In this specific article, we review latest data on the usage of EGFR inhibitors for treatment of individuals with CNS and NSCLC metastases

In this specific article, we review latest data on the usage of EGFR inhibitors for treatment of individuals with CNS and NSCLC metastases. Keywords: Lung neoplasms, Epidermal growth point receptor, EGFR-tyrosine kinase inhibitors, Central anxious system metastases [1](non-small cell lung tumor, NSCLC)80%-85%, [2, 3], 5[4] NSCLC(central anxious system, CNS)30%-50%, , , 1, 2, 2-6[5-13] (epidermal growth factor receptor tyrosine kinase inhibitors, EGFR-TKIs)NSCLCNSCLCEGFR30%-40%, 10%[14-17]EGFR-TKIsEGFRNSCLC56%-74%, (progression-free survival, PFS)10-14, [18-22]EGFR-TKIs, CNSEGFR-TKIsNSCLCCNS 1.?NSCLC CNS CNS, [23-27]NSCLC, , (), 2-3[28] 2.?NSCLC CNSEGFR-TKIs [18, 22, 29]NSCLCEGFR-TKIs70%-80%, PFS12, EGFR-TKIs, CNS[30]CNSEGFR-TKIs, EGFR-TKIsNSCLCCNS30%[31-34] [35]EGFR-TKIs, 12CNS6%19%EGFR, EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(partial response, PR), 39%(12)(steady disease, SD), 19%(6)(progressive disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , . EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(incomplete response, PR), 39%(12)(steady disease, SD), 19%(6)(intensifying disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), hJumpy BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , .However the systemic efcacy of targeted agents is set up, the efcacy of central nervous system (CNS) metastases isn’t aswell characterized. 2-6[5-13] (epidermal development aspect receptor tyrosine kinase inhibitors, EGFR-TKIs)NSCLCNSCLCEGFR30%-40%, 10%[14-17]EGFR-TKIsEGFRNSCLC56%-74%, (progression-free success, PFS)10-14, [18-22]EGFR-TKIs, CNSEGFR-TKIsNSCLCCNS 1.?NSCLC CNS CNS, [23-27]NSCLC, , (), 2-3[28] 2.?NSCLC CNSEGFR-TKIs [18, 22, 29]NSCLCEGFR-TKIs70%-80%, PFS12, EGFR-TKIs, CNS[30]CNSEGFR-TKIs, EGFR-TKIsNSCLCCNS30%[31-34] [35]EGFR-TKIs, 12CNS6%19%EGFR, EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(incomplete response, PR), 39%(12)(steady disease, SD), 19%(6)(intensifying disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), Aminophylline SMO(1.3%) EGFR-TKIs, , , , .In this specific article, we review latest data on the usage of EGFR inhibitors for treatment of sufferers with NSCLC and CNS metastases. Keywords: Lung neoplasms, Epidermal growth matter receptor, EGFR-tyrosine kinase inhibitors, Central anxious system metastases [1](non-small cell lung cancers, NSCLC)80%-85%, [2, 3], 5[4] NSCLC(central anxious system, CNS)30%-50%, , , 1, 2, 2-6[5-13] (epidermal growth factor receptor tyrosine kinase inhibitors, EGFR-TKIs)NSCLCNSCLCEGFR30%-40%, 10%[14-17]EGFR-TKIsEGFRNSCLC56%-74%, (progression-free survival, PFS)10-14, [18-22]EGFR-TKIs, CNSEGFR-TKIsNSCLCCNS 1.?NSCLC CNS CNS, [23-27]NSCLC, , (), 2-3[28] 2.?NSCLC CNSEGFR-TKIs [18, 22, 29]NSCLCEGFR-TKIs70%-80%, PFS12, EGFR-TKIs, CNS[30]CNSEGFR-TKIs, EGFR-TKIsNSCLCCNS30%[31-34] [35]EGFR-TKIs, 12CNS6%19%EGFR, EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(partial response, PR), 39%(12)(steady disease, SD), 19%(6)(progressive disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, Aminophylline CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , . 