Table II.
EGFR-targeted Tyrosine Kinase Inhibitors
| Compound | Company | Description | Approval and Clinical Indications |
|---|---|---|---|
| Gefitinib Iressa (ZD1839) | AstraZeneca Pharmaceuticals | Reversible binding EGFR specific Oral medicine | 2003: advanced or metastatic NSCLC |
| Erlotinib Tarceva (OSI-774) | Genentech Astellas | Reversible binding EGFR specific | 2004: locally advanced or metastatic NSCLC; approved in combination with gemcitabine for locally advanced or metastatic pancreatic cancer |
| Lapatinib Tykerb | GlaxoSmithKline | Reversible binding Inhibition of HER2/neu and EGFR | 2007- in combination for breast cancer patient on capecitabine |
| 2010- in combination with an aromatase inhibitor for HER2 and hormone receptor positive metastatic breast cancer | |||
| Afatinib | Boehringer Ingelheim Pharmaceuticals | Irreversible Pan-ErbB binding | 2013: first-line treatment of metastatic NSCLC with EGFR exon 19 deletions or exon 21 (L858R) substitutions |
| Dasatinib (Sprycel) | Bristol-Myers Squibb | c-Scr kinases; thought to interfere with nuclear localization and of EGFR (Raju 2012) | 2006: adult chromosome-positive chronic myelogenous leukemia (CP-CML) for which imatinib was ineffective |
| 2010: newly diagnosed CP-CML | |||
| Dacomitinib | Pfizer | Irreversible Pan-ErbB binding | Phase I, II and III trials for cancers including HNSCC, NSCLC, and glioblastoma multiforme |
| ASP8273 | Astellas Pharma | Irreversible binding Affinity higher for EGFR activating and T790M mutations compared to wild type | Phase I, II, and III trials in NSCLC and solid malignancies |