Targeted therapy of non-small cell lung cancer: mechanisms and clinical trials

Le Yu1, Ruoyi Yang1, Zeng Long2

  • 1Sichuan Cancer Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.

Frontiers in Oncology
|October 11, 2024
PubMed

Insights

Targeted therapies, including monoclonal antibodies and tyrosine kinase inhibitors, have significantly improved non-small cell lung cancer (NSCLC) treatment. This review covers their mechanisms, current status, resistance, and future challenges.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Lung cancer remains a major global cause of cancer mortality.
  • Traditional chemotherapy shows limited efficacy for advanced non-small cell lung cancer (NSCLC).
  • Recent advancements in targeted therapies have improved NSCLC patient prognosis.

Purpose of the Study:

  • To review the mechanisms and current status of targeted therapy for NSCLC.
  • To discuss strategies for overcoming acquired resistance to targeted therapies.
  • To address existing challenges in the field of NSCLC targeted therapy.

Main Methods:

  • Review of existing literature on targeted therapies for NSCLC.
  • Analysis of mechanisms of action for monoclonal antibodies (mAbs), antibody-drug conjugates (ADCs), and tyrosine kinase inhibitors (TKIs).
  • Examination of genetic targets such as EGFR and ALK in NSCLC.

Main Results:

  • Targeted therapies, including mAbs, ADCs, and TKIs, offer improved outcomes for NSCLC patients.
  • Understanding specific mutations like EGFR and ALK is crucial for effective targeted treatment.
  • Acquired resistance remains a significant challenge, necessitating further research into overcoming it.

Conclusions:

  • Targeted therapy represents a paradigm shift in NSCLC treatment, enhancing patient survival and quality of life.
  • Continued research into resistance mechanisms and novel therapeutic strategies is essential.
  • Personalized medicine approaches based on molecular profiling are key to optimizing NSCLC management.

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