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    • 63. 发明申请
    • COMPOSITIONS AND METHODS FOR TREATING RAS/MAPK MUTANT LUNG CANCER
    • 治疗RAS / MAPK突变型肺癌的组合物和方法
    • WO2017106189A1
    • 2017-06-22
    • PCT/US2016/066378
    • 2016-12-13
    • HAHN, William C.KRALL, Elsa BeyerWANG, BelindaAGUIRRE, AndrewDANA-FARBER CANCER INSTITUTE, INC.
    • HAHN, William C.KRALL, Elsa BeyerWANG, BelindaAGUIRRE, Andrew
    • A61K31/5377A61K31/7088A61K45/06G01N33/50C12Q1/68
    • A61K31/5377A61K31/416A61K31/437A61K31/506A61K31/517A61K31/519A61K45/00A61K45/06C12Q1/68C12Q1/6886C12Q2600/158G01N33/57423G01N2800/52A61K2300/00
    • The present invention features compositions and methods for typing an ALK-, BRAF-, EGFR-, NRAS-, or KRAS- or mutant lung cancer in a subject as a cancer sensitive or resistant to an ALK inhibitor, MEK inhibitor, BRAF inhibitor, or EGFR inhibitor, and related methods of treating such cancers. In particular embodiments, the present invention features compositions and methods for typing an ALK-, BRAF-, EGFR-, NRAS-, or KRAS-mutant lung cancer, determining whether a subject having an ALK-, BRAF-, EGFR-, NRAS-, or KRAS-mutant lung cancer is eligible for entry into a clinical trial for an ALK inhibitor, MEK inhibitor, BRAF inhibitor, or EGFR inhibitor, and monitoring effectiveness of treatment of an ALK-, BRAF-, EGFR-, NRAS-, or KRAS-mutant lung cancer. In some embodiments, the methods comprise measuring a level, copy number, or sequence of KEAP1 or NRF2 polynucleotide in a biological sample obtained from the subject relative to a reference level or sequence. The present invention also features compositions and methods for increasing sensitivity to an ALK inhibitor, MEK inhibitor, BRAF inhibitor, or EGFR inhibitor and treating an ALK-, BRAF-, EGFR-, NRAS-, or KRAS-mutant lung cancer.
    • 本发明的特征在于用于在受试者中将ALK-,BRAF-,EGFR-,NRAS-或KRAS-或突变型肺癌分类为对ALK抑制剂敏感或耐受的癌症的组合物和方法 ,MEK抑制剂,BRAF抑制剂或EGFR抑制剂,以及治疗这些癌症的相关方法。 在具体的实施方案中,本发明描述了用于分型ALK-,BRAF-,EGFR-,NRAS-或KRAS-突变型肺癌的组合物和方法,确定具有ALK-,BRAF-,EGFR-,NRAS- ,或KRAS突变型肺癌适合进入ALK抑制剂,MEK抑制剂,BRAF抑制剂或EGFR抑制剂的临床试验,并监测ALK-,BRAF-,EGFR-,NRAS-或 KRAS突变型肺癌。 在一些实施方案中,所述方法包括相对于参考水平或序列测量从受试者获得的生物样品中的KEAP1或NRF2多核苷酸的水平,拷贝数或序列。 本发明还提供了用于增加对ALK抑制剂,MEK抑制剂,BRAF抑制剂或EGFR抑制剂的敏感性并治疗ALK-,BRAF-,EGFR-,NRAS-或KRAS-突变型肺癌的组合物和方法。