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Updated: Dec 20, 2025

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
Zorawar S Noor1, Amy L Cummings1, McKenna M Johnson1
1David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Abstract:
Lung cancer is a heterogeneous disease, and the availability of comprehensive genomic profiling has allowed for the characterization of its molecular subtypes. This has increased the ability to deliver "personalized medicines" by tailoring therapies to target driver mutations in a patient's cancer. The development of targeted therapies for non-small cell lung cancer (NSCLC) has helped define the era of precision medicine throughout oncology. This article aims to contextualize recent research and provide an updated summary of targeted therapies available for patients with NSCLC. With practitioners and clinical researchers in mind, we note standard of care therapies, important approvals, practice guidelines, and treatments in development. The first section discusses mutations in the epidermal growth factor receptor (EGFR) gene, and the second section examines rearrangements in the anaplastic lymphoma kinase (ALK) and ROS1 fusions. Finally, we explore the rarer molecular alterations in BRAF, RET, MET, HER2, and KRAS. Given the many available therapies, it is important to understand the molecular alterations in NSCLC, and how to target them.
Insights
Targeted therapies for non-small cell lung cancer (NSCLC) are revolutionizing treatment by targeting specific molecular alterations. Understanding these genetic mutations is key to effective personalized medicine in lung cancer care.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Lung cancer is a complex disease with diverse molecular subtypes.
- Genomic profiling enables personalized medicine by identifying driver mutations.
- Targeted therapies have become central to precision oncology for non-small cell lung cancer (NSCLC).
Purpose of the Study:
- To provide an updated summary of targeted therapies for NSCLC.
- To contextualize recent research in NSCLC treatment.
- To guide practitioners and researchers on molecular alterations and targeted treatments.
Main Methods:
- Review of current literature on NSCLC molecular subtypes and targeted therapies.
- Analysis of standard of care treatments, recent approvals, and guidelines.
- Exploration of targeted treatments for specific genetic mutations (EGFR, ALK, ROS1, BRAF, RET, MET, HER2, KRAS).
Main Results:
- Identification of key molecular alterations driving NSCLC, including EGFR mutations and ALK/ROS1 fusions.
- Overview of established and emerging targeted therapies for these alterations.
- Discussion of rarer molecular targets like BRAF, RET, MET, HER2, and KRAS.
Conclusions:
- Understanding NSCLC molecular heterogeneity is crucial for selecting optimal therapies.
- Targeted therapies tailored to specific mutations represent the forefront of personalized lung cancer treatment.
- Continued research and genomic profiling are essential for advancing NSCLC care.
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