Redefining Treatment Paradigms in First-line Advanced Non-Small-Cell Lung Cancer

Clin Cancer Res. 2019 Aug 15;25(16):4881-4887. doi: 10.1158/1078-0432.CCR-18-1894. Epub 2019 Mar 25.

Abstract

Metastatic non-small-cell lung cancer is still a devastating disease; however, treatment options have diversified dramatically in the past two decades. From unselected platinum-based chemotherapy for all patients, several different treatment groups have evolved, that is, those with "druggable" targets, those with a promising immune signature, and those without any predicting factors outlined in this article. Challenge includes the intersections between these groups and the optimal treatment path. These issues will be addressed in this review.

Publication types

  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor
  • Carcinoma, Non-Small-Cell Lung / etiology
  • Carcinoma, Non-Small-Cell Lung / pathology*
  • Carcinoma, Non-Small-Cell Lung / therapy*
  • Clinical Decision-Making
  • Disease Management
  • Disease Susceptibility
  • Humans
  • Lung Neoplasms / etiology
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / therapy*
  • Mutation
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Treatment Outcome

Substances

  • Biomarkers, Tumor