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Published on: September 20, 2016
Squamous cell lung cancer: from tumor genomics to cancer therapeutics
David R Gandara1, Peter S Hammerman2, Martin L Sos3
1Davis Comprehensive Cancer Center, University of California, Sacramento, California. david.gandara@ucdmc.ucdavis.edu.
Abstract:
Squamous cell lung cancer (SCC) represents an area of unmet need in lung cancer research. For the past several years, therapeutic progress in SCC has lagged behind the now more common non-small cell lung cancer histologic subtype of adenocarcinoma. However, recent efforts to define the complex biology underlying SCC have begun to bear fruit in a multitude of ways, including characterization of previously unknown genomic and signaling pathways, delineation of new, potentially actionable molecular targets, and subsequent development of a large number of agents directed against unique SCC-associated molecular abnormalities. For the first time, SCC-specific prognostic gene signatures and predictive biomarkers of new therapeutic agents are emerging. In addition, recent and ongoing clinical trials, including the Lung-MAP master protocol, have been designed to facilitate approval of targeted therapy-biomarker combinations. In this comprehensive review, we describe the current status of SCC therapeutics, recent advances in the understanding of SCC biology and prognostic gene signatures, and the development of innovative new clinical trials, all of which offer new hope for patients with advanced SCC.
Insights
Advances in understanding squamous cell lung cancer (SCC) biology are yielding new molecular targets and therapeutic agents. Innovative clinical trials offer hope for patients with advanced SCC.
Area of Science:
- Oncology
- Pulmonary Medicine
- Molecular Biology
Background:
- Squamous cell lung cancer (SCC) therapy has lagged behind adenocarcinoma, representing a significant unmet need.
- Recent research is uncovering the complex biology of SCC, identifying novel genomic and signaling pathways.
- This progress is leading to the discovery of new molecular targets and therapeutic strategies.
Purpose of the Study:
- To review the current therapeutic landscape for SCC.
- To highlight recent advances in understanding SCC biology and identifying prognostic gene signatures.
- To discuss innovative clinical trials and their potential impact on SCC treatment.
Main Methods:
- Comprehensive literature review of SCC biology, therapeutics, and clinical trials.
- Analysis of emerging prognostic gene signatures and predictive biomarkers.
- Examination of ongoing clinical trial designs, including master protocols like Lung-MAP.
Main Results:
- Characterization of novel SCC-associated molecular abnormalities and signaling pathways.
- Development of targeted agents against unique SCC molecular targets.
- Emergence of SCC-specific prognostic gene signatures and predictive biomarkers.
Conclusions:
- Recent biological insights and targeted therapies offer new hope for advanced SCC patients.
- Innovative clinical trial designs are facilitating the approval of targeted therapy-biomarker combinations.
- Continued research into SCC biology is crucial for advancing treatment options.
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