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Updated: Aug 21, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Two New Drugs Approved for Non-Small Cell Lung Cancer
1Diane S. Aschenbrenner is a former member of the faculty at Notre Dame of Maryland University and the Johns Hopkins University School of Nursing. She coordinates Drug Watch : diane.aschenbrenner@gmail.com .
Abstract:
The Food and Drug Administration (FDA) has approved capmatinib (Tabrecta) for the treatment of metastatic non-small cell lung cancer in adults whose tumors have a mutation leading to mesenchymal-epithelial transition exon 14 skipping.Nurses should monitor patients for serious adverse effects such as interstitial lung disease/pneumonitis, hepatotoxicity, pancreatic toxicity, photosensitivity, and embryo-fetal toxicity.The FDA has granted accelerated approval to fam-trastuzumab deruxtecan-nxki (Enhertu) for the treatment of unresectable or metastatic non-small cell lung cancer in adults whose tumors have activating human epidermal growth factor receptor 2 mutations and who have received a prior systemic therapy.Enhertu carries a boxed warning regarding the risk of interstitial lung disease and embryo-fetal toxicity.
Insights
The FDA approved capmatinib for metastatic non-small cell lung cancer with MET exon 14 skipping mutations. Nurses must monitor for serious adverse effects like lung issues and liver toxicity.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic non-small cell lung cancer (NSCLC) presents treatment challenges.
- Targeted therapies are advancing NSCLC treatment.
- Genetic mutations like MET exon 14 skipping and HER2 mutations are key targets.
Purpose of the Study:
- To report FDA approvals for new NSCLC treatments.
- To highlight capmatinib for MET exon 14 skipping mutations.
- To inform about Enhertu for HER2-mutated NSCLC.
Main Methods:
- Review of FDA approvals and associated clinical data.
- Identification of specific genetic alterations targeted by new therapies.
- Summary of key adverse events and warnings.
Main Results:
- Capmatinib (Tabrecta) approved for metastatic NSCLC with MET exon 14 skipping.
- Fam-trastuzumab deruxtecan-nxki (Enhertu) approved for previously treated, HER2-mutated metastatic NSCLC.
- Serious adverse events for capmatinib include interstitial lung disease and hepatotoxicity.
- Enhertu carries a boxed warning for interstitial lung disease and embryo-fetal toxicity.
Conclusions:
- New targeted therapies offer treatment options for specific NSCLC patient populations.
- Vigilant patient monitoring for adverse effects is crucial for safe and effective treatment.
- FDA approvals signify advancements in personalized medicine for NSCLC.
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