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Updated: Apr 26, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Current status of targeted therapy in non-small cell lung cancer
1Macclesfield, UK. dvparums@gmail.com.
Abstract:
Tumor tissue biomarkers are the basis for targeted therapy in non-small cell lung cancer (NSCLC). These biomarkers either reflect the target of the specific drug or some factor that might abrogate the effect of the drug. These targeted drugs are small-molecule inhibitors of a specific tyrosine kinase or a monoclonal antibody against a specific receptor. In this review, tissue biomarkers in NSCLC and companion diagnostics will be described, followed by an overview of targeted therapy to EGF/EGFR, HER2, VEGF/VEGFR, ALK, KRAS, BRAF, MEK and MET and some of the newer potential targets. Recent initiatives include the Lung Cancer Matrix Network, the BATTLE trials and the Lung Cancer Mutation Consortium. There are a number of key clinical trials in targeted therapy in NSCLC which will be reporting during the next year.
Insights
This review covers tumor tissue biomarkers and targeted therapies for non-small cell lung cancer (NSCLC). It details current and emerging targets, companion diagnostics, and ongoing clinical trials for improved patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tumor tissue biomarkers are crucial for guiding targeted therapy selection in non-small cell lung cancer (NSCLC).
- Biomarkers can indicate drug targets or factors influencing drug efficacy.
- Targeted therapies include small-molecule inhibitors and monoclonal antibodies.
Purpose of the Study:
- To review established and novel tissue biomarkers in NSCLC.
- To provide an overview of targeted therapies and companion diagnostics.
- To highlight recent initiatives and upcoming clinical trials in NSCLC targeted therapy.
Main Methods:
- Literature review of tissue biomarkers in NSCLC.
- Description of targeted therapies for key molecular targets (e.g., EGFR, HER2, VEGF, ALK, KRAS, BRAF, MET).
- Overview of companion diagnostics and recent research initiatives.
Main Results:
- Detailed description of biomarkers and targeted agents for NSCLC.
- Discussion of targeted therapy for EGF/EGFR, HER2, VEGF/VEGFR, ALK, KRAS, BRAF, MEK, and MET.
- Mention of initiatives like the Lung Cancer Matrix Network and LCMC.
Conclusions:
- Biomarker-driven targeted therapy is fundamental in NSCLC treatment.
- Ongoing research and clinical trials are expanding therapeutic options.
- Personalized medicine approaches are advancing NSCLC patient care.
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