Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Department of Respiratory Disease, Fujita Health University, Toyoake, Japan.
JCO Oncol Pract. 2024 Jan;20(1):47-56. doi: 10.1200/OP.23.00273. Epub 2023 Sep 21.
Over the past decade, tremendous efforts have been made in the development of targeted agents in non-small-cell lung cancer (NSCLC) with nonsquamous histology. Pivotal studies have used next-generation sequencing to select the patient population harboring oncogenic driver alterations that are targetable with targeted therapies. As treatment paradigm rapidly evolves for patients with rare oncogene-driven NSCLC, updated comprehensive overview of diagnostic approach and treatment options is paramount in clinical settings. In this review article, we discuss the epidemiology, molecular testing, and landmark clinical trials addressing the targeted agents for rearrangement, skipping mutation, exon 20 insertion, G12C mutation, mutation, fusion, fusion, and mutations.
在过去的十年中,针对非鳞状组织学的非小细胞肺癌(NSCLC),靶向药物的研发取得了巨大进展。关键性研究使用下一代测序来选择携带可通过靶向治疗药物治疗的致癌驱动基因改变的患者人群。随着罕见驱动基因 NSCLC 患者的治疗模式迅速发展,在临床环境中,对诊断方法和治疗选择的全面更新是至关重要的。在这篇综述文章中,我们讨论了针对基因重排、突变、外显子 20 插入、G12C 突变、突变、融合、融合和融合突变的靶向药物的流行病学、分子检测和里程碑式临床试验。