Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond

Lung cancer is the most frequently diagnosed cancer and a leading cause of cancer mortality worldwide, with adenocarcinoma being the most common histological subtype. Deeper understanding of the pathobiology of non-small cell lung cancer (NSCLC) has led to the development of small molecules that tar...

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Main Authors: Niki Karachaliou, Rafael Rosell
Format: Article
Language:English
Published: China Anti-Cancer Association 2014-09-01
Series:Cancer Biology & Medicine
Subjects:
Online Access:http://www.cancerbiomed.org/index.php/cocr/article/view/650
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author Niki Karachaliou
Rafael Rosell
author_facet Niki Karachaliou
Rafael Rosell
author_sort Niki Karachaliou
collection DOAJ
description Lung cancer is the most frequently diagnosed cancer and a leading cause of cancer mortality worldwide, with adenocarcinoma being the most common histological subtype. Deeper understanding of the pathobiology of non-small cell lung cancer (NSCLC) has led to the development of small molecules that target genetic mutations known to play critical roles in progression to metastatic disease and to influence response to targeted therapies. The principle goal of precision medicine is to define those patient populations most likely to respond to targeted therapies. However, the cancer genome landscape is composed of relatively few "mountains"[representing the most commonly mutated genes like KRAS, epidermal growth factor (EGFR), and anaplastic lymphoma kinase (ALK)] and a vast number of "hills" (representing low frequency but potentially actionable mutations). Low-frequency lesions that affect a druggable gene product allow a relatively small population of cancer patients for targeted therapy to be selected.
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spelling doaj.art-69c8c90ebfcc4179b0ef42db81f9c0fe2022-12-21T19:24:16ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412095-39412014-09-0111317318110.7497/j.issn.2095-3941.2014.03.0032014030003Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyondNiki Karachaliou0Rafael Rosell1Translational Research Unit, Dr Rosell Oncology Institute, Quir&#243;n Dexeus University Hospital, 08028 Barcelona, Spain;Translational Research Unit, Dr Rosell Oncology Institute, Quir&#243;n Dexeus University Hospital, 08028 Barcelona, Spain;Lung cancer is the most frequently diagnosed cancer and a leading cause of cancer mortality worldwide, with adenocarcinoma being the most common histological subtype. Deeper understanding of the pathobiology of non-small cell lung cancer (NSCLC) has led to the development of small molecules that target genetic mutations known to play critical roles in progression to metastatic disease and to influence response to targeted therapies. The principle goal of precision medicine is to define those patient populations most likely to respond to targeted therapies. However, the cancer genome landscape is composed of relatively few "mountains"[representing the most commonly mutated genes like KRAS, epidermal growth factor (EGFR), and anaplastic lymphoma kinase (ALK)] and a vast number of "hills" (representing low frequency but potentially actionable mutations). Low-frequency lesions that affect a druggable gene product allow a relatively small population of cancer patients for targeted therapy to be selected.http://www.cancerbiomed.org/index.php/cocr/article/view/650Lung cancerepidermal growth factor (<i>EGFR</i>)anaplastic lymphoma kinase fusions (<i>ALK</i> fusions)tyrosine kinase inhibitors (TKIs)TKI resistance
spellingShingle Niki Karachaliou
Rafael Rosell
Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
Cancer Biology & Medicine
Lung cancer
epidermal growth factor (<i>EGFR</i>)
anaplastic lymphoma kinase fusions (<i>ALK</i> fusions)
tyrosine kinase inhibitors (TKIs)
TKI resistance
title Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
title_full Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
title_fullStr Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
title_full_unstemmed Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
title_short Systemic treatment in EGFR-ALK NSCLC patients: second line therapy and beyond
title_sort systemic treatment in egfr alk nsclc patients second line therapy and beyond
topic Lung cancer
epidermal growth factor (<i>EGFR</i>)
anaplastic lymphoma kinase fusions (<i>ALK</i> fusions)
tyrosine kinase inhibitors (TKIs)
TKI resistance
url http://www.cancerbiomed.org/index.php/cocr/article/view/650
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