogenic drivers do, without any clear evidence of differing efficacies between BRAF-mutation subtypes.
8.MET amplification is also a common determinant of AR during treatment with TKIs for other oncogenic drivers such as EGFR, ALK, ROS1, KRAS G12C and NTRK.
使用 TKI 治疗其他致癌驱动因素(例如 EGFR、ALK、ROS1、KRAS G12C 和 NTRK)期间,MET 扩增也是 AR 常见决定因素。机翻
9.MET mutation Both MET exon 14-skipping mutation and MET amplification are primary oncogenic drivers in 3- -5% of patients with NSCLC; MET- dysregulated NSCLCs have a poor prognosis.
MET 突变 MET 外显子 14 跳跃突变和 MET 扩增都是 3- -5% NSCLC 患者主要致癌驱动因素; MET 失调 NSCLC 预后较差。机翻
10.However, it should be noted that a negative liquid biopsy result does not rule out an oncogenic driver, and tissue-based testing should be performed if possible.
11.Although NTRK fusions seem to be mutually exclusive with other oncogenic drivers, these fusions were recently reported in EGFR-mutant NSCLC as a mechanism of AR to EGFR-TKIs.
尽管 NTRK 融合似乎与其他致癌驱动因素相互排斥,但最近 EGFR 突变 NSCLC 中报道了这些融合作为 EGFR-TKI AR 机制。机翻
12.Key points - personalized treatment in advanced NSCLC Approximately 50% of advanced NSCLCs have a known oncogenic alteration, many of which can be managed with targeted therapies.
13.This personalized medicine approach has a large effect on patients' survival, as when a patient with an oncogenic target receives the appropriate targeted therapy the duration of response is longer than previously seen with chemotherapy.