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Updated: Apr 15, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Targeted therapy for non-small cell lung cancer: current standards and the promise of the future
Bryan A Chan1, Brett G M Hughes1
11 Royal Brisbane and Women's Hospital, Herston, Queensland, Australia ; 2 School of Medicine, University of Queensland, St Lucia, Queensland, Australia ; 3 The Prince Charles Hospital, Chermside, Queensland, Australia.
Abstract:
In recent years, there has been a major paradigm shift in the management of non-small cell lung cancer (NSCLC). NSCLC should now be further sub-classified by histology and driver mutation if one is known or present. Translational research advances now allow such mutations to be inhibited by either receptor monoclonal antibodies (mAb) or small molecule tyrosine kinase inhibitors (TKI). Whilst empirical chemotherapy with a platinum-doublet remains the gold standard for advanced NSCLC without a known driver mutation, targeted therapy is pushing the boundary to significantly improve patient outcomes and quality of life. In this review, we will examine the major subtypes of oncogenic drivers behind NSCLC as well as the development of targeted agents available to treat them both now and in the foreseeable future.
Insights
Non-small cell lung cancer (NSCLC) management now requires sub-classification by driver mutations. Targeted therapies, including monoclonal antibodies (mAb) and tyrosine kinase inhibitors (TKI), are improving patient outcomes.
Area of Science:
- Oncology
- Translational Research
- Pharmacology
Background:
- Non-small cell lung cancer (NSCLC) management has shifted towards personalized medicine.
- Sub-classification by histology and driver mutations is now crucial for effective treatment.
- Traditional chemotherapy remains a standard for NSCLC without known driver mutations.
Purpose of the Study:
- To review major oncogenic driver subtypes in NSCLC.
- To examine the development of targeted agents for NSCLC treatment.
- To discuss current and future therapeutic strategies for NSCLC.
Main Methods:
- Literature review of recent advancements in NSCLC management.
- Analysis of translational research on targeted therapies.
- Examination of targeted agents like monoclonal antibodies (mAb) and small molecule tyrosine kinase inhibitors (TKI).
Main Results:
- Targeted therapies significantly improve patient outcomes and quality of life in NSCLC.
- Identification of specific driver mutations allows for tailored treatment approaches.
- A growing arsenal of targeted agents is becoming available for NSCLC.
Conclusions:
- Personalized medicine, driven by molecular sub-classification, is revolutionizing NSCLC treatment.
- Targeted therapies offer a promising alternative and adjunct to traditional chemotherapy.
- Continued research into oncogenic drivers and targeted agents will further enhance NSCLC management.
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