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Updated: Oct 24, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Toward personalized treatment approaches for non-small-cell lung cancer
Meina Wang1, Roy S Herbst2, Chris Boshoff3,4
1Yale Comprehensive Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Abstract:
Worldwide, lung cancer is the most common cause of cancer-related deaths. Molecular targeted therapies and immunotherapies for non-small-cell lung cancer (NSCLC) have improved outcomes markedly over the past two decades. However, the vast majority of advanced NSCLCs become resistant to current treatments and eventually progress. In this Perspective, we discuss some of the recent breakthrough therapies developed for NSCLC, focusing on immunotherapies and targeted therapies. We highlight our current understanding of mechanisms of resistance and the importance of incorporating genomic analyses into clinical studies to decipher these further. We underscore the future role of neoadjuvant and maintenance combination therapy approaches to potentially cure early disease. A major challenge to successful development of rational combination therapies will be the application of robust predictive biomarkers for clear-cut patient stratification, and we provide our views on clinical research areas that could influence how NSCLC will be managed over the coming decade.
Insights
Lung cancer remains a leading cause of cancer deaths globally. New targeted and immune therapies offer hope for non-small-cell lung cancer (NSCLC), but resistance remains a challenge.
Area of Science:
- Oncology
- Cancer Research
- Pulmonology
Background:
- Lung cancer is the leading cause of cancer mortality worldwide.
- Recent advances in targeted therapies and immunotherapies have improved outcomes for non-small-cell lung cancer (NSCLC).
- Treatment resistance is a major obstacle in managing advanced NSCLC.
Purpose of the Study:
- To review recent breakthrough therapies for NSCLC, including immunotherapies and targeted therapies.
- To discuss current understanding of resistance mechanisms in NSCLC.
- To explore future directions in NSCLC treatment, including combination therapies and biomarker development.
Main Methods:
- Review of recent literature on NSCLC therapies, resistance mechanisms, and clinical research.
- Focus on immunotherapies and targeted therapies.
- Discussion of genomic analyses and predictive biomarkers for patient stratification.
Main Results:
- Significant progress has been made in NSCLC treatment with targeted and immune therapies.
- Mechanisms of resistance to these therapies are being elucidated.
- Genomic analyses are crucial for understanding and overcoming resistance.
- Neoadjuvant and maintenance combination therapies show promise for early-stage disease.
Conclusions:
- Overcoming treatment resistance is critical for improving NSCLC patient outcomes.
- Genomic insights and robust biomarkers are essential for developing effective combination therapies.
- Future NSCLC management will likely involve personalized treatment strategies based on molecular profiling and advanced therapeutic combinations.
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