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Updated: Sep 27, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Novel targeted therapies for advanced non-small lung cancer
Omar Abughanimeh1, Anahat Kaur2, Badi El Osta3
1Division of Oncology and Hematology, Department of Internal Medicine, University of Nebraska Medical Center- Fred and Pamela Buffett Cancer Center, Omaha, NE.
Abstract:
Non-small cell lung cancer (NSCLC) is the most common type of lung cancer accounting for almost 80%-85% of all lung cancer cases. Unfortunately, more than half of the patients will be diagnosed with advanced disease at the time of presentation, which makes their disease incurable. Historically, the 5 year overall survival for advanced NSCLC was 5%. However, there has been a significant increase in our understanding of the genetic basis of NSCLC, which has led to development of both immunotherapy and targeted therapy agents. This has improved the 5 year overall survival to become within the range of 15%-50% depending on certain mutations and biomarkers. Over the last decade the United States Food and Drug Administration (FDA) has approved almost 20 new targeted therapies and clinical trials are still undergoing to evaluate more novel agents. In this review, we will present recent updates on novel targeted therapies.
Insights
Targeted therapies have significantly improved survival for advanced non-small cell lung cancer (NSCLC). Recent advancements and ongoing clinical trials offer new hope for patients with this common form of lung cancer.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Non-small cell lung cancer (NSCLC) is the predominant type of lung cancer, often diagnosed at advanced, incurable stages.
- Historically, advanced NSCLC had a poor 5-year survival rate of approximately 5%.
- Recent breakthroughs in understanding NSCLC's genetic underpinnings have revolutionized treatment approaches.
Purpose of the Study:
- To review recent advancements in novel targeted therapies for non-small cell lung cancer.
- To highlight the impact of targeted therapy on survival rates in advanced NSCLC.
- To provide an overview of newly approved agents and ongoing clinical trials.
Main Methods:
- Literature review of recent scientific publications and clinical trial data.
- Analysis of United States Food and Drug Administration (FDA) approvals for NSCLC targeted therapies.
- Synthesis of information on genetic mutations, biomarkers, and their role in treatment selection.
Main Results:
- Targeted therapies and immunotherapies have markedly improved the 5-year overall survival for advanced NSCLC patients.
- Survival rates now range from 15% to 50%, contingent upon specific mutations and biomarkers.
- The FDA has approved nearly 20 new targeted therapy agents in the last decade, with more under investigation.
Conclusions:
- Advances in understanding NSCLC genetics have led to effective targeted therapies.
- Targeted therapies represent a significant improvement over historical survival rates for advanced NSCLC.
- Ongoing research and clinical trials continue to expand the armamentarium of novel targeted agents for NSCLC treatment.
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