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Published on: February 12, 2017
Novel therapies for advanced squamous cell carcinoma of the lung
Konstantinos Koutsoukos1, Giannis Mountzios2
1Medical Oncology Department, Alexandra Hospital, University of Athens School of Medicine, Athens, Greece.
Abstract:
Advanced squamous non-small-cell lung carcinoma (SqCC) has traditionally been considered the 'neglected sibling' compared with lung adenocarcinoma due to lack of effective targeted treatment options. Currently, limited progress has been made in the systemic treatment of advanced disease and combination chemotherapy remains the gold standard. However, the recent completion of the molecular characterization of SqCC revealed an interestingly complex genomic profile, comprising various genetic alterations that can potentially function as molecular targets for the development of novel targeted agents. Recent encouraging results of the use of immune checkpoint inhibitors in several neoplasms has emerged as a promising novel treatment option for advanced SqCC. Future personalized studies, enrolling SqCC patients according to specific driving mutations are underway.
Insights
Advanced squamous non-small-cell lung cancer (SqCC) treatment is improving. Genomic profiling reveals new targets, and immune checkpoint inhibitors show promise for better outcomes in advanced SqCC.
Area of Science:
- Oncology
- Genomics
- Immunotherapy
Background:
- Advanced squamous non-small-cell lung cancer (SqCC) historically lacked targeted therapies, lagging behind lung adenocarcinoma.
- Systemic treatment progress for advanced SqCC has been limited, with combination chemotherapy as the current standard.
- SqCC has been termed the 'neglected sibling' due to these therapeutic challenges.
Purpose of the Study:
- To highlight the complex genomic profile of SqCC.
- To explore novel targeted treatment strategies for advanced SqCC.
- To discuss the emerging role of immune checkpoint inhibitors in SqCC treatment.
Main Methods:
- Molecular characterization of SqCC to identify genetic alterations.
- Review of recent clinical trial data for novel therapeutic agents.
- Analysis of immune checkpoint inhibitor efficacy in various neoplasms.
Main Results:
- SqCC exhibits a complex genomic landscape with potential molecular targets.
- Immune checkpoint inhibitors demonstrate encouraging results in advanced SqCC.
- Combination chemotherapy remains the established standard of care.
Conclusions:
- The molecular characterization of SqCC opens avenues for targeted therapy development.
- Immune checkpoint inhibitors represent a promising new treatment modality for advanced SqCC.
- Personalized treatment strategies based on specific mutations are the future direction for SqCC management.
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