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Updated: May 25, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Optimizing the use of epidermal growth factor receptor inhibitors in advanced non-small-lung cancer (NSCLC)
Emad Shash1, Fedro Alessandro Peccatori, Hatem A Azim
1Department of Medical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt;
Abstract:
Lung cancer is the leading cause of cancer-related death in US and Europe. Treatment with a platinum-based chemotherapy remains the standard of care, however with modest effect on quality of life and overall survival which seldom reaches 1 year. Recently, several classes of targeted agents have emerged showing promising results. In particular, agents targeting the epidermal growth factor receptor (EGFR) showed impressive clinical activity both in the first line and salvage settings. However, it is evident that these drugs are not effective in all patients. Putting into consideration the very high cost of these agents, there is an urgent need to provide reliable tools to identify those patients that would derive the maximum benefit from these drugs. Several predictive biomarkers were developed to identify those patients who would derive the maximal benefit of these drugs. In this review we will discuss the recent updates on the role of EGFR inhibitors in the treatment of advanced NSCLC and the role of predictive bio-markers in patient selection.
Insights
Lung cancer treatment is improving with targeted therapies like epidermal growth factor receptor (EGFR) inhibitors. Biomarkers are crucial for selecting patients who will benefit most from these expensive, advanced lung cancer drugs.
Area of Science:
- Oncology
- Pharmacology
Background:
- Lung cancer is a leading cause of cancer death in the US and Europe.
- Platinum-based chemotherapy offers modest survival benefits and impacts quality of life.
- Targeted therapies, particularly epidermal growth factor receptor (EGFR) inhibitors, show promise in advanced non-small cell lung cancer (NSCLC).
Purpose of the Study:
- To review recent advancements in EGFR inhibitors for advanced NSCLC treatment.
- To discuss the role of predictive biomarkers in patient selection for EGFR inhibitor therapy.
Main Methods:
- Literature review of recent studies on EGFR inhibitors and predictive biomarkers in NSCLC.
- Analysis of clinical trial data and research findings.
Main Results:
- EGFR inhibitors demonstrate significant clinical activity in both first-line and salvage settings for NSCLC.
- Patient response to EGFR inhibitors varies, highlighting the need for predictive biomarkers.
- Several predictive biomarkers have been developed to identify patients likely to benefit from these targeted agents.
Conclusions:
- EGFR inhibitors represent a significant advancement in advanced NSCLC treatment.
- Predictive biomarkers are essential for optimizing patient selection and maximizing the benefit of costly EGFR inhibitors.
- Further research into predictive biomarkers will improve personalized treatment strategies for lung cancer.
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