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Updated: Jul 7, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Identifying an optimum treatment strategy for patients with advanced non-small cell lung cancer
Francesco Grossi1, Cesare Gridelli, Marianna Aita
1Medical Oncology A, Disease Management Team, Lung Cancer, National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genoa, Italy. francesco.grossi@istge.it
Abstract:
Owing to the slow but sustained progress made in lung cancer treatment over the last 20 years, several therapeutic options are now available in the first-line setting as well as for patients who have progressed after one or more previous lines of treatment. Considering the growing array of choices currently confronting clinicians involved in the treatment of advanced non-small cell lung cancer (NSCLC), an effort should be made to define the optimal treatment option in each disease setting and to identify a logical therapeutic strategy after initial disease progression. This is especially crucial in the management of young, fit patients, who may be suitable candidates for two or more lines of therapy. At present, a rational treatment strategy for advanced NSCLC may be designed on the basis of patient clinicopathological features and rely on evidence from large, well-conducted clinical trials. In a near future the results of prospective validation studies will provide more sophisticated approaches for the classification of lung cancer patients, allowing clinicians to make individualised treatment decisions based on tumour molecular profile and on novel, more refined predictive/prognostic factors.
Insights
Lung cancer treatment has advanced, offering more options for advanced non-small cell lung cancer (NSCLC). Developing logical therapeutic strategies is crucial for patients needing multiple treatment lines.
Area of Science:
- Oncology
- Pulmonology
- Clinical Therapeutics
Background:
- Significant progress in lung cancer treatment over two decades has expanded therapeutic options.
- Advanced non-small cell lung cancer (NSCLC) presents a growing array of treatment choices for clinicians.
- Optimal sequencing of therapies is essential, particularly for younger, fit patients eligible for multiple treatment lines.
Purpose of the Study:
- To define optimal treatment selection in various advanced NSCLC settings.
- To establish a logical therapeutic strategy for patients progressing after initial treatment.
- To guide clinicians in managing advanced NSCLC based on current evidence and future personalized approaches.
Main Methods:
- Review of therapeutic options in first-line and subsequent treatment settings for advanced NSCLC.
- Analysis of clinical trial evidence to inform treatment strategy design.
- Consideration of patient clinicopathological features for rational treatment planning.
Main Results:
- Multiple therapeutic options are available for advanced NSCLC.
- Current strategies rely on patient features and clinical trial data.
- Future approaches will incorporate molecular profiling for individualized treatment.
Conclusions:
- A rational treatment strategy for advanced NSCLC can be based on patient characteristics and clinical trial evidence.
- Individualized treatment decisions will increasingly rely on tumor molecular profiles and refined predictive factors.
- Ongoing research aims to provide more sophisticated approaches for lung cancer patient classification and treatment.
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