Eligible patients who were screened at 126 trial centers from August 2014 through September 2015 had histologic or cytologic evidence of locally advanced or metastatic non–small-cell lung cancer and of disease progression after first-line EGFR-TKI therapy. The documented presence of an EGFR mutation and central confirmation of the T790M variant on the cobas EGFR Mutation Test (Roche Molecular Systems) after first-line EGFR-TKI treatment was required. All patients were required to provide a blood sample at screening to test for T790M in plasma circulating tumor DNA (ctDNA) on the cobas EGFR Mutation Test, version 2. Patients with stable, asymptomatic CNS metastases that had not been treated with glucocorticoids for at least 4 weeks before the first dose of a trial drug were eligible for inclusion. Complete eligibility criteria are provided in the trial protocol, available with the full text of this article at NEJM.org .
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Osimertinib
Osimertinib
Osimertinib: A Targeted Tyrosine Kinase Inhibitor for Non-Small Cell Lung Cancer.
Osimertinib is a third-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor approved for the treatment of metastatic non-small cell lung cancer (NSCLC) with EGFR T790M mutation.
It works by selectively inhibiting mutant EGFR while sparing wild-type EGFR, leading to improved efficacy and reduced adverse effects compared to earlier EGFR TKIs.
Osimertinib has demonstrated superior progression-free survival and overall survival in patients with EGFR-mutant NSCLC, making it a key therapeutic option for this difficult-to-treat cancer.
Osimertinib is a third-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor approved for the treatment of metastatic non-small cell lung cancer (NSCLC) with EGFR T790M mutation.
It works by selectively inhibiting mutant EGFR while sparing wild-type EGFR, leading to improved efficacy and reduced adverse effects compared to earlier EGFR TKIs.
Osimertinib has demonstrated superior progression-free survival and overall survival in patients with EGFR-mutant NSCLC, making it a key therapeutic option for this difficult-to-treat cancer.
Most cited protocols related to «Osimertinib»
BLOOD
Circulating Tumor DNA
Cytological Techniques
Disease Progression
EGFR protein, human
Eligibility Determination
Glucocorticoids
Mutation
Neoplasm Metastasis
Non-Small Cell Lung Carcinoma
Patients
Pharmaceutical Preparations
Plasma
Asian Persons
Body Surface Area
Carboplatin
Cisplatin
Crossing Over, Genetic
Disease Progression
osimertinib
Patients
Physicians
Platinum
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Four EGFR-TKIs, erlotinib, gefitinib, afatinib and osimertinib were selected as study drugs. Data from the FAERS database were fully anonymized by regulatory authorities. We extracted relevant data from the public release of the FAERS database for the pharmacovigilance disproportionality analysis, which covered the period from January 1, 2004 to March 31, 2018. OpenVigil FDA, a validated pharmacovigilance tool, is adapted to query FAERS data using the openFDA application programming interface (API) for accessing the FDA drug-event database with the additional openFDA drug mapping and duplicate detection functionality49 (link),50 (link), and it is used in many pharmacovigilance studies51 (link),52 (link). OpenVigil operates only on the cleaned FDA data by deleting duplicates or reports with missing data49 (link). After data cleaning by OpenVigil FDA, 6,106,629 reports from 2004 Q1 to 2018 Q1 remained. Among the drugs and AEs in the reports, we only selected reports with drug codes of “Primary Suspect or “Secondary Suspect”.
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Afatinib
EGFR protein, human
Erlotinib
Gefitinib
osimertinib
Pharmaceutical Preparations
Cells
Chromium
Oligonucleotide Primers
osimertinib
Pharmaceutical Preparations
Phosphates
Population Group
Saline Solution
Single-Cell RNA-Seq
Strains
Transcriptome
Watermelon
Most recents protocols related to «Osimertinib»
For generation of osimertinib-resistant cell lines and examination of the development of osimertinib resistance, we adopted two different experimental protocols. First, PC9/p53, HCC4006/p53, or H1975/p53 cells (1.2 × 105 per well) were seeded in 12-well plates (Greiner Bio-One) and treated with 1 μM or 600 nM osimertinib for 28 days, and the number of cells per well was counted with a LUNAII automated cell counter (Logos Biosystems, Gyeonggi-do, Republic of Korea) at the indicated times during drug treatment. Second, PC9/p53 cells (1.2 × 105 per well) were seeded in six-well plates (Greiner Bio-One) and exposed to increasing concentrations of osimertinib from 10 nM to 1 μM over a maximum of 30 days, with the osimertinib concentration being increased when the cells had achieved 70% confluence. PC9/p53R248Q, PC9/p53R273H, and PC9/p53R175H cells that acquired resistance to 1 μM osimertinib were defined as osimertinib-resistant cells and studied further.
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All CSF samples were collected after 6 ± 2 h from osimertinib administration and plasma samples were simultaneously collected. The CSF and plasma concentrations of osimertinib were measured using liquid chromatography-tandem mass spectrometry. The CSF penetration rate of osimertinib was estimated based on CSF/plasma concentrations.
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All Cerebrospinal fluid (CSF) samples were collected after 6 ± 2 h from osimertinib administration and plasma samples were simultaneously collected. The CSF and plasma concentrations of osimertinib were measured using liquid chromatographytandem mass spectrometry (LC-MS/MS). The CSF penetration rate of osimertinib was estimated based on CSF/plasma concentrations.
