Results of second - line treatment acquired T790M mutation non - small cell lung cancer with osimertinib at Danang Oncology Hospital

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Abstract

Objectives: To evaluate the results of second - line treatment in stage IV non-small cell lung cancer patients who have acquired T790M mutation with Osimertinib.

Methods: A cross - sectional descriptive study was conducted in 22 patients with EGFR mutation positive stage IV non - small cell lung cancer who failed after first - and second - generation EGFR - TKIs therapy with presence of acquired T790M resistance mutation, were treated with Osimertinib at Da Nang Oncology Hospital from March 2020 to the end of November 2022 and follow up until the end of June 2023.

Results: The objective response rate of Osimertinib in second - line treatment was 72,7%, disease control rate was 85.4%, the median progression - free survival (PFS) was 10 months. The most common side effects of Osimertinib were rash (36.4%), diarrhea (31.8%), dry skin (22.7%), paronychia (18.2%), mucositis oral (13.6%). Most of side effects were mild, and no patient required a dose reduction or treatment interruption.

Conclusion: Osimertinib is highly effective and safe in the second-line treatment of stage IV non - small cell lung cancer with acquired T790M mutation.

https://doi.org/10.38103/jcmhch.91.5

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Published 26-12-2024
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Language
Issue No. 91 (2023)
Section Original article
DOI 10.38103/jcmhch.91.5
Keywords Ung thư phổi không tế bào nhỏ, đột biến EGFR T790M thứ phát, Osimertinib Non - small cell lung cancer, EGFR T790M mutation, Osimertinib

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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital

Thong, N. K., Linh, L. T. N., & Trang, L. T. M. (2024). Results of second - line treatment acquired T790M mutation non - small cell lung cancer with osimertinib at Danang Oncology Hospital. Journal of Clinical Medicine Hue Central Hospital, (91), 28–33. https://doi.org/10.38103/jcmhch.91.5