PMID- 27912760 OWN - NLM STAT- MEDLINE DCOM- 20170303 LR - 20220310 IS - 1423-0127 (Electronic) IS - 1021-7770 (Print) IS - 1021-7770 (Linking) VI - 23 IP - 1 DP - 2016 Dec 3 TI - Update on recent preclinical and clinical studies of T790M mutant-specific irreversible epidermal growth factor receptor tyrosine kinase inhibitors. PG - 86 LID - 86 AB - The first- and second-generation epidermal growth factor receptor tyrosine kinase inhibitors (1/2G EGFR-TKIs) gefitinib, erlotinib, and afatinib have all been approved as standard first-line treatments for advanced EGFR mutation-positive non-small cell lung cancer. The third-generation (3G) EGFR-TKIs have been developed to overcome the EGFR T790M mutation, which is the most common mechanism of acquired resistance to 1/2G EGFR-TKI treatment. This resistance mutation develops in half of the patients who respond to 1/2G EGFR-TKI therapy. The structures of the novel 3G EGFR-TKIs are different from those of 1/2G EGFR-TKIs. Particularly, 3G EGFR-TKIs have lower affinity to wild-type EGFR, and are therefore associated with lower rates of skin and gastrointestinal toxicities. However, many of the adverse events (AEs) that are observed in patients receiving 3G EGFR-TKIs have not been observed in patients receiving 1/2G EGFR-TKIs. Although preclinical studies have revealed many possible mechanisms for these AEs, the causes of some AEs remain unknown. Many mechanisms of resistance to 3G EGFR-TKI therapy have also been reported. Here, we have reviewed the recent clinical and preclinical developments related to novel 3G EGFR-TKIs, including osimertinib, rociletinib, olmutinib, EGF816, and ASP8273. FAU - Liao, Bin-Chi AU - Liao BC AD - Department of Oncology, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei, 100, Taiwan. AD - National Taiwan University Cancer Center, College of Medicine, National Taiwan University, Taipei, Taiwan. AD - Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Lin, Chia-Chi AU - Lin CC AD - Department of Oncology, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei, 100, Taiwan. AD - Department of Urology, College of Medicine, National Taiwan University, Taipei, Taiwan. FAU - Lee, Jih-Hsiang AU - Lee JH AD - Department of Oncology, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei, 100, Taiwan. AD - Department of Medical Research, National Taiwan University Hospital, Taipei, Taiwan. FAU - Yang, James Chih-Hsin AU - Yang JC AD - Department of Oncology, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei, 100, Taiwan. chihyang@ntu.edu.tw. AD - National Taiwan University Cancer Center, College of Medicine, National Taiwan University, Taipei, Taiwan. chihyang@ntu.edu.tw. AD - Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. chihyang@ntu.edu.tw. AD - Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei, Taiwan. chihyang@ntu.edu.tw. LA - eng PT - Journal Article PT - Review DEP - 20161203 PL - England TA - J Biomed Sci JT - Journal of biomedical science JID - 9421567 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Antineoplastic Agents/*pharmacology/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/enzymology MH - Clinical Trials as Topic MH - Drug Resistance, Neoplasm/*drug effects/genetics MH - ErbB Receptors/*antagonists & inhibitors/genetics MH - Humans MH - *Mutation MH - Protein Kinase Inhibitors/*pharmacology/*therapeutic use PMC - PMC5135794 OTO - NOTNLM OT - ASP8273 OT - EGF816 OT - Epidermal growth factor receptor OT - Non-small cell lung cancer OT - Olmutinib OT - Osimertinib OT - Rociletinib OT - T790M mutation OT - Tyrosine kinase inhibitor EDAT- 2016/12/04 06:00 MHDA- 2017/03/04 06:00 PMCR- 2016/12/03 CRDT- 2016/12/04 06:00 PHST- 2016/08/19 00:00 [received] PHST- 2016/11/03 00:00 [accepted] PHST- 2016/12/04 06:00 [entrez] PHST- 2016/12/04 06:00 [pubmed] PHST- 2017/03/04 06:00 [medline] PHST- 2016/12/03 00:00 [pmc-release] AID - 10.1186/s12929-016-0305-9 [pii] AID - 305 [pii] AID - 10.1186/s12929-016-0305-9 [doi] PST - epublish SO - J Biomed Sci. 2016 Dec 3;23(1):86. doi: 10.1186/s12929-016-0305-9.