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. 2020 Dec 20;26(3):e454–e472. doi: 10.1002/onco.13590

Table 4.

TKIs approved and under investigation for various genetic driver alterations in non‐small cell lung cancer in 2020

Oncogene driver Approved agents Investigational agents
EGFR Gefitinib, erlotinib a , afatinib, dacomitinib b , osimertinib c EA1045, JND3229

EGFR exon 20 insertion

Uncommon EGFR mutations, e.g., G719X, L861X, S7681V

Afatinib Mobocertinib, TAS6417, BDTX‐189, DS2087B, CLN081, osimertinib d
ALK Crizotinib a , certitinib, alectinib, brigatinib, lorlatinib b Ensartinib b
ROS1 Crizotinib a , certinib b , entrectinib c Repotrectinib, lorlatinib d , taletrectinib
RET Selpercatinib b , pralsetinib b Brigatinib d , ensartinib b
NTRK Larotrectinib b , entrectinib b Taletrectinib
MET Capmatinib Crizotinib d , tepotinib, savolitinib
BRAF V600E Dabrafenib plus trametinib Encorafenib
KRAS G12C None AMG 510, MRTX 849
HER2 exon 20 insertions None

Trastuzumab emtansine d

trastuzumab deruxtecan d

mobocertinib, TAS6417, BDTX‐189, DS2087B, DZD9008, osimertinib d

NRG1 fusions None tarloxotinib, HER3 antibodies
a

First‐generation TKI with poor CNS penetration.

b

Second‐generation TKI with good CNS penetration.

c

Third‐generation TKI with good CNS penetration, leads to resistance mutations like C797s.

d

Approved for other indications.

e

Vandetanib, cabozantinib, and lenvatinib are multi‐TKIs approved in other indications.

Abbreviations: CNS, central nervous system; EGFR, epidermal growth factor receptor; HER, human epidermal growth receptor; TKI, tyrosine kinase inhibitor.