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(incomplete response, PR), 39%(12)(steady disease, SD), 19%(6)(intensifying disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , .In this specific article, we review latest data on the usage of EGFR inhibitors for treatment of sufferers with NSCLC and CNS metastases. Keywords: Lung neoplasms, Epidermal growth matter receptor, EGFR-tyrosine kinase inhibitors, Central anxious system metastases [1](non-small cell lung cancers, NSCLC)80%-85%, [2, 3], 5[4] NSCLC(central anxious system, CNS)30%-50%, , , 1, 2, 2-6[5-13] (epidermal growth factor receptor tyrosine kinase inhibitors, EGFR-TKIs)NSCLCNSCLCEGFR30%-40%, 10%[14-17]EGFR-TKIsEGFRNSCLC56%-74%, (progression-free survival, PFS)10-14, [18-22]EGFR-TKIs, CNSEGFR-TKIsNSCLCCNS 1.?NSCLC CNS CNS, [23-27]NSCLC, , (), 2-3[28] 2.?NSCLC CNSEGFR-TKIs [18, 22, 29]NSCLCEGFR-TKIs70%-80%, PFS12, EGFR-TKIs, CNS[30]CNSEGFR-TKIs, EGFR-TKIsNSCLCCNS30%[31-34] [35]EGFR-TKIs, 12CNS6%19%EGFR, EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, Aminophylline 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(partial response, PR), 39%(12)(steady disease, SD), 19%(6)(progressive disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , . EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(incomplete response, PR), 39%(12)(steady disease, SD), 19%(6)(intensifying disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , .In this specific article, we review latest data on the usage of EGFR inhibitors for treatment of sufferers with NSCLC and CNS metastases. Keywords: Lung neoplasms, Epidermal growth matter receptor, EGFR-tyrosine kinase inhibitors, Central anxious system metastases [1](non-small cell lung cancers, NSCLC)80%-85%, [2, 3], 5[4] NSCLC(central anxious system, CNS)30%-50%, , , 1, 2, 2-6[5-13] (epidermal growth factor receptor tyrosine kinase inhibitors, EGFR-TKIs)NSCLCNSCLCEGFR30%-40%, 10%[14-17]EGFR-TKIsEGFRNSCLC56%-74%, (progression-free survival, PFS)10-14, [18-22]EGFR-TKIs, CNSEGFR-TKIsNSCLCCNS 1.?NSCLC CNS CNS, [23-27]NSCLC, , (), 2-3[28] 2.?NSCLC CNSEGFR-TKIs [18, 22, 29]NSCLCEGFR-TKIs70%-80%, PFS12, EGFR-TKIs, CNS[30]CNSEGFR-TKIs, EGFR-TKIsNSCLCCNS30%[31-34] [35]EGFR-TKIs, 12CNS6%19%EGFR, EGFREGFR-TKIs[36, 37]EGFREGFR, 11.75.8, 85%, EGFR16%[38][39], NSCLC, 16.7%EGFR, 31.3%, 52%, PFS10.1, PFS9.7, EGFRPFS15.2, EGFR4.4 EGFR-TKIsEGFR-TKIs, NSCLCEGFR-TKIsCNS, EGFR-TKIs[40] , CNS[41, 42], , CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(partial response, PR), 39%(12)(steady disease, SD), 19%(6)(progressive disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), Aminophylline CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , . CNS, P(P-glycoprotein, P-gp)[43-45] , EGFR-TKIsWeber[46]1NSCLC, 11, (positron emission tomography-computed tomography, PET-CT), EGFR-TKIsCNS, Togashi[47]OSI-420NSCLC5.1%5.8%, EGFR-TKIsJackman[48]1Jackman[49]10, CNS10%, CNSPFS1.7, , 3.?EGFR-TKIs EGFR-TKIsEGFR, [50]Petra Hoffknecht[51]CNS31NSCLC42%(13)(incomplete response, PR), 39%(12)(steady disease, SD), 19%(6)(intensifying disease, PD) 45EGFRNSCLC76%, PFS18.2, EGFRNSCLC, [52]”type”:”clinical-trial”,”attrs”:”text”:”NCT02047747″,”term_id”:”NCT02047747″NCT02047747, EGFRNSCLC, [53] 4.?EGFR-TKIs EGFR-TKIs(T790)AZD9291, rociletinib(CO-1686), HM61713, AZD9291CO-1686T79061%64%[54, 55] Sequist[55]1CNSCO-1686Kim[56]AZD-9291, CNSHM61713T790, , CNS[57] 5.?AZD3759 AZD3759CNSEGFR-TKIs, , AZD3759[58] 6.? , EGFR, (anaplastic lymphoma kinase, ALK), ROS1RETHER2BRAF[59]Preusser[60], 48, 29(60.4%), 7664(84.2%), TP53(46.1%), KRAS(38.2%), CDKN2A(22.4%), EGFR(3.9%), PIK3CA(2.6%), BRAF(1.3%), SMO(1.3%) EGFR-TKIs, , , , .