Cited by 4Lung Cancer Treatments and MutationsLung Cancer Diagnosis and TreatmentCancer Genomics and Diagnostics

The DOI matches its Crossref record, with a small difference in title or year; 4 of the 4 references it cites were found in a registry or an index.

Targeted Therapies in Non–Small Cell Lung Cancer: A Contemporary Review

Abdelmonem, Ahmed, Bikram Shah, Bidhan, Shebli, Mouza Al, Tabbara, Imad A.·2026·American Journal of Clinical Oncology

Abstract

Lung cancer is the leading cause of cancer-related mortality worldwide, with non–small cell lung carcinoma (NSCLC) comprising over 85% of cases. Advances in molecular diagnostics and precision oncology have shifted treatment toward mutation-driven strategies, resulting in significantly improved patient outcomes. This review synthesizes current evidence on the most clinically relevant genetic alterations in NSCLC and their corresponding targeted therapies, including epidermal growth factor receptor (EGFR) mutations, anaplastic lymphoma kinase (ALK) rearrangements, ROS1 fusions, BRAF V600E mutations, MET exon 14 skipping mutations, RET and NTRK fusions, HER2 alterations, and KRAS G12C mutations. We outline mechanisms of action, clinical efficacy, and limitations of FDA-approved tyrosine kinase inhibitors (TKIs) and emerging agents, with emphasis on resistance pathways, both on-target and bypass-mediated, observed during treatment with drugs such as osimertinib, crizotinib, sotorasib, and entrectinib. The role of next-generation sequencing (NGS), liquid biopsy, and comprehensive biomarker profiling in guiding personalized therapy selection is also discussed, along with strategies for sequential therapy and rational combination approaches.

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Metadata

Authors
Abdelmonem, A., Bikram Shah, B., Shebli, M. A., & Tabbara, I. A.
Affiliations
  • George Washington University (US)
  • Division of Hematology/Oncology, Luminis Health Center for Cancer and Blood Disorders, Annapolis, MD
Corresponding author
Abdelmonem, Ahmed
Venue
American Journal of Clinical Oncology
Published
2025-12-15
Volume
49
Issue
10
Pages
510-516
ISSN
  • 0277-3732 (ISSN-L)
  • 1537-453X
OpenAlex
W4417333125
Cited by
4
References
4
Citations by year
2026: 4
FWCI
0.70
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Clinical Oncology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
Keywords
non-small cell lung cancer, targeted therapy, tyrosine kinase inhibitors, EGFR mutation, ALK rearrangement, ROS1 rearrangement, BRAF V600E mutation, MET exon 14 skipping, RET fusion, NTRK fusion, HER2 alterations, KRAS G12C, osimertinib, crizotinib, sotorasib, entrectinib, drug resistance, next-generation sequencing, liquid biopsy, biomarker profiling, precision oncology, combination therapy
MeSH terms
Carcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Mutation, Protein Kinase Inhibitors, Molecular Targeted Therapy, ErbB Receptors

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