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Updated: Jan 30, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Targeted precision Strike in Extensive-Stage small cell lung Cancer: Current advances and future Perspectives for
Yuwei Li1, Kaiyan Chen2, Hui Li2
1Department of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang 310022, China; Postgraduate training base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang 310022, China.
Antibody-drug conjugates (ADCs) show promise for treating extensive-stage small cell lung cancer (ES-SCLC). These targeted therapies offer improved efficacy against resistant tumors, with ongoing clinical trials exploring their potential.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Small cell lung cancer (SCLC) is an aggressive neuroendocrine tumor with poor prognosis.
- Current treatments like immunochemotherapy have limitations, including disease recurrence and drug resistance.
- Antibody-drug conjugates (ADCs) represent a novel therapeutic strategy for SCLC.
Purpose of the Study:
- To systematically review ADCs in clinical trials and preclinical research for SCLC.
- To discuss the pharmacodynamics, efficacy, and adverse effects of these ADCs.
- To explore strategies for optimizing ADC treatment in SCLC.
Main Methods:
- Literature review of ADCs targeting antigens like B7-H3, Trop-2, SEZ6, DLL3, and EGFR-HER3 in SCLC.
- Analysis of data from clinical trials and preclinical studies.
- Comprehensive discussion of ADC characteristics and treatment optimization.
Main Results:
- Several ADCs targeting specific antigens have entered clinical trials for extensive-stage SCLC (ES-SCLC).
- Observed objective response rates (ORRs) range from 33.3% to 68.0%, with median progression-free survival (PFS) of 4.0-7.6 months.
- While some ADCs face toxicity challenges, many demonstrate encouraging efficacy.
Conclusions:
- ADCs targeting validated antigens are a promising therapeutic avenue for SCLC.
- Further research and clinical trials are essential to overcome toxicity and optimize treatment strategies.
- ADCs hold potential to improve outcomes for patients with SCLC, particularly those with resistant disease.
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