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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
Metastatic non-small cell lung cancer management: novel targets and recent clinical advances
Jonathan W Riess1, Heather A Wakelee
1Department of Medicine, Division of Oncology, Stanford Cancer Institute, Stanford University School of Medicine, Stanford, California 94305, USA.
Abstract:
Lung cancer continues to be the most common cause of cancer-related mortality in the United States and other developed countries. The most common subtype is non-small cell lung cancer (NSCLC). Within NSCLC, we are discovering remarkable molecular heterogeneity. Most current actionable mutations have been identified in patients with adenocarcinoma histology, but now new mutations are being discovered in squamous cell histology patients as well. This molecular heterogeneity provides an opportunity for clinical trials to exploit various candidate oncogene-addicted pathways in NSCLC. This article focuses on 2 shifting paradigms in NSCLC management: the recent advances in targeted therapy and maintenance treatment.
Insights
Lung cancer remains a leading cause of death. Advances in targeted therapy and maintenance treatments are shifting the management of non-small cell lung cancer (NSCLC) due to its molecular diversity.
Area of Science:
- Oncology
- Molecular Biology
- Clinical Medicine
Background:
- Lung cancer is the leading cause of cancer mortality globally.
- Non-small cell lung cancer (NSCLC) is the most prevalent subtype.
- NSCLC exhibits significant molecular heterogeneity, impacting treatment strategies.
Purpose of the Study:
- To highlight recent advancements in targeted therapy for NSCLC.
- To discuss the evolving role of maintenance treatment in NSCLC management.
- To underscore the importance of molecular heterogeneity in guiding NSCLC clinical trials.
Main Methods:
- Review of current literature on NSCLC targeted therapies.
- Analysis of recent clinical trial data on maintenance treatments.
- Focus on molecular profiling and its impact on treatment selection.
Main Results:
- Targeted therapies are increasingly effective for specific molecular alterations in NSCLC.
- Maintenance therapy demonstrates improved outcomes in select NSCLC patient populations.
- Discovery of new actionable mutations in both adenocarcinoma and squamous cell NSCLC.
Conclusions:
- Molecular heterogeneity in NSCLC necessitates personalized treatment approaches.
- Targeted therapies and maintenance treatments represent key shifts in NSCLC management.
- Continued research into oncogene-addicted pathways is crucial for improving NSCLC outcomes.
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