Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations

Due to groundbreaking developments and continuous progress, the treatment of advanced and metastatic non-small cell lung cancer (NSCLC) has become an exciting, but increasingly challenging task. This applies, in particular, to the subgroup of NSCLC with oncogenic driver alterations. While the treatm...

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Main Authors: David König, Spasenija Savic Prince, Sacha I. Rothschild
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/4/804
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author David König
Spasenija Savic Prince
Sacha I. Rothschild
author_facet David König
Spasenija Savic Prince
Sacha I. Rothschild
author_sort David König
collection DOAJ
description Due to groundbreaking developments and continuous progress, the treatment of advanced and metastatic non-small cell lung cancer (NSCLC) has become an exciting, but increasingly challenging task. This applies, in particular, to the subgroup of NSCLC with oncogenic driver alterations. While the treatment of epidermal growth factor receptor (EGFR)-mutated and anaplastic lymphoma kinase (ALK)-rearranged NSCLC with various tyrosine kinase inhibitors (TKIs) is well-established, new targets have been identified in the last few years and new TKIs introduced in clinical practice. Even for KRAS mutations, considered for a long time as an “un-targetable” alteration, promising new drugs are emerging. The detection and in-depth molecular analysis of resistance mechanisms has further fueled the development of new therapeutic strategies. The objective of this review is to give a comprehensive overview on the current landscape of targetable oncogenic alterations in NSCLC.
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spelling doaj.art-6622558cc4ff4305a966b78784d11f7f2023-12-11T17:07:21ZengMDPI AGCancers2072-66942021-02-0113480410.3390/cancers13040804Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver AlterationsDavid König0Spasenija Savic Prince1Sacha I. Rothschild2Department of Medical Oncology, University Hospital Basel, 4031 Basel, SwitzerlandComprehensive Cancer Center, University Hospital Basel, 4031 Basel, SwitzerlandDepartment of Medical Oncology, University Hospital Basel, 4031 Basel, SwitzerlandDue to groundbreaking developments and continuous progress, the treatment of advanced and metastatic non-small cell lung cancer (NSCLC) has become an exciting, but increasingly challenging task. This applies, in particular, to the subgroup of NSCLC with oncogenic driver alterations. While the treatment of epidermal growth factor receptor (EGFR)-mutated and anaplastic lymphoma kinase (ALK)-rearranged NSCLC with various tyrosine kinase inhibitors (TKIs) is well-established, new targets have been identified in the last few years and new TKIs introduced in clinical practice. Even for KRAS mutations, considered for a long time as an “un-targetable” alteration, promising new drugs are emerging. The detection and in-depth molecular analysis of resistance mechanisms has further fueled the development of new therapeutic strategies. The objective of this review is to give a comprehensive overview on the current landscape of targetable oncogenic alterations in NSCLC.https://www.mdpi.com/2072-6694/13/4/804NSCLConcogenic alterationstargeted therapyKRAS mutationsKRAS G12C inhibitorsEGFR mutation
spellingShingle David König
Spasenija Savic Prince
Sacha I. Rothschild
Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
Cancers
NSCLC
oncogenic alterations
targeted therapy
KRAS mutations
KRAS G12C inhibitors
EGFR mutation
title Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
title_full Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
title_fullStr Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
title_full_unstemmed Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
title_short Targeted Therapy in Advanced and Metastatic Non-Small Cell Lung Cancer. An Update on Treatment of the Most Important Actionable Oncogenic Driver Alterations
title_sort targeted therapy in advanced and metastatic non small cell lung cancer an update on treatment of the most important actionable oncogenic driver alterations
topic NSCLC
oncogenic alterations
targeted therapy
KRAS mutations
KRAS G12C inhibitors
EGFR mutation
url https://www.mdpi.com/2072-6694/13/4/804
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