e000118.full.pdf (2.18 MB)
Download file

Novel active agents in patients with advanced NSCLC without driver mutations who have progressed after first-line chemotherapy

Download (2.18 MB)
journal contribution
posted on 20.08.2019, 13:55 by C Manegold, A Adjei, F Bussolino, F Cappuzzo, L Crino, R Dziadziuszko, D Ettinger, D Fennell, K Kerr, T Le Chevalier, N Leighl, M Papotti, L Paz-Ares, M Pérol, S Peters, R Pirker, E Quoix, M Reck, E Smit, E Vokes, N Van Zandwijk, C Zhou
Despite the efficacy of a number of first-line treatments, most patients with advanced-stage non-small cell lung cancer (NSCLC) experience disease progression that warrants further treatment. In this review, we examine the role of novel active agents for patients who progress after first-line therapy and who are not candidates for targeted therapies. More therapeutic options are needed for the management of patients with NSCLC after failure of first-line chemotherapy. A PubMed search was performed for articles from January 2012 to May 2015 using the keywords NSCLC, antiangiogenic, immunotherapy, second-line, novel therapies and English language articles only. Relevant papers were reviewed; papers outside that period were considered on a case-by-case basis. A search of oncology congresses was performed to identify relevant abstracts over this period. In recent years, antiangiogenic agents and immune checkpoint inhibitors have been added to our armamentarium to treat patients with advanced NSCLC who have progressed on first-line chemotherapy. These include nintedanib, a triple angiokinase inhibitor; ramucirumab, a vascular endothelial growth factor receptor-2 antibody; and nivolumab, pembrolizumab and atezolizumab, just three of a growing list of antibodies targeting the programmed death receptor-1 (PD-1)/PD ligand-1 pathway. Predictive and prognostic factors in NSCLC treatment will help to optimise treatment with these novel agents. The approval of new treatments for patients with NSCLC after the failure of first-line chemotherapy has increased options after a decade of few advances, and holds promise for future evolution of the management of NSCLC.

Funding

Boehringer Ingelheim Pharma GmbH & Co KG.

History

Citation

ESMO Open, 2016, 1 (6)

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Cancer Research Centre

Version

VoR (Version of Record)

Published in

ESMO Open

Publisher

BMJ Publishing Group

eissn

2059-7029

Acceptance date

30/10/2016

Copyright date

2017

Available date

20/08/2019

Language

en

Usage metrics

Categories

Exports