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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
Current therapy and development of therapeutic agents for lung cancer
Zilai Wang1, Jiyeon Kim2, Pin Zhang1
1Chicago BioSolutions, Inc., 2242 W Harrison Street, Chicago, IL, 60612, USA.
Abstract:
In the past decades, great progress has been made for the prevention and treatment of lung cancer. Yet, lung cancer remains as the leading cause of cancer death worldwide. In this manuscript, we describe the current genetic and molecular characterization of lung cancer subtypes, review up-to-date treatment options for lung cancer patients, summarize the antibodies and small molecule drugs under clinical development, and elaborate on the expression and characteristics of important RTK primary targets and representative preclinical agents which may provide new opportunities for lung cancer treatment. Since gefitinib was first introduced to non-small-cell lung carcinoma (NSCLC) patients in 2002, remarkable progress has been made in targeted therapy for NSCLC patients with the development of multiple generations of small molecule inhibitors targeting relevant driver mutations. However, very little achievement has been made in the development of targeted drugs for small-cell lung carcinoma (SCLC). The successful harness of immune checkpoint inhibitors against PD-1/PD-L1 has marked a major advancement in recent lung cancer treatment. Looking forward, therapeutic strategies that tackle brain metastasis are highly desirable, the combination of molecular testing and strategies tailored to tackle tumor heterogeneity and resistance mechanisms is the key direction for future development.
Insights
Lung cancer treatment has advanced with targeted therapies for non-small-cell lung carcinoma (NSCLC) and immune checkpoint inhibitors. Future research focuses on small-cell lung carcinoma (SCLC), brain metastasis, and overcoming resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lung cancer remains a leading global cause of cancer death despite decades of progress.
- Significant advancements have been made in targeted therapy for non-small-cell lung carcinoma (NSCLC).
- Limited progress has been achieved in developing targeted drugs for small-cell lung carcinoma (SCLC).
Purpose of the Study:
- To review the genetic and molecular characteristics of lung cancer subtypes.
- To summarize current and developing treatment options, including targeted therapies and immunotherapies.
- To explore novel therapeutic targets and preclinical agents for lung cancer.
Main Methods:
- Literature review of genetic and molecular characterization of lung cancer.
- Analysis of current treatment options and drugs in clinical development.
- Elaboration on receptor tyrosine kinase (RTK) targets and preclinical agents.
Main Results:
- Targeted therapies, including multiple generations of small molecule inhibitors, have shown remarkable success in NSCLC.
- Immune checkpoint inhibitors targeting PD-1/PD-L1 represent a major advancement in lung cancer treatment.
- Development of targeted drugs for SCLC remains significantly less advanced compared to NSCLC.
Conclusions:
- Future lung cancer treatment strategies should focus on addressing brain metastasis and tumor heterogeneity.
- Combining molecular testing with tailored strategies is crucial for overcoming resistance mechanisms.
- Continued research into novel targets and agents is essential for improving patient outcomes in both NSCLC and SCLC.
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