Table 4.
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 |
First‐generation TKI with poor CNS penetration.
Second‐generation TKI with good CNS penetration.
Third‐generation TKI with good CNS penetration, leads to resistance mutations like C797s.
Approved for other indications.
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.