Table 5. Other molecular targeted therapies for brain metastasis in non-small lung cancer.
Drug (trade names) | Molecular targets | Targeted mutated sites in NSCLC | Status | Treatment strategies for BM in NSCLC | Mechanisms of drug resistance |
---|---|---|---|---|---|
Dabrafenib (Tafinlar) | в-Raf | BRAF V600E/K-mutant | FDA approved | Combination with trametinib (BRAF V600-positive) | Overexpression of PDGFRB, NRAS mutation |
Vemurafenib (Zelboraf) | в-Raf | BRAF V600E/K-mutant | FDA approved | Combination of dabrafenib and trametinib | Overexpression of PDGFRB, second NRAS mutation |
Cabozantinib (Cabometyx) | c-Met, VEGFR-2, AXL, RET | RET fusion-positive | FDA granted orphan drug status | Combination with everolimus | None reported |
Bevacizumab (Avastin) | VEGF-A | VEGF positive | FDA approved | Combination with carboplatin/paclitaxel | VEGF-D, VEGF-C |
Ramucirumab (Cyramza) | VEGFR-2 | VEGFR positive | FDA approved | Combination with carboplatin/paclitaxel | VEGFR-2 mutant |
Nivolumab (Opdivo) | PD-1 | BRAF mutant | FDA approved | Combination with ipilimumab | No reports |
Pembrolizumab (Keytruda) | PD-1 | PD-L1 overexpression, no mutations in EGFR or in ALK | FDA approved | Pembrolizumab | No reports |
Atezolizumab (Tecentriq) | PD-L1 | Cytotoxic T-cells | FDA approved | Atezolizumab | No reports |
Ipilimumab (Yervoy) | CTLA-4 | Cytotoxic T lymphocytes | FDA approved | Combination with carboplatin | No reports |
NSCLC, non-small cell lung cancer; BM, brain metastases; VEGFR-2, vascular endothelial growth factor receptor 2; VEGF: vascular endothelial growth factor; PD-1, programmed cell death protein 1; PD-L1, Programmed death-ligand 1; EGFR: epidermal growth factor receptor; ALK, anaplastic lymphoma kinase; CTLA-4, cytotoxic T-lymphocyte-associated protein 4.