Info

EGFR Mt

  • 15% of ADCL,
  • [exon 19 deletions] (45%),
  • exon 21 L858R (40%),
  • exon 18 (G719X),
  • exon 20 (S768I),
  • exon 21 (L861Q),
  • confer EGFR TKI Sn,
  • initially described in never-smokers,
  • but also present in pts w/ smoking histories (JCO 2011;29:2066).
  • Exon 20 insertions now targetable driver.
  • Acquired T790M Mt confers resistance to earlier generation EGFR TKIs (NEJM 2005;352:786)