Management of Oncogene Driven Locally Advanced Unresectable Non-small Cell Lung Cancer.

IF 2.9 3区 医学 Q2 ONCOLOGY
Expert Review of Anticancer Therapy Pub Date : 2023-07-01 Epub Date: 2023-08-13 DOI:10.1080/14737140.2023.2245140
Jerold Loh, Jia Li Low, Manavi Sachdeva, Peter Qj Low, Rachel Su Jen Wong, Yiqing Huang, Puey Ling Chia, Ross A Soo
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引用次数: 0

Abstract

Introduction: The current standard of care of locally advanced non-small cell lung cancer (LA-NSCLC) is concurrent chemoradiation, followed by consolidation durvalumab. However, there is evidence that the efficacy of chemoradiation and also immunotherapy in many oncogene-positive LA-NSCLC are attenuated, and dependent on the subgroup.

Areas covered: We will firstly review the outcomes of standard-of-care therapy in oncogene-driven LA-NSCLC. We looked at various oncogene driven subgroups and the tumor microenvironment that may explain differential response. Finally, we review the role of targeted therapy in the treatment of LA-NSCLC.

Expert opinion: Each oncogene-positive subgroup should be treated as its own entity, and continued efforts should be undertaken to incorporate targeted therapy, which is likely to yield superior survival outcomes if trial design can be optimized and toxicities can be managed.

肿瘤基因驱动的局部晚期不可切除非小细胞肺癌癌症的治疗。
简介:目前局部晚期癌症(LA-NSCLC)的治疗标准是同时放化疗,然后合并杜伐单抗。然而,有证据表明,放化疗和免疫疗法对许多癌基因阳性LA-NSCLC的疗效减弱,并依赖于亚组。涵盖的领域:我们将首先回顾癌基因驱动的LA-NSCLC的标准护理治疗的结果。我们观察了各种致癌基因驱动的亚组和可能解释差异反应的肿瘤微环境。最后,我们回顾了靶向治疗在LA-NSCLC治疗中的作用。专家意见:每个癌基因阳性亚组都应作为自己的实体进行治疗,并应继续努力纳入靶向治疗,如果试验设计能够优化并能够控制毒性,靶向治疗可能会产生优越的生存结果。
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来源期刊
CiteScore
5.10
自引率
3.00%
发文量
100
审稿时长
4-8 weeks
期刊介绍: Expert Review of Anticancer Therapy (ISSN 1473-7140) provides expert appraisal and commentary on the major trends in cancer care and highlights the performance of new therapeutic and diagnostic approaches. Coverage includes tumor management, novel medicines, anticancer agents and chemotherapy, biological therapy, cancer vaccines, therapeutic indications, biomarkers and diagnostics, and treatment guidelines. All articles are subject to rigorous peer-review, and the journal makes an essential contribution to decision-making in cancer care. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.
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