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EGFR-Tyrosine Kinase Inhibitor (EGFR-TKI) for Non-Small Cell Lung Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 31 October 2026 | Viewed by 1416

Special Issue Editor


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Guest Editor
Institute of Biostructures and Bioimaging, National Research Council, 80145 Naples, Italy
Interests: EMT; targeted therapy resistance; extracellular vesicles; liquid biopsy; lung cancer
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

EGFR-bearing activation mutations represent a key oncogene-driver of non-small cell lung cancer (NSCLC). The identification of structural changes induced by such mutations in the kinase domain of receptor promoted the rational development of targeted tyrosine kinase inhibitors (TKIs). Although great clinical benefits were obtained with EGFR TKIs through appropriate patient stratification, the continuous and selective drug pressure determined in tumors, a growing number of adaptation mechanisms and acquired resistance emerged, representing challenges in the prevention of cancer progression. New targeted agents and combined strategies need to be developed to overcome resistance to EGFR TKIs.  

This Special Issue invites original research and comprehensive reviews on “EGFR-Tyrosine Kinase Inhibitor (EGFR-TKI) for Non-Small Cell Lung Cancer”. By integrating recent advances, this Special Issue aims to offer a comprehensive perspective on novel therapeutic approaches in EGFR-TKI treatment for NSCLC. 

Dr. Francesca Iommelli
Guest Editor

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Keywords

  • EGFR TKIs
  • secondary mutations
  • alternative signaling pathway activation cancer progression
  • lung cancer

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Published Papers (1 paper)

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Research

16 pages, 1352 KB  
Article
Clinical Impact of EGFR Mutation Subtypes on Treatment Outcomes in Advanced Non-Small Cell Lung Cancer: An Austrian Real-World Study
by Caroline Braschel, Hannah Fabikan, Vania Mikaela Rodriguez, Maximilian J. Hochmair, Oliver Illini, Leyla Ay, Christoph Weinlinger, Julie Krainer-Jacobs, Nino Müser, Arschang Valipour and Dagmar Krenbek
Cancers 2026, 18(2), 278; https://doi.org/10.3390/cancers18020278 - 16 Jan 2026
Viewed by 1119
Abstract
Background: Non-small cell lung cancer (NSCLC), particularly in advanced stages, has poor prognosis. The main objective of the study is to evaluate real-world treatment outcomes in advanced NSCLC patients harboring an EGFR mutation and being treated with TKIs. Methods: The EGFR [...] Read more.
Background: Non-small cell lung cancer (NSCLC), particularly in advanced stages, has poor prognosis. The main objective of the study is to evaluate real-world treatment outcomes in advanced NSCLC patients harboring an EGFR mutation and being treated with TKIs. Methods: The EGFR mutation status was ascertained by next-generation sequencing. The observational cohort study used prospectively maintained registry data. Patient data were collected at two high-volume institutions in Austria between November 2020 and February 2025. The prevalence of EGFR mutations was 11% (145 out of 1267 patients). Results: Among 53 patients (stage IIIB or higher) with an EGFR mutation, median overall survival (OS) and median progression-free survival (PFS) were 17.7 months (95% CI: 10.4–24.9) and 14.2 months (95% CI: 7.4–20.9), respectively. A total of 36 patients harbored common EGFR mutations (exon 19 deletion or L858R point mutation) and exhibited a significantly better OS than those with an uncommon EGFR genotype (p < 0.005). Patients with exon 19 deletion (n = 25) showed the longest mOS, followed by those with L858R mutation (32.5 vs. 17 months). In multivariable analysis, the EGFR common mutation subtype (HR = 3.71 95%CI: 1.23–11.2) was associated with better OS. Patients with common EGFR genotypes, especially exon 19 deletion obtained longer OS and PFS compared with those with uncommon mutations in exon 18–21. Conclusions: The results underscore the prognostic role of distinct EGFR genotypes and the urgency of determining the mutation status in non-small cell lung cancer patients to ensure the best treatment decision. The study also highlights the challenges regarding to EGFR uncommon mutations and the resulting need for further research to investigate alternative treatment options. Full article
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