https://scholars.lib.ntu.edu.tw/handle/123456789/628842
標題: | Asian Thoracic Oncology Research Group (ATORG) Expert Consensus Statement on MET Alterations in NSCLC: Diagnostic and Therapeutic Considerations | 作者: | Ahn, Myung-Ju Mendoza, Marvin Jonne L Pavlakis, Nick Kato, Terufumi Soo, Ross A Kim, Dong-Wan Liam, Chong Kin Hsia, Te-Chun Lee, Chee Khoon Reungwetwattana, Thanyanan Geater, Sarayut Chan, Oscar Siu Hong Prasongsook, Naiyarat Solomon, Benjamin J Nguyen, Thi Thai Hoa Kozuki, Toshiyuki CHIH-HSIN YANG Wu, Yi-Long Mok, Tony Shu Kam Tan, Daniel Shao-Weng Yatabe, Yasushi |
關鍵字: | Asia-Pacific; Lung cancer; MET amplification in EGFR TKI resistance; MET exon 14 mutation; MET inhibitors | 公開日期: | 十二月-2022 | 出版社: | CIG MEDIA GROUP, LP | 卷: | 23 | 期: | 8 | 起(迄)頁: | 670 | 來源出版物: | Clinical lung cancer | 摘要: | Non-small cell lung cancer (NSCLC) is a heterogeneous disease, with many oncogenic driver mutations, including de novo mutations in the Mesenchymal Epithelial Transition (MET) gene (specifically in Exon 14 [ex14]), that lead to tumourigenesis. Acquired alterations in the MET gene, specifically MET amplification is also associated with the development of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) resistance in patients with EGFR-mutant NSCLC. Although MET has become an actionable biomarker with the availability of MET-specific inhibitors in selected countries, there is differential accessibility to diagnostic platforms and targeted therapies across countries in Asia-Pacific (APAC). The Asian Thoracic Oncology Research Group (ATORG), an interdisciplinary group of experts from Australia, Hong Kong, Japan, Korea, Mainland China, Malaysia, the Philippines, Singapore, Taiwan, Thailand and Vietnam, discussed testing for MET alterations and considerations for using MET-specific inhibitors at a consensus meeting in January 2022, and in subsequent offline consultation. Consensus recommendations are provided by the ATORG group to address the unmet need for standardised approaches to diagnosing MET alterations in NSCLC and for using these therapies. MET inhibitors may be considered for first-line or second or subsequent lines of treatment for patients with advanced and metastatic NSCLC harbouring MET ex14 skipping mutations; MET ex14 testing is preferred within multi-gene panels for detecting targetable driver mutations in NSCLC. For patients with EGFR-mutant NSCLC and MET amplification leading to EGFR TKI resistance, enrolment in combination trials of EGFR TKIs and MET inhibitors is encouraged. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/628842 | ISSN: | 1525-7304 | DOI: | 10.1016/j.cllc.2022.07.012 |
顯示於: | 腫瘤醫學研究所 |
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