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Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Breakthroughs in the treatment of advanced squamous-cell NSCLC: not the neglected sibling anymore?
Georgios Tsironis1, Dimitrios C Ziogas1, Anastasios Kyriazoglou1
1Department of Clinical Therapeutics, Alexandra General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Abstract:
During the last years, translational research has contributed in many advances in the treatment of non-small cell lung cancer (NSCLC) discovering genetic alternations or recognizing the immuno-escape and neo-angiogenesis of lung cancer. Although the majority of these advances took place in the non-squamous histological subtype, therapeutic options for patients diagnosed with advanced squamous cell lung cancer (SqCLC) have been also enriched significantly with the addition of nab-paclitaxel in the conventional chemotherapy; the introduction of necitumumab, afatinib and erlotinib in the inhibition of epidermal growth factor receptor (EGFR) axis and of ramucirumab in the inhibition of VEGF-induced angiogenesis and last with the approvals of nivolumab, pembrolizumab atezolizumab and durvalumab soon in the promising field of immunotherapies. Agents targeted various other pathways including FGFR, IGF-1, PI3K, CDK4/6, MET and PARP inhibitors are under investigation in order to open new prospects in the treatment of SqCLC. In this review, we present all published data that led to recent approvals for the treatment of advanced SqCLC and all ongoing clinical trials that keep searching for new molecular targets following a more-personalized approach.
Insights
Advances in non-small cell lung cancer (NSCLC) treatment have expanded options for squamous cell lung cancer (SqCLC). This review covers new therapies and ongoing trials for advanced SqCLC, focusing on personalized medicine.
Area of Science:
- Oncology
- Translational Research
- Cancer Therapeutics
Background:
- Non-small cell lung cancer (NSCLC) treatment has seen significant advances, particularly in non-squamous subtypes.
- Therapeutic options for advanced squamous cell lung cancer (SqCLC) have also expanded.
- Understanding of lung cancer's immuno-escape and neo-angiogenesis has driven progress.
Purpose of the Study:
- To review recent therapeutic approvals for advanced squamous cell lung cancer (SqCLC).
- To summarize ongoing clinical trials investigating new molecular targets for SqCLC.
- To highlight the shift towards a personalized approach in SqCLC treatment.
Main Methods:
- Review of published data on recent SqCLC treatment approvals.
- Analysis of ongoing clinical trials for advanced SqCLC.
- Synthesis of information on targeted therapies and immunotherapies.
Main Results:
- Established therapies for advanced SqCLC include nab-paclitaxel, EGFR inhibitors (necitumumab, afatinib, erlotinib), and VEGF inhibitors (ramucirumab).
- Immunotherapies such as nivolumab, pembrolizumab, atezolizumab, and durvalumab show promise.
- Investigational agents target pathways like FGFR, IGF-1, PI3K, CDK4/6, MET, and PARP.
Conclusions:
- Recent approvals have significantly enriched treatment options for advanced SqCLC.
- Ongoing research focuses on novel molecular targets and personalized treatment strategies.
- The future of SqCLC treatment lies in continued investigation of targeted agents and immunotherapies.
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