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Updated: Jul 5, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Advances in the treatment of non-small cell lung cancer
1National Cancer Center, Hospital East, Kashiwanoha 6-5-1, Kashiwa-shi, Chiba 277-8577, Japan. nsaijo@east.ncc.go.jp
Abstract:
While there have been advances in the treatment of lung cancer, they have been marginal in comparison with recent advances in the chemotherapy and molecularly targeted treatment of breast cancer, colorectal cancer and genitourinary cancer. Lung cancer is an extremely difficult disease to treat, and to obtain positive results and to develop new standard treatment. The results of clinical trial on gefitinib and erlotinib suggest that the evaluation of molecular target drugs seems to be quite difficult in unselected patient population and may be different from cytotoxic drugs. We need to find out specific molecular biomarkers for each drug. With global studies in view, it will be essential to obtain even more significant results by sophisticated clinical trials in selected patient populations and contribute to improving the treatment outcome of lung cancer patients.
Insights
Lung cancer treatment lags behind other cancers. Identifying specific molecular biomarkers is crucial for effective targeted therapies and improving patient outcomes through carefully selected patient populations in clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Clinical Trials
Background:
- Lung cancer treatment advances have been marginal compared to breast, colorectal, and genitourinary cancers.
- Developing new standard treatments for lung cancer remains challenging.
Purpose of the Study:
- To highlight the difficulties in evaluating molecularly targeted drugs in unselected lung cancer patient populations.
- To emphasize the need for identifying specific molecular biomarkers for each targeted drug.
- To advocate for sophisticated clinical trials in selected patient populations to improve lung cancer treatment outcomes.
Main Methods:
- Review of clinical trial results for gefitinib and erlotinib.
- Analysis of challenges in evaluating molecularly targeted drugs versus cytotoxic drugs.
- Discussion on the importance of patient selection and biomarker identification.
Main Results:
- Evaluation of molecularly targeted drugs in unselected patient populations is difficult and differs from cytotoxic drugs.
- Specific molecular biomarkers are essential for the effective use of targeted therapies.
- Sophisticated clinical trials in selected populations are needed for significant improvements.
Conclusions:
- Targeted lung cancer therapies require precise patient selection based on molecular biomarkers.
- Future research must focus on identifying these biomarkers and conducting well-designed clinical trials.
- Improved treatment strategies are essential to enhance outcomes for lung cancer patients.
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