One of the main mechanisms of secondary resistance in patients treated
with tyrosine kinase inhibitors is acquisition of new inhibitor - resistant mutations.
DDRs inhibition
with a tyrosine kinase inhibitor appears to insulate the brain via blood - brain barrier repair, which prevents harmful immune cells that circulate in the body from getting into the brain where they can indiscriminately attack and kill healthy and sick neurons, like those that have been unable to perform autophagy to «take out their trash,» says Moussa.
Not exact matches
The estimation of EGFR mutation status is essential for the identification of non-small cell lung carcinoma (NSCLC) patients who may benefit from treatment
with EGFR
tyrosine kinase inhibitors (TKIs), and hence for improving therapeutic efficacy.
For example, epidermal growth factor (EGFR) mutations may result in sensitivity to drugs that are EGFR
tyrosine kinase inhibitors (TKIs), such as erlotinib or gefitinib, whereas individuals
with the EGFR T790M mutation are more resistant to these drugs.
EGFR
tyrosine kinase inhibitor (TKI) therapy is approved for EGFR activating mutation positive patients
with advanced NSCLC, but the standard for determining mutation status is
with DNA derived directly from tumor tissue, which can be limited or not available.
Among patients
with advanced non-small cell lung cancer without a mutation of a certain gene (EGFR), conventional chemotherapy, compared
with treatment using epidermal growth factor receptor
tyrosine kinase inhibitors, was associated
with improvement in survival without progression of the cancer, but not
with overall survival, according to a study in the April 9 issue of JAMA.
Epidermal growth factor receptor (EGFR)
tyrosine kinase inhibitors (TKIs) are the preferred treatment option for patients
with advanced non-small cell lung cancer (NSCLC) who have mutations in the EGFR gene.
Approximately 10 - 15 % of Caucasian and 30 - 35 % of Asian patients
with NSCLC have a mutation in the epidermal growth factor receptor (EGFR), which can be successfully targeted
with EGFR
inhibitors called
tyrosine kinase inhibitors (TKI), such as erlotinib, gefitinib and afatinib.
If this is true, then immunocheckpoint blockade combination
with EGFR
tyrosine kinase inhibitors is a major path towards improving outcome of patients who have EGFR - mutant non-small-cell lung cancer.»
A class of oral specialty drugs,
tyrosine kinase inhibitors (TKIs), has revolutionized the treatment of CML, largely transforming it into a chronic condition and enabling many patients to have a near - normal lifespan, particularly when compared to a median survival of less than three years
with prior therapies.
Scanning electron micrograph of the coronary microvasculature of a mouse that has been treated
with a small molecule
tyrosine kinase inhibitor of platelet - derived growth factor receptor beta.
Another focus was the differential sensitivity of different mutations towards inhibition
with specific
tyrosine kinase inhibitors (5).
Patients
with chronic myeloid leukemia in the blast phase pose a significant therapeutic challenge and have poor survival, even in the
tyrosine kinase inhibitor era, according to a new study.
The US Food and Drug Administration (FDA) recently approved the oral Bruton
tyrosine kinase (BTK)
inhibitor ibrutinib for the treatment of patients
with relapsed or refractory marginal zone lymphoma who require systemic therapy and have had at least one prior anti-CD20 therapy.
Currently, 31
tyrosine kinase inhibitors are FDA approved for human therapy,
with many more in clinical trials.
These mutant
kinases are attractive therapeutic targets, as demonstrated by the efficacy of imatinib in BCR - ABL — positive chronic myelogenous leukemia (CML), 5 as well as in MPD associated
with activating alleles involving PDGFRA or PDGFRB.2, 6,7 In addition, activating mutations in the FLT3 receptor
tyrosine kinase are the most common genetic event in acute myeloid leukemia (AML), and specific
inhibitors of the FMS - like
tyrosine kinase 3 (FLT3) have entered late - stage clinical trials.8 Although mutations in
tyrosine kinases and in other genes have been identified in a subset of MPD and AML, in many cases the genetic events that contribute to the molecular pathogenesis of these diseases remain unknown.
32) Kubo T, Yamamoto H, Lockwood WW, Fujii T, Ouchida M, Soh J, Takigawa J, Kiura K, Shimizu K, Date H, Minna JD, Lam WL, Gazdar AF, Toyooka S (2009) MET gene amplification or EGFR mutation activate MET in lung cancers untreated
with EGFR
tyrosine kinase inhibitors.
Inform and educate clinicians as to updates and revisions of their Molecular testing Guideline for the Selection of Lung cancer Patients for Treatment
with Targeted
Tyrosine Kinase Inhibitors.
Erlotinib, an EGFR
tyrosine kinase inhibitor, has proven to be an effective agent in patients
with mutations in the EGFR gene, but its efficacy in wild - type EGFR patients was unclear.
Multi-center, placebo - controlled, double - blind, randomized study of oral toceranib phosphate (SU11654), a receptor
tyrosine kinase inhibitor, for the treatment of dogs
with recurrent (either local or distant) mast cell tumor following surgical excision.