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Peer-reviewedCC BY 4.0Frontiers in Pharmacology

High-dose administration of EGFR-TKIs for NSCLC patients: a literature review

Abstract

High-dose EGFR-TKIs have been used as an exploratory therapeutic strategy to overcome the limitations of the standard-dose regimen in the treatment of EGFR-mutant NSCLC, particularly in patients with CNS metastases. Available clinical evidence suggests that high-dose TKIs confer certain therapeutic efficacy and manageable safety profiles, with a small proportion of patients experiencing ≥3 grade adverse events, such as rash, nausea,diarrhea, aminotransferase rise, leukopenia.However, the evidence is limited by the predominance of single-center retrospective studies, small sample sizes, heterogeneous patient populations and short follow-up periods. Further large-scale, multicenter studies with long-term follow-up are needed to define more clearly the efficacy, safety, and appropriate clinical role of high-dose EGFR-TKI therapy.

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BibTeX
@article{cheng2026highdose,
  title = {{High-dose administration of EGFR-TKIs for NSCLC patients: a literature review}},
  author = {Kai Cheng and Yan Chen and Xiaowen Tao and HongTao Xiao and Hua Xie},
  journal = {Frontiers in Pharmacology},
  year = {2026},
  month = nov,
  doi = {10.3389/fphar.2026.1903921},
  url = {https://www.frontiersin.org/articles/10.3389/fphar.2026.1903921},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - High-dose administration of EGFR-TKIs for NSCLC patients: a literature review
AU  - Kai Cheng
AU  - Yan Chen
AU  - Xiaowen Tao
AU  - HongTao Xiao
AU  - Hua Xie
PY  - 2026
DA  - 2026/11/09
JO  - Frontiers in Pharmacology
DO  - 10.3389/fphar.2026.1903921
UR  - https://www.frontiersin.org/articles/10.3389/fphar.2026.1903921
AB  - High-dose EGFR-TKIs have been used as an exploratory therapeutic strategy to overcome the limitations of the standard-dose regimen in the treatment of EGFR-mutant NSCLC, particularly in patients with CNS metastases. Available clinical evidence suggests that high-dose TKIs confer certain therapeutic efficacy and manageable safety profiles, with a small proportion of patients experiencing ≥3 grade adverse events, such as rash, nausea,diarrhea, aminotransferase rise, leukopenia.However, the evidence is limited by the predominance of single-center retrospective studies, small sample sizes, heterogeneous patient populations and short follow-up periods. Further large-scale, multicenter studies with long-term follow-up are needed to define more clearly the efficacy, safety, and appropriate clinical role of high-dose EGFR-TKI therapy.
SN  - 1663-9812
ER  -