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Current Pulmonology Reports

, Volume 7, Issue 3, pp 79–91 | Cite as

Treatment of Advanced Non-Small Cell Lung Cancer in the Era of Targeted Therapy

  • Mohamad Masri
  • Martine McManus
  • Raja Mudad
Lung Cancer (R Mudad, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Lung Cancer

Abstract

Purpose of Review

Since the identification of multiple mutations associated with advanced non-small cell lung cancer (NSCLC), many targeted therapies have been developed for the treatment of this subgroup of lung cancers. These targeted therapies have changed the landscape of lung cancer treatment when compared to standard chemotherapy, with improved survival and quality of life. In this review article, we will review the major mutations associated with advanced NSCLC, namely EGFR, ALK, and ROS1. We will discuss their discovery, their clinical significance, and the diagnostic tests used for their detection. We will also review the respective targeted therapies developed, and the clinical trials that led to their approval.

Recent Findings

We will also review the most recent advances in targeted therapies in the treatment of advanced NSCLC, including recent data on tyrosine kinase inhibitor osimertinib showing equal effectiveness to other first-line therapy and accordingly recommended in first line for EGFR-positive advanced NSCLC. We will discuss emerging targetable mutations such as HER2, RET, and MET.

Summary

Targeted therapies will likely shape the future of NSCLC treatment. They have been shown to provide survival advantage over chemotherapy, while providing better quality of life through ease of administration (most are oral drugs), as well as tolerability and better toxicity profile. Further elucidation of these and mutations may provide for future more effective targeted therapies.

Keywords

Non-small cell lung cancer (NSCLC) Tyrosine kinase inhibitors (TKI) Lung adenocarcinoma Anaplastic lymphoma kinase (ALK) Epidermal growth factor (EGFR) Targeted therapy C-ros mutation (ROS1) Rearranged during transfection (RET) Mesenchymal epithelial transition factor (MET) BRAF 

Notes

Acknowledgements

Thanks are due to Dr. Shirin Shafazand for helping to review this paper.

Compliance with Ethical Standards

Conflict of Interest

Raja Mudad is on the advisory board for Novartis, Astra Zeneca, Takeda, and Guardant Health.

Mohamad Masri and Martine McManus declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. 1.Cleveland Clinic Abu DhabiAbu DhabiUAE
  2. 2.University of MiamiMiamiUSA

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