دورية أكاديمية

BRAF Inhibitors in Non-Small Cell Lung Cancer.

التفاصيل البيبلوغرافية
العنوان: BRAF Inhibitors in Non-Small Cell Lung Cancer.
المؤلفون: Sforza V; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Palumbo G; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Cascetta P; Department of Medical Oncology, Institut Gustave Roussy, 114 Rue Edouard Vaillant, 94805 Villejuif, France., Carillio G; Department of Oncology and Hematology, Azienda Ospedaliera Pugliese-Ciaccio, 88100 Catanzaro, Italy., Manzo A; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Montanino A; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Sandomenico C; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Costanzo R; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Esposito G; Oncology, San Giuseppe Moscati Hospital, 81031 Aversa, Italy., Laudato F; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Damiano S; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Forte CA; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Frosini G; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Farese S; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Piccirillo MC; Clinical Trials Unit, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Pascarella G; Scientific Directorate, Istituto Nazionale Tumori 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Normanno N; Cellular Biology and Biotherapy, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy., Morabito A; Thoracic Medical Oncology, Istituto Nazionale Tumori, 'Fondazione G. Pascale'-IRCCS, 80131 Napoli, Italy.
المصدر: Cancers [Cancers (Basel)] 2022 Oct 05; Vol. 14 (19). Date of Electronic Publication: 2022 Oct 05.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI
مستخلص: RAF family proteins are serine-threonine kinases that play a central role in the MAPK pathway which is involved in embryogenesis, cell differentiation, cell proliferation and death. Deregulation of this pathway is found in up to 30% of all human cancers and BRAF mutations can be identified in 1.5-3.5% of NSCLC patients. Following the positive results obtained through the combination of BRAF and MEK inhibitors in BRAF-mutant melanoma, the same combination was prospectively assessed in BRAF-mutant NSCLC. In cohort B of the BRF113928 trial, 57 pretreated NSCLC patients were treated with dabrafenib plus trametinib: an ORR of 68.4%, a disease control rate of 80.7%, a median PFS of 10.2 months and a median OS of 18.2 months were observed. Similar results were reported in the first-line setting (cohort C), with an ORR of 63.9%, a DCR of 75% and a median PFS and OS of 10.2 and 17.3 months, respectively. The combination was well tolerated: the main adverse events were pyrexia (64%), nausea (56%), diarrhoea (56%), fatigue (36%), oedema (36%) and vomiting (33%). These positive results led to the approval of the combination of dabrafenib and trametinib for the treatment of BRAF V600E metastatic NSCLC patients regardless of previous therapy. Ongoing research should better define the role of new generation RAF inhibitors for patients with acquired resistance, the activity of chemo-immunotherapy or the combination of TKIs with chemotherapy or with immunotherapy in patients with BRAF-mutated cancers.
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فهرسة مساهمة: Keywords: BRAF; MEK; NSCLC; binimetinib; dabrafenib; encorafenib; trametinib
تواريخ الأحداث: Date Created: 20221014 Latest Revision: 20221017
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9562258
DOI: 10.3390/cancers14194863
PMID: 36230797
قاعدة البيانات: MEDLINE
الوصف
تدمد:2072-6694
DOI:10.3390/cancers14194863