The initial treatment regimen for EGFR-mutated NSCLC involves the administration of third-generation EGFR-TKI Osimertinib, as recommended by the NCCN Clinical Practice Guidelines for NSCLC 2022 V6. A targeted therapy duration of 56 days will be implemented during the study period.
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Top products related to «Osimertinib»
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Osimertinib is a chemical compound used in laboratory research. It is a tyrosine kinase inhibitor that targets the epidermal growth factor receptor (EGFR). Osimertinib is commonly used in studies related to cancer research and drug development.
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Gefitinib is a tyrosine kinase inhibitor used in laboratory research. It functions by inhibiting the epidermal growth factor receptor (EGFR) tyrosine kinase.
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Fetal Bovine Serum (FBS) is a cell culture supplement derived from the blood of bovine fetuses. FBS provides a source of proteins, growth factors, and other components that support the growth and maintenance of various cell types in in vitro cell culture applications.
Sourced in United States, China, Germany
Afatinib is a chemical compound used in laboratory research. It functions as a tyrosine kinase inhibitor, targeting specific receptors involved in cellular signaling pathways.
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Erlotinib is a laboratory reagent used in research applications. It is a tyrosine kinase inhibitor that targets the epidermal growth factor receptor (EGFR). Erlotinib is commonly used in cell-based assays and in vitro studies to investigate EGFR signaling pathways.
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The HCC827 is a cell line derived from a human lung adenocarcinoma. It is commonly used in cancer research and drug discovery studies.
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The H1975 is a laboratory equipment product offered by American Type Culture Collection. It is a specialized device designed for cell culture-related applications. The core function of the H1975 is to provide a controlled environment for the cultivation and maintenance of various cell lines.
Sourced in United Kingdom, Italy
Osimertinib is a laboratory reagent used in research and development. It functions as a tyrosine kinase inhibitor. Osimertinib is utilized in various scientific studies and experiments, but its intended use should not be extrapolated beyond its core function as a laboratory tool.
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DMSO is a versatile organic solvent commonly used in laboratory settings. It has a high boiling point, low viscosity, and the ability to dissolve a wide range of polar and non-polar compounds. DMSO's core function is as a solvent, allowing for the effective dissolution and handling of various chemical substances during research and experimentation.
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RPMI 1640 medium is a commonly used cell culture medium developed at Roswell Park Memorial Institute. It is a balanced salt solution that provides essential nutrients, vitamins, and amino acids to support the growth and maintenance of a variety of cell types in vitro.
More about "Osimertinib"
Osimertinib, also known by its brand name Tagrisso, is a cutting-edge, third-generation tyrosine kinase inhibitor (TKI) that has revolutionized the treatment of non-small cell lung cancer (NSCLC) with EGFR mutations.
This targeted therapy selectively inhibits the mutant form of the epidermal growth factor receptor (EGFR) while sparing the wild-type EGFR, leading to improved efficacy and reduced adverse effects compared to earlier EGFR TKIs like Gefitinib, Erlotinib, and Afatinib.
Osimertinib has demonstrated superior progression-free survival and overall survival in patients with EGFR-mutant NSCLC, making it a key therapeutic option for this difficult-to-treat cancer.
In preclinical studies, Osimertinib has shown potent inhibition of EGFR-mutant cell lines, such as HCC827 and H1975, while having minimal impact on wild-type EGFR-expressing cells.
The efficacy of Osimertinib has been evaluated in various clinical trials, where it has consistently outperformed earlier EGFR TKIs.
Researchers have utilized cell culture models, including RPMI 1640 medium and DMSO, to further understand Osimertinib's mechanisms of action and optimize its use in the treatment of EGFR-mutant NSCLC.
As a cutting-edge targeted therapy, Osimertinib has become a game-changer in the management of this challenging disease.
Its selective targeting of mutant EGFR and improved safety profile make it a preferred option for patients with EGFR-driven NSCLC, offering them a better quality of life and improved clinical outcomes.
This targeted therapy selectively inhibits the mutant form of the epidermal growth factor receptor (EGFR) while sparing the wild-type EGFR, leading to improved efficacy and reduced adverse effects compared to earlier EGFR TKIs like Gefitinib, Erlotinib, and Afatinib.
Osimertinib has demonstrated superior progression-free survival and overall survival in patients with EGFR-mutant NSCLC, making it a key therapeutic option for this difficult-to-treat cancer.
In preclinical studies, Osimertinib has shown potent inhibition of EGFR-mutant cell lines, such as HCC827 and H1975, while having minimal impact on wild-type EGFR-expressing cells.
The efficacy of Osimertinib has been evaluated in various clinical trials, where it has consistently outperformed earlier EGFR TKIs.
Researchers have utilized cell culture models, including RPMI 1640 medium and DMSO, to further understand Osimertinib's mechanisms of action and optimize its use in the treatment of EGFR-mutant NSCLC.
As a cutting-edge targeted therapy, Osimertinib has become a game-changer in the management of this challenging disease.
Its selective targeting of mutant EGFR and improved safety profile make it a preferred option for patients with EGFR-driven NSCLC, offering them a better quality of life and improved clinical outcomes.