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Updated: Jun 1, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
The evolving role of targeted therapy in early-stage and locally advanced non-small cell lung cancer
1Thoracic Oncology Program, Swedish Cancer Institute, Seattle, WA 98104, USA. Howard.West@swedish.org
Abstract:
Many of the leading developments in management of non-small cell lung cancer (NSCLC) have been provided by the integration of specific targeted therapies either in combination with a backbone of standard chemotherapy or as a single agent. Agents that inhibit a specific pathway, such as that triggered by the activity of the epidermal growth factor receptor, or a regulatory process like angiogenesis, have made it possible to markedly increase response rates and extend survival, sometimes dramatically, along with a favorable therapeutic index. However, these novel therapies have established clinical benefit thus for only in the setting of incurable, advanced NSCLC. The value of these strategies in not only extending survival but potentially improving the cure rate when added to, or substituting for, conventional chemotherapy in the setting of early-stage resectable NSCLC or locally advanced NSCLC remains to be determined. A wide range of clinical trials for these settings have been pursued, with several pivotal studies still ongoing, and will be reviewed for their potential to redefine our current standards of care for potentially curable NSCLC through the integration of targeted therapies.
Insights
Targeted therapies improve outcomes for advanced non-small cell lung cancer (NSCLC). Their role in early-stage NSCLC is under investigation to potentially enhance cure rates and redefine treatment standards.
Area of Science:
- Oncology
- Medical Therapeutics
Background:
- Targeted therapies and chemotherapy have advanced non-small cell lung cancer (NSCLC) management.
- Inhibitors of epidermal growth factor receptor (EGFR) and angiogenesis improve response rates and survival in advanced NSCLC.
Purpose of the Study:
- To evaluate the role of targeted therapies in potentially curable early-stage and locally advanced non-small cell lung cancer (NSCLC).
- To determine if targeted therapies can improve cure rates when combined with or replacing conventional chemotherapy.
Main Methods:
- Review of ongoing and completed clinical trials investigating targeted therapies in early-stage and locally advanced NSCLC.
- Analysis of data on response rates, survival extension, and therapeutic index.
Main Results:
- Novel targeted therapies have demonstrated significant clinical benefit in incurable, advanced NSCLC.
- Established clinical benefit for targeted therapies in early-stage or locally advanced NSCLC is yet to be determined.
Conclusions:
- The integration of targeted therapies holds potential to redefine standards of care for potentially curable NSCLC.
- Further research and ongoing clinical trials are crucial to establish the value of targeted therapies in earlier stages of NSCLC.
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