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Acquired Resistance of Lung Adenocarcinomas to Gefitinib or Erlotinib Is Associated with a Second Mutation in the EGFR Kinase Domain

PLoS Medicine · 2005 · Vol. 2(3) · pp. e73–e73
William PaoVincent A. MillerKaterina PolitiGregory J. RielyRomel SomwarMaureen F. ZakowskiMark G. KrisHarold Varmus

Abstract

In patients with tumors bearing gefitinib- or erlotinib-sensitive EGFR mutations, resistant subclones containing an additional EGFR mutation emerge in the presence of drug. This observation should help guide the search for more effective therapy against a specific subset of lung cancers.

Lung Cancer Treatments and MutationsChronic Myeloid Leukemia TreatmentsHER2/EGFR in Cancer ResearchGefitinibErlotinibT790MCancer researchEpidermal growth factor receptorLung cancerResistance mutationMedicineMutationErlotinib Hydrochloride

MeSH terms

Erlotinib HydrochlorideGefitinibAdenocarcinomaAntineoplastic AgentsCarcinoma, Non-Small-Cell LungDNA Mutational AnalysisExonsFemaleHumansLung NeoplasmsMiddle AgedQuinazolinesTumor Cells, CulturedPoint MutationDisease Progression

Funding

  • American Cancer Society
  • CHEST Foundation
  • LUNGevity Foundation
  • AstraZeneca
  • Memorial Sloan-Kettering Cancer Center
  • Washington University in St. Louis
  • National Institutes of Health
  • Genentech
  • Canadian Institutes of Health Research
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