2017
DOI: 10.3389/fmed.2017.00036
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Second-line Treatment of Non-Small Cell Lung Cancer: Focus on the Clinical Development of Dacomitinib

Abstract: Dacomitinib is a second-generation, irreversible, covalent pan-HER tyrosine-kinase inhibitor (TKI). It showed potent EGFR signaling inhibition in experimental models, including first-generation TKI-resistant non-small cell lung cancer (NSCLC) cell lines. This preclinical efficacy did not translate into clinically meaningful treatment benefits for advanced, pretreated, molecularly unselected NSCLC patients enrolled in two parallel phase III trials. Dacomitinib and erlotinib showed overlapping efficacy data in c… Show more

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Cited by 11 publications
(7 citation statements)
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“…There are inherent differences in active and skin toxicities of the first-generation reversible TKIs, gefitinib, erlotinib and icotinib, the second-generation irreversible TKI, afatinib, and the third-generation TKI, osimertinib, who has activity in patients with T790M-negative acquired resistance (8). Dacomitinib is a novel second-generation, irreversible TKI, which showed potent EGFR signaling inhibition in experimental models, including firstgeneration TKI-resistant NSCLC cell lines (9).…”
Section: Tkismentioning
confidence: 99%
“…There are inherent differences in active and skin toxicities of the first-generation reversible TKIs, gefitinib, erlotinib and icotinib, the second-generation irreversible TKI, afatinib, and the third-generation TKI, osimertinib, who has activity in patients with T790M-negative acquired resistance (8). Dacomitinib is a novel second-generation, irreversible TKI, which showed potent EGFR signaling inhibition in experimental models, including firstgeneration TKI-resistant NSCLC cell lines (9).…”
Section: Tkismentioning
confidence: 99%
“…It is more potent than afatinib against EGFR sensitizing mutations (del19, L858R). It inhibits both wild type and mutant HER 2 kinase 31 .…”
Section: Dacomitinib (Pf-0299804)mentioning
confidence: 99%
“…The patients receiving dacomitinib had longer progression-free survival, but the treatment’s toxicity was higher. In the ongoing ARCHER 1050 study, dacomitinib is being compared with gefitinib as a first-line treatment for patients with advanced lung cancer [ 7 ].…”
Section: Egfr Tyrosine Kinase Inhibitors As a First-line Treatment Fomentioning
confidence: 99%