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Updated: Sep 25, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
The 2021 Global Lung Cancer Therapy Landscape
Dhruba Deb1, Amy C Moore2, Upal Basu Roy2
1Department of Biomedical Engineering, Columbia University, New York, New York.
Introduction:
The lung cancer treatment landscape has substantially evolved over the past decade. However, a systematic analysis of the current global drug development landscape has not been conducted.
Methods:
We curated and analyzed a comprehensive list of therapeutic entities (TEs) in preclinical development and clinical trials for lung cancer.
Results:
On the basis of our analysis of 707 TEs, we found a consistent forward trajectory in the development pipeline for both NSCLC and SCLC. Most of the TEs were in the advanced stages of clinical trials. Targeted therapies continue to dominate in the non-immuno-oncology space. Immuno-oncology targets are expanding beyond inhibitors of the programmed death-ligand 1 axis.
Conclusions:
Our analysis highlights a robust portfolio of both preclinical and clinical TEs and suggests that lung cancer treatment is going to become even more biomarker-driven.
Insights
Lung cancer drug development shows a strong pipeline with many therapies in advanced clinical trials. The field is increasingly biomarker-driven, with expanding immuno-oncology targets beyond PD-L1.
Area of Science:
- Oncology
- Pharmacology
- Biomedical Research
Background:
- The lung cancer treatment landscape has significantly changed in the last decade.
- A comprehensive analysis of the global drug development pipeline for lung cancer is lacking.
Purpose of the Study:
- To systematically analyze the current global landscape of therapeutic entities (TEs) in lung cancer drug development.
- To identify trends in preclinical and clinical development for both non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC).
Main Methods:
- Curated and analyzed a comprehensive list of 707 TEs.
- Included TEs in preclinical development and active clinical trials for lung cancer.
Main Results:
- Observed a consistent forward trajectory in the lung cancer drug development pipeline.
- Most TEs are in advanced clinical trial stages (Phase II/III).
- Targeted therapies remain dominant outside of immuno-oncology; immuno-oncology targets are diversifying beyond PD-L1 inhibitors.
Conclusions:
- The lung cancer drug development portfolio is robust, with numerous preclinical and clinical TEs.
- Future lung cancer treatment strategies will likely be increasingly driven by specific biomarkers.
- Expanding immuno-oncology targets suggest novel therapeutic avenues are emerging.
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