PMID- 32267188 OWN - NLM STAT- MEDLINE DCOM- 20210121 LR - 20210121 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 19 IP - 5 DP - 2020 May TI - Safety of EGFR-TKIs for EGFR mutation-positive non-small cell lung cancer. PG - 589-599 LID - 10.1080/14740338.2020.1753697 [doi] AB - Introduction: Lung cancer is the most prevalent malignant tumors worldwide. Over the past decade, the emergence of epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) has ushered in a new era of lung cancer treatment. Therefore, clinical trials investigating the efficacy and safety of these drugs are important.Areas covered: This review provides an overview on the safety of three classes of EGFR-TKIs and discusses the adverse events (AEs) and reactions reported in the literature.Expert opinion: EGFR-TKIs significantly improve progression-free survival and overall survival in non-small cell lung cancer (NSCLC) patients with an activating mutation of EGFR. However, EGFR-TKIs also block the EGFR-regulating pathways in the skin and gastrointestinal tract and cause AEs, including diarrhea, liver toxicity, skin disease, stomatitis, interstitial lung disease, and ocular toxicity, which have detrimental effects on quality of life and drug compliance. Clinicians should understand how to prevent and control these adverse reactions, which can often be achieved by dose reduction, discontinuation of treatment, or switching to another drug. FAU - Zhou, Jia-Ying AU - Zhou JY AD - Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Liu, Si-Yang AU - Liu SY AD - Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Wu, Yi-Long AU - Wu YL AD - Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, China. LA - eng PT - Journal Article PT - Review DEP - 20200428 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Animals MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/genetics MH - ErbB Receptors/genetics MH - Humans MH - Lung Neoplasms/*drug therapy/genetics MH - Mutation MH - Progression-Free Survival MH - Protein Kinase Inhibitors/*administration & dosage/adverse effects MH - Quality of Life MH - Survival Rate OTO - NOTNLM OT - Epidermal growth factor receptor-tyrosine kinase inhibitors OT - adverse event OT - management OT - non-small cell lung cancer EDAT- 2020/04/09 06:00 MHDA- 2021/01/22 06:00 CRDT- 2020/04/09 06:00 PHST- 2020/04/09 06:00 [pubmed] PHST- 2021/01/22 06:00 [medline] PHST- 2020/04/09 06:00 [entrez] AID - 10.1080/14740338.2020.1753697 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2020 May;19(5):589-599. doi: 10.1080/14740338.2020.1753697. Epub 2020 Apr 28.