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Updated: Oct 2, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Challenges in the Use of Targeted Therapies in Non-Small Cell Lung Cancer
Joel Rivera-Concepcion1, Dipesh Uprety2, Alex A Adjei1
1Department of Oncology, Mayo Clinic, Rochester, MN, USA.
Abstract:
Precision oncology has fundamentally changed how we diagnose and treat cancer. In recent years, there has been a significant change in the management of patients with oncogene-addicted advanced-stage NSCLC. Increasing amounts of identifiable oncogene drivers have led to the development of molecularly targeted drugs. Undoubtedly, the future of thoracic oncology is shifting toward increased molecular testing and the use of targeted therapies. For the most part, these novel drugs have proven to be safe and effective. As with all great innovations, targeted therapies pose unique challenges. Drug toxicities, resistance, access, and costs are some of the expected obstacles that will need to be addressed. This review highlights some of the major challenges in the use of targeted therapies in NSCLC and provides guidance for the future strategies.
Insights
Precision oncology is transforming cancer care, especially for advanced non-small cell lung cancer (NSCLC). This review discusses challenges and future strategies for targeted therapies in NSCLC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Precision oncology has revolutionized cancer diagnosis and treatment.
- Management of advanced non-small cell lung cancer (NSCLC) has shifted towards molecularly targeted drugs.
- Identifiable oncogene drivers are increasing, leading to new therapeutic options.
Purpose of the Study:
- To review the major challenges associated with targeted therapies in NSCLC.
- To provide guidance for future strategies in the use of targeted therapies for NSCLC.
Main Methods:
- Literature review of recent advancements in precision oncology for NSCLC.
- Analysis of challenges including drug toxicities, resistance, access, and costs.
- Synthesis of current data to inform future therapeutic approaches.
Main Results:
- Targeted therapies have shown significant safety and efficacy in NSCLC.
- Key challenges include managing drug toxicities, overcoming resistance, and ensuring patient access and affordability.
- The future of thoracic oncology emphasizes molecular testing and targeted treatments.
Conclusions:
- Targeted therapies represent a paradigm shift in NSCLC management.
- Addressing challenges in toxicity, resistance, access, and cost is crucial for optimal utilization.
- Continued research and strategic planning are essential for advancing precision oncology in NSCLC.
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