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Updated: Mar 21, 2026

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Alterations in genes other than EGFR/ALK/ROS1 in non-small cell lung cancer: trials and treatment options
Arpita Desai1, Smitha P Menon2, Grace K Dy1
1Department of Medicine, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Abstract:
During the last decade, we have seen tremendous progress in the therapy of lung cancer. Discovery of actionable mutations in EGFR and translocations in ALK and ROS1 have identified subsets of patients with excellent tumor response to oral targeted agents with manageable side effects. In this review, we highlight treatment options including corresponding clinical trials for oncogenic alterations affecting the receptor tyrosine kinases MET, FGFR, NTRK, RET, HER2, HER3, and HER4 as well as components of the RAS-RAF-MEK signaling pathway.
Insights
Recent lung cancer therapy advances include targeted drugs for specific genetic mutations. This review covers treatments for MET, FGFR, NTRK, RET, HER2, HER3, HER4 alterations, and RAS-RAF-MEK pathway components.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lung cancer therapy has significantly advanced in the past decade.
- Identification of actionable mutations (e.g., EGFR) and translocations (e.g., ALK, ROS1) has enabled targeted therapies.
- Oral targeted agents offer excellent tumor response and manageable side effects for specific patient subsets.
Purpose of the Study:
- To review current and emerging treatment options for lung cancer.
- To highlight clinical trials targeting specific oncogenic alterations.
- To focus on receptor tyrosine kinases and RAS-RAF-MEK pathway components.
Main Methods:
- Literature review of recent advancements in lung cancer therapy.
- Analysis of clinical trials and targeted agents.
- Focus on specific genetic alterations and signaling pathways.
Main Results:
- Targeted therapies have shown significant efficacy in subsets of lung cancer patients.
- Numerous oncogenic alterations are now targets for novel therapeutic strategies.
- Ongoing clinical trials are expanding treatment options.
Conclusions:
- Targeted therapies represent a major progress in lung cancer treatment.
- Understanding oncogenic alterations is crucial for personalized medicine.
- Further research and clinical trials are essential to improve patient outcomes.
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