Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach

Background: Several randomized phase III studies in advanced stage non-small cell lung cancer (NSCLC) confirmed the superior response rate and progression-free survival of using epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor as first-line therapy compared with chemotherapy in pati...

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Main Authors: Salto-Tellez M., Tsao M., Shih J., Thongprasert S., Lu S., Chang G., Au J., Chou T., Lee J., Shi Y., Radzi A., Kang J., Kim S., Tan S., Yang J.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=80053023140&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/42987
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-429872017-09-28T06:45:18Z Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach Salto-Tellez M. Tsao M. Shih J. Thongprasert S. Lu S. Chang G. Au J. Chou T. Lee J. Shi Y. Radzi A. Kang J. Kim S. Tan S. Yang J. Background: Several randomized phase III studies in advanced stage non-small cell lung cancer (NSCLC) confirmed the superior response rate and progression-free survival of using epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor as first-line therapy compared with chemotherapy in patients with activating EGFR mutations. Despite the need for EGFR mutation tests to guide first-line therapy in East Asian NSCLC, there are no current standard clinical and testing protocols. Methods: A consensus meeting was held involving expert oncologists, pulmonologists, and pathologists to discuss the current status and variations in EGFR mutation testing of NSCLC across Asia and to recommend a standard clinical and laboratory testing approach for future use. Results: Currently, EGFR mutation tests are only routinely performed in some East Asian countries and medical centers. The consensus recommendation was to perform the test in all newly diagnosed patients with advanced stage nonsquamous lung cancer and some squamous patients with clinical features associated with higher prevalence of EGFR mutations. To increase the sensitivity and specificity of the EGFR mutation tests, tissue acquisition and pretest sample evalu ation are important steps in addition to standardization of the EGFR mutation test methodology. Conclusion: A standardized EGFR mutation testing protocol is an essential step toward realization of personalized medicine in East Asian NSCLC treatment. © 2011 by the International Association for the Study of Lung Cancer. 2017-09-28T06:45:18Z 2017-09-28T06:45:18Z 2011-10-01 Journal 15560864 2-s2.0-80053023140 10.1097/JTO.0b013e318227816a https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=80053023140&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/42987
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description Background: Several randomized phase III studies in advanced stage non-small cell lung cancer (NSCLC) confirmed the superior response rate and progression-free survival of using epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor as first-line therapy compared with chemotherapy in patients with activating EGFR mutations. Despite the need for EGFR mutation tests to guide first-line therapy in East Asian NSCLC, there are no current standard clinical and testing protocols. Methods: A consensus meeting was held involving expert oncologists, pulmonologists, and pathologists to discuss the current status and variations in EGFR mutation testing of NSCLC across Asia and to recommend a standard clinical and laboratory testing approach for future use. Results: Currently, EGFR mutation tests are only routinely performed in some East Asian countries and medical centers. The consensus recommendation was to perform the test in all newly diagnosed patients with advanced stage nonsquamous lung cancer and some squamous patients with clinical features associated with higher prevalence of EGFR mutations. To increase the sensitivity and specificity of the EGFR mutation tests, tissue acquisition and pretest sample evalu ation are important steps in addition to standardization of the EGFR mutation test methodology. Conclusion: A standardized EGFR mutation testing protocol is an essential step toward realization of personalized medicine in East Asian NSCLC treatment. © 2011 by the International Association for the Study of Lung Cancer.
format Journal
author Salto-Tellez M.
Tsao M.
Shih J.
Thongprasert S.
Lu S.
Chang G.
Au J.
Chou T.
Lee J.
Shi Y.
Radzi A.
Kang J.
Kim S.
Tan S.
Yang J.
spellingShingle Salto-Tellez M.
Tsao M.
Shih J.
Thongprasert S.
Lu S.
Chang G.
Au J.
Chou T.
Lee J.
Shi Y.
Radzi A.
Kang J.
Kim S.
Tan S.
Yang J.
Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
author_facet Salto-Tellez M.
Tsao M.
Shih J.
Thongprasert S.
Lu S.
Chang G.
Au J.
Chou T.
Lee J.
Shi Y.
Radzi A.
Kang J.
Kim S.
Tan S.
Yang J.
author_sort Salto-Tellez M.
title Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
title_short Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
title_full Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
title_fullStr Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
title_full_unstemmed Clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in East Asian patients with non-small cell lung cancer: A combined clinical-molecular pathological approach
title_sort clinical and testing protocols for the analysis of epidermal growth factor receptor mutations in east asian patients with non-small cell lung cancer: a combined clinical-molecular pathological approach
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=80053023140&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/42987
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