Table 1. EGFR alterations in cancer and mechanisms of resistance to EGFR TKIs.
Cancer | Predominant EGFR alteration | EGFR inhibitors | Resistance mechanisms |
---|---|---|---|
Non-small cell lung cancer |
EGFR activating mutations |
Erlotinib* Gefitinib Afatinib Dacomitinib Canertinib Neratinib CO-1686 WZ4002 Cetuximab |
Secondary EGFR mutations, PI3K/AKT, MAPK, MET, AXL, HER2, NFĸB, BRCA1, BIM IGF1R, FGFR (Preclinical) |
Glioma |
EGFRvIII |
Dacomitinib |
PTEN loss |
Colorectal cancer |
EGFR overexpression |
Cetuximab* Panitumumab* |
KRAS mutations |
Head and neck squamous cell carcinoma |
EGFR overexpression |
Cetuximab* Afatinib |
Preclinical |
Pancreatic cancer | EGFR and ligand upregulation | Erlotinib* | Preclinical |
FDA approved.