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Updated: Jun 17, 2025

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
New promises and challenges in the treatment of advanced non-small-cell lung cancer
May-Lucie Meyer1, Bailey G Fitzgerald2, Luis Paz-Ares3
1Center for Thoracic Oncology, Tisch Cancer Institute, Mount Sinai Health System, New York City, NY, USA.
Abstract:
Targeted therapies and immunotherapies have radically improved treatment for advanced non-small-cell lung cancer (NSCLC). Tyrosine kinase inhibitors targeting oncogenic driver mutations continue to evolve over multiple generations to enhance effectiveness and tackle drug resistance. Immune checkpoint inhibitors remain integral for the treatment of NSCLCs that do not have specific actionable genetic mutations. Antibody-drug conjugates and bispecific antibodies are being integrated into treatment guidelines, and emerging therapies include T-cell engagers, cellular therapies, cancer vaccines, and external devices. Despite these advances, challenges remain in identifying predictive biomarkers to individually tailor treatments, abrogate resistance, reduce costs, and ensure optimal cancer treatment accessibility.
Insights
Advanced non-small-cell lung cancer (NSCLC) treatments have improved with targeted therapies and immunotherapies. Challenges persist in personalized treatment selection, resistance, cost, and accessibility for optimal patient outcomes.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- Advanced non-small-cell lung cancer (NSCLC) treatment has seen significant progress.
- Targeted therapies and immunotherapies are key advancements.
Purpose of the Study:
- To review current and emerging treatments for advanced NSCLC.
- To highlight challenges in optimizing NSCLC therapy.
Main Methods:
- Literature review of targeted therapies, immunotherapies, and novel treatment modalities.
- Analysis of current treatment guidelines and future therapeutic directions.
Main Results:
- Tyrosine kinase inhibitors (TKIs) evolve through generations to overcome resistance.
- Immune checkpoint inhibitors (ICIs) are crucial for NSCLC without actionable mutations.
- New agents like antibody-drug conjugates (ADCs), bispecific antibodies, T-cell engagers, cellular therapies, cancer vaccines, and external devices are emerging.
Conclusions:
- Despite progress, challenges in predictive biomarker identification hinder personalized treatment.
- Addressing treatment resistance, cost, and accessibility is crucial for improving NSCLC care.
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