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Updated: May 21, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
New oral multitargeted antiangiogenics in non-small-cell lung cancer treatment
Bruno Gori1, Serena Ricciardi, Alberto Fulvi
1Oncological-Pulmonary Unit 1st, San Camillo Hospital, Rome, Italy. bruno.gori@yahoo.it
Abstract:
Non-small-cell lung cancer is a particularly aggressive cancer. Combination chemotherapy remains the standard therapy for patients with advanced or metastatic disease. However, despite the available treatment options for patients who progress beyond first-line therapy, prognosis remains poor. Angiogenesis is a tightly regulated process controlled by a delicate balance between pro- and antiangiogenic factors and their receptors; tumors induce angiogenesis by disrupting this balance and secreting various growth factors. Inhibition of tumor-related angiogenesis has become an attractive target for anticancer therapy. Antiangiogenic strategy includes monoclonal antibodies against VEGF and VEGF receptor and small molecule inhibitors of VEGF tyrosine kinase activity (tyrosine kinase inhibitors). Tyrosine kinase inhibitors are orally active, small molecules that represent a new class of drugs with a relatively high safety profile. They are targeted therapies that play their anticancer role interfering with specific cell signaling. This review focuses on such oral antiangiogenic agents that have been approved and are in advanced clinical development for the treatment of patients with advanced non-small-cell lung cancer.
Insights
Oral antiangiogenic agents, including tyrosine kinase inhibitors, offer a promising targeted therapy for advanced non-small-cell lung cancer. These drugs represent a new class of treatments with a favorable safety profile for patients with poor prognoses.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Non-small-cell lung cancer (NSCLC) is an aggressive malignancy with poor prognosis in advanced or metastatic stages.
- Current standard first-line chemotherapy offers limited options for patients who progress.
- Tumor angiogenesis, driven by disrupted angiogenic factor balance, is a critical process for cancer growth.
Purpose of the Study:
- To review oral antiangiogenic agents for advanced non-small-cell lung cancer.
- To focus on approved and clinically developing tyrosine kinase inhibitors (TKIs).
- To highlight targeted therapies interfering with specific cancer cell signaling pathways.
Main Methods:
- Review of scientific literature on antiangiogenic strategies in cancer therapy.
- Focus on small molecule inhibitors targeting VEGF tyrosine kinase activity.
- Analysis of approved and investigational oral antiangiogenic agents for NSCLC.
Main Results:
- Angiogenesis inhibition is a validated anticancer therapeutic strategy.
- Tyrosine kinase inhibitors are orally active small molecules with a good safety profile.
- Several oral antiangiogenic agents are approved or in advanced development for NSCLC.
Conclusions:
- Oral antiangiogenic TKIs represent a significant advancement in targeted therapy for advanced NSCLC.
- These agents offer a new treatment avenue for patients with poor prognoses.
- Further clinical development of these targeted therapies is ongoing.
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