Difference between revisions of "Malignant solid neoplasm, EGFR-mutated"

From HemOnc.org - A Hematology Oncology Wiki
Jump to navigation Jump to search
m (Text replacement - "https://ascopubs.org/doi/full/10.1200" to "https://doi.org/10.1200")
 
(17 intermediate revisions by 2 users not shown)
Line 1: Line 1:
 +
<span id="BackToTop"></span>
 +
<div class="noprint" style="background-color:LightGray; position:fixed; bottom:2%; right:0.25%; padding-left:5px; padding-right:5px; margin: 15px; opacity:0.8; border-style: solid; border-color:DarkGray; border-width: 1px">
 +
[[#top|Back to Top]]
 +
</div>
 
{| class="wikitable" style="float:right; margin-right: 5px;"
 
{| class="wikitable" style="float:right; margin-right: 5px;"
 
|-
 
|-
Line 5: Line 9:
 
|}
 
|}
 
{{TOC limit|limit=3}}
 
{{TOC limit|limit=3}}
 
 
=All lines of therapy=
 
=All lines of therapy=
 
==Erlotinib monotherapy {{#subobject:e0d17a|Regimen=1}}==
 
==Erlotinib monotherapy {{#subobject:e0d17a|Regimen=1}}==
 +
<div class="toccolours" style="background-color:#eeeeee">
 
===Regimen {{#subobject:392a4b|Variant=1}}===
 
===Regimen {{#subobject:392a4b|Variant=1}}===
{| class="wikitable" style="width: 50%; text-align:center;"  
+
{| class="wikitable sortable" style="width: 60%; text-align:center;"  
!style="width: 25%"|Study
+
!style="width: 33%"|Study
!style="width: 25%"|[[Levels_of_Evidence#Evidence|Evidence]]
+
!style="width: 33%"|Dates of enrollment
 +
!style="width: 33%"|[[Levels_of_Evidence#Evidence|Evidence]]
 
|-
 
|-
 
|[https://doi.org/10.1200/JCO.2017.75.3780 Hainsworth et al. 2018 (MyPathway)]
 
|[https://doi.org/10.1200/JCO.2017.75.3780 Hainsworth et al. 2018 (MyPathway)]
|style="background-color:#ffffbe"|Phase IIa, <20 pts in this arm
+
|2014-2016
 +
|style="background-color:#ffffbe"|Phase 2a, fewer than 20 pts in this arm
 
|-
 
|-
 
|}
 
|}
 +
<div class="toccolours" style="background-color:#fdcdac">
 
====Biomarker eligibility criteria====
 
====Biomarker eligibility criteria====
 
*Gene: EGFR  
 
*Gene: EGFR  
Line 22: Line 29:
 
*Acceptable methods of measurement: molecular profiling performed on tissue obtained at the most recent tumor biopsy
 
*Acceptable methods of measurement: molecular profiling performed on tissue obtained at the most recent tumor biopsy
 
*Biomarker exclusions: EGFR exon 20 [[Biomarkers#SNV|mutations]]
 
*Biomarker exclusions: EGFR exon 20 [[Biomarkers#SNV|mutations]]
====Chemotherapy====
+
</div>
*[[Erlotinib (Tarceva)]] 150 mg PO once per day  
+
<div class="toccolours" style="background-color:#b3e2cd">
 
+
====Targeted therapy====
'''Continued indefinitely'''
+
*[[Erlotinib (Tarceva)]] 150 mg PO once per day on days 1 to 28
 
+
'''28-day cycles'''
 +
</div></div>
 
===References===
 
===References===
# '''MyPathway:''' Hainsworth JD, Meric-Bernstam F, Swanton C, Hurwitz H, Spigel DR, Sweeney C, Burris H, Bose R, Yoo B, Stein A, Beattie M, Kurzrock R. Targeted therapy for advanced solid tumors on the basis of molecular profiles: results from MyPathway, an open-label, phase IIa multiple basket study. J Clin Oncol. 2018 Feb 20;36(6):536-542. Epub 2018 Jan 10. [https://doi.org/10.1200/JCO.2017.75.3780 link to original article] '''contains verified protocol''' [https://pubmed.ncbi.nlm.nih.gov/29320312 PubMed]
+
# '''MyPathway:''' Hainsworth JD, Meric-Bernstam F, Swanton C, Hurwitz H, Spigel DR, Sweeney C, Burris H, Bose R, Yoo B, Stein A, Beattie M, Kurzrock R. Targeted therapy for advanced solid tumors on the basis of molecular profiles: results from MyPathway, an open-label, phase IIa multiple basket study. J Clin Oncol. 2018 Feb 20;36(6):536-542. Epub 2018 Jan 10. [https://doi.org/10.1200/JCO.2017.75.3780 link to original article] '''contains dosing details in manuscript''' [https://pubmed.ncbi.nlm.nih.gov/29320312/ PubMed] [https://clinicaltrials.gov/study/NCT02091141 NCT02091141]
 
+
[[Category:Malignant solid neoplasm, EGFR-mutated regimens]]
[[Category:EGFR regimens]]
 
 
[[Category:Biomarker-specific pages]]
 
[[Category:Biomarker-specific pages]]
 
[[Category:Malignant solid neoplasm]]
 
[[Category:Malignant solid neoplasm]]
[[Category:Site-agnostic regimens]]
 

Latest revision as of 00:59, 3 December 2023

1 regimens on this page
1 variants on this page


All lines of therapy

Erlotinib monotherapy

Regimen

Study Dates of enrollment Evidence
Hainsworth et al. 2018 (MyPathway) 2014-2016 Phase 2a, fewer than 20 pts in this arm

Biomarker eligibility criteria

  • Gene: EGFR
  • Alteration: nonsynonymous exon 18 or exon 21 mutations, or exon 19 deletions
  • Acceptable methods of measurement: molecular profiling performed on tissue obtained at the most recent tumor biopsy
  • Biomarker exclusions: EGFR exon 20 mutations

Targeted therapy

28-day cycles

References

  1. MyPathway: Hainsworth JD, Meric-Bernstam F, Swanton C, Hurwitz H, Spigel DR, Sweeney C, Burris H, Bose R, Yoo B, Stein A, Beattie M, Kurzrock R. Targeted therapy for advanced solid tumors on the basis of molecular profiles: results from MyPathway, an open-label, phase IIa multiple basket study. J Clin Oncol. 2018 Feb 20;36(6):536-542. Epub 2018 Jan 10. link to original article contains dosing details in manuscript PubMed NCT02091141