PMID- 26308162 OWN - NLM STAT- MEDLINE DCOM- 20160822 LR - 20220414 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 6 IP - 29 DP - 2015 Sep 29 TI - A decade of EGFR inhibition in EGFR-mutated non small cell lung cancer (NSCLC): Old successes and future perspectives. PG - 26814-25 LID - 10.18632/oncotarget.4254 [doi] AB - The discovery of Epidermal Growth Factor Receptor (EGFR) mutations in Non Small Cell Lung Cancer (NSCLC) launched the era of personalized medicine in advanced NSCLC, leading to a dramatic shift in the therapeutic landscape of this disease. After ten years from the individuation of activating mutations in the tyrosine kinase domain of the EGFR in NSCLC patients responding to the EGFR tyrosine kinase inhibitor (TKI) Gefitinib, several progresses have been done and first line treatment with EGFR TKIs is a firmly established option in advanced EGFR-mutated NSCLC patients. During the last decade, different EGFR TKIs have been developed and three inhibitors have been approved so far in these selected patients. However, despite great breakthroughs have been made, treatment of these molecularly selected patients poses novel therapeutic challenges, such as emerging of acquired resistance, brain metastases development or the need to translate these treatments in earlier clinical settings, such as adjuvant therapy. The aim of this paper is to provide a comprehensive review of the major progresses reported so far in the EGFR inhibition in this molecularly-selected subgroup of NSCLC patients, from the early successes with first generation EGFR TKIs, Erlotinib and Gefitinib, to the novel irreversible and mutant-selective inhibitors and ultimately the emerging challenges that we, in the next future, are called to deal with. FAU - Russo, Alessandro AU - Russo A AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Franchina, Tindara AU - Franchina T AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Ricciardi, Giuseppina Rosaria Rita AU - Ricciardi GR AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Picone, Antonio AU - Picone A AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Ferraro, Giuseppa AU - Ferraro G AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Zanghi, Mariangela AU - Zanghi M AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Toscano, Giuseppe AU - Toscano G AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. FAU - Giordano, Antonio AU - Giordano A AD - Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, Temple University, Philadelphia, Pennsylvania, USA. FAU - Adamo, Vincenzo AU - Adamo V AD - Medical Oncology Unit AOOR Papardo-Piemonte & Department of Human Pathology, University of Messina, Messina, Italy. LA - eng PT - Journal Article PT - Review PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Quinazolines) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - S65743JHBS (Gefitinib) SB - IM MH - Antineoplastic Agents/therapeutic use MH - Brain Neoplasms/pathology/secondary MH - Carcinoma, Non-Small-Cell Lung/drug therapy/*metabolism MH - Clinical Trials as Topic MH - Drug Resistance, Neoplasm MH - ErbB Receptors/*antagonists & inhibitors/*genetics MH - Erlotinib Hydrochloride/therapeutic use MH - Gefitinib MH - Humans MH - Lung Neoplasms/drug therapy/*metabolism MH - Medical Oncology/trends MH - *Mutation MH - Neoplasm Metastasis MH - Protein Kinase Inhibitors/therapeutic use MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - Quinazolines/therapeutic use PMC - PMC4694955 OTO - NOTNLM OT - EGFR mutations OT - non small cell lung cancer OT - targeted therapy OT - third generation EGFR TKIs OT - tyrosine kinase inhibitors COIS- CONFLICTS OF INTEREST None. EDAT- 2015/08/27 06:00 MHDA- 2016/08/23 06:00 PMCR- 2015/09/29 CRDT- 2015/08/27 06:00 PHST- 2015/04/25 00:00 [received] PHST- 2015/06/01 00:00 [accepted] PHST- 2015/08/27 06:00 [entrez] PHST- 2015/08/27 06:00 [pubmed] PHST- 2016/08/23 06:00 [medline] PHST- 2015/09/29 00:00 [pmc-release] AID - 4254 [pii] AID - 10.18632/oncotarget.4254 [doi] PST - ppublish SO - Oncotarget. 2015 Sep 29;6(29):26814-25. doi: 10.18632/oncotarget.4254.