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Updated: Dec 19, 2025

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
New molecular targeted therapies for advanced non-small-cell lung cancer
Míriam Méndez1, Ana Custodio, Mariano Provencio
1Medical Oncology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Abstract:
Non-small-cell lung cancer (NSCLC) is a uniformly fatal disease and most patients will present with advanced stage. Treatment outcomes remain unsatisfactory, with low long-term survival rates. Standard treatment, such as palliative chemotherapy and radiotherapy, offers a median survival not exceeding 1 year. Hence, considerable efforts have started to be made in order to identify new biological agents which may safely and effectively be administered to advanced NSCLC patients. Two cancer cell pathways in particular have been exploited, the epidermal growth factor receptor (EGFR) and the vascular endothelial growth factor receptor (VEGFR) pathways. However, novel targeted therapies that interfere with other dysregulated pathways in lung cancer are already in the clinic. This review outlines the most promising research approaches to the treatment of NSCLC, discussed according to the specific molecular pathway targeted.
Insights
Advanced non-small-cell lung cancer (NSCLC) has poor outcomes. This review explores novel targeted therapies and biological agents, focusing on molecular pathways beyond EGFR and VEGFR, to improve treatment for NSCLC patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Non-small-cell lung cancer (NSCLC) is a leading cause of cancer death, frequently diagnosed at advanced stages.
- Current treatments like chemotherapy and radiotherapy offer limited survival benefits, with a median survival under one year.
- There is a critical need for more effective treatments for advanced NSCLC.
Purpose of the Study:
- To review promising novel biological agents and targeted therapies for advanced NSCLC.
- To discuss emerging treatment strategies based on specific molecular pathways implicated in lung cancer.
- To highlight research advancements beyond established targets like EGFR and VEGFR.
Main Methods:
- Literature review of current research and clinical trials.
- Analysis of targeted therapies based on molecular pathways.
- Discussion of novel biological agents and their mechanisms of action.
Main Results:
- Exploration of targeted therapies focusing on epidermal growth factor receptor (EGFR) and vascular endothelial growth factor receptor (VEGFR) pathways.
- Identification of novel targeted therapies interfering with other dysregulated pathways in lung cancer.
- Emerging treatments show potential for improved efficacy in advanced NSCLC.
Conclusions:
- Targeted therapies offer a promising avenue for improving outcomes in advanced NSCLC.
- Further research into novel molecular pathways is crucial for developing next-generation treatments.
- Personalized medicine approaches targeting specific molecular pathways hold significant potential for NSCLC patients.
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