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Updated: Oct 8, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Therapeutic advances in non-small cell lung cancer: Focus on clinical development of targeted therapy and
Yuan Cheng1, Tao Zhang1, Qing Xu2
1Laboratory of Aging Research and Cancer Drug Target State Key Laboratory of Biotherapy and Cancer Center National Clinical Research Center for Geriatrics West China Hospital Sichuan University Chengdu China.
Abstract:
Lung cancer still contributes to nearly one-quarter cancer-related deaths in the past decades, despite the rapid development of targeted therapy and immunotherapy in non-small cell lung cancer (NSCLC). The development and availability of comprehensive genomic profiling make the classification of NSCLC more precise and personalized. Most treatment decisions of advanced-stage NSCLC have been made based on the genetic features and PD-L1 expression of patients. For the past 2 years, more than 10 therapeutic strategies have been approved as first-line treatment for certain subgroups of NSCLC. However, some major challenges remain, including drug resistance and low rate of overall survival. Therefore, we discuss and review the therapeutic strategies of NSCLC, and focus on the development of targeted therapy and immunotherapy in advanced-stage NSCLC. Based on the latest guidelines, we provide an updated summary on the standard treatment for NSCLC. At last, we discussed several potential therapies for NSCLC. The development of new drugs and combination therapies both provide promising therapeutic effects on NSCLC.
Insights
Lung cancer remains a leading cause of death. This review details advanced non-small cell lung cancer (NSCLC) treatments, focusing on targeted therapy and immunotherapy, and discusses future directions.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Lung cancer, particularly non-small cell lung cancer (NSCLC), accounts for a significant portion of cancer-related mortality.
- Despite advancements in targeted therapy and immunotherapy, challenges like drug resistance and low survival rates persist in advanced NSCLC.
- Comprehensive genomic profiling has revolutionized NSCLC classification, enabling personalized treatment strategies based on genetic features and PD-L1 expression.
Purpose of the Study:
- To review current therapeutic strategies for advanced-stage NSCLC.
- To focus on the development and application of targeted therapy and immunotherapy in NSCLC.
- To provide an updated summary of standard NSCLC treatments based on recent guidelines and discuss emerging therapies.
Main Methods:
- Literature review of recent therapeutic strategies for advanced-stage NSCLC.
- Analysis of the role of targeted therapy and immunotherapy based on genetic profiling and PD-L1 expression.
- Synthesis of information from the latest clinical guidelines and research on potential novel therapies.
Main Results:
- Over 10 new therapeutic strategies have been approved for specific NSCLC subgroups in the last two years.
- Treatment decisions for advanced NSCLC are increasingly guided by molecular profiling and PD-L1 status.
- Despite progress, challenges in overcoming drug resistance and improving overall survival remain critical areas for research.
Conclusions:
- Targeted therapy and immunotherapy represent significant advancements in treating advanced NSCLC.
- Personalized medicine approaches, driven by genomic profiling, are transforming NSCLC management.
- Future directions include the development of novel drugs and combination therapies to enhance treatment efficacy and patient outcomes in NSCLC.
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