A review of Osimertinib in NSCLC and pharmacist role in NSCLC patient care

J Oncol Pharm Pract. 2020 Sep;26(6):1452-1460. doi: 10.1177/1078155220930285. Epub 2020 Jun 11.

Abstract

Lung cancer is a complex, genetically heterogeneous disease. It is the most common cause of cancer-related deaths worldwide. Non-small cell lung cancer (NSCLC) represents the majority of the diagnosed lung cancer cases. Osimertinib is a new treatment option that demonstrated a superior efficacy over standard epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) or platinum-based chemotherapy. The safety and efficacy of osimertinib (a third generation EGFR-TKIs) were confirmed by well-designed clinical trials. Consequently, osimertinib was considered a first-line treatment option, particularly in patients with EGFR mutant NSCLC. It has been approved by FDA for the treatment of advance or metastatic NSCLC patients with specific EGFR-mutant NSCLC. As an active member of the multidisciplinary team, pharmacist has a promising role in assuring safe, effective and cost-effective treatment in patient with NSCLC. This review article aims to highlight the latest evidence about osimertinib use as a new treatment option in the clinical practice and to review the potential pharmacist key roles in NSCLC patient care.

Keywords: NSCLC; osimertinib; pharmacist; targeted therapy; tyrosine kinase inhibitors.

Publication types

  • Review

MeSH terms

  • Acrylamides / administration & dosage*
  • Aniline Compounds / administration & dosage*
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • ErbB Receptors / antagonists & inhibitors
  • Humans
  • Lung Neoplasms / drug therapy*
  • Mutation
  • Pharmacists / organization & administration
  • Protein Kinase Inhibitors / therapeutic use
  • Treatment Outcome

Substances

  • Acrylamides
  • Aniline Compounds
  • Protein Kinase Inhibitors
  • osimertinib
  • ErbB Receptors