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Updated: Aug 17, 2026

Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
[New anti-cancer agents--from cytotoxic systemic chemotherapy to target-based agents]
Masanori Yokoba1, Nobuo Yanase, Noriyuki Masuda
1Dept. of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Abstract:
Lung cancer is the leading cause of cancer-related death throughout the world including Japan. During the 1990s, new cytotoxic agents such as irinotecan, paclitaxel, docetaxel, vinorelbine, gemcitabine, and amrubicin showed impressive single-agent activity in patients with lung cancer. To date, clinical research has defined the current standard chemotherapy for advanced non-small cell lung cancer (NSCLC) as modern platinum-based doublets considered more efficacious than any single regimen and with no added benefit to triplet therapies. However, we have reached an efficacy plateau with these agents. Rearrangement of the drug combination or change of the drug doses and schedules will not result in significant further progress. New, less toxic agents that improve survival and quality of life are clearly needed. In the last three decades, we have gained a growing understanding of the molecular biologic changes and the complex series of cellular signals that allow cancer cells to manifest behavior. This provides an opportunity to develop novel therapies aimed at inhibiting some of these changes and signals. Targeted agents, primarily the epidermal growth factor receptor inhibitors, have led to a new era in the treatment of NSCLC. This paper will review the current status of cytotoxic agents and molecular targeted therapy in lung cancer potential useful in the treatment of the patients.
Insights
Lung cancer treatment faces an efficacy plateau with current chemotherapy. Novel molecular targeted therapies offer new hope for improved survival and quality of life in non-small cell lung cancer patients.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Lung cancer remains a leading cause of cancer mortality globally.
- Traditional cytotoxic chemotherapy, including platinum-based doublets, has reached its efficacy limit for advanced non-small cell lung cancer (NSCLC).
- There is a critical need for novel, less toxic therapies to improve patient survival and quality of life.
Purpose of the Study:
- To review the current status of cytotoxic agents in lung cancer treatment.
- To explore the potential of molecular targeted therapy in managing lung cancer.
- To discuss novel therapeutic strategies for non-small cell lung cancer.
Main Methods:
- Review of existing clinical research on lung cancer chemotherapy.
- Analysis of advancements in understanding cancer molecular biology and signaling pathways.
- Evaluation of the efficacy and application of molecular targeted agents, particularly EGFR inhibitors.
Main Results:
- Cytotoxic agents like irinotecan and paclitaxel showed initial promise but have plateaued in efficacy.
- Modern platinum-based doublets are the standard for advanced NSCLC but offer limited further improvement.
- Molecular targeted therapies, such as epidermal growth factor receptor inhibitors, represent a new era in NSCLC treatment.
Conclusions:
- Current chemotherapy regimens for lung cancer have reached an efficacy plateau.
- Understanding cancer's molecular biology has paved the way for targeted therapies.
- Molecular targeted agents hold significant promise for improving outcomes in non-small cell lung cancer patients.
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