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With the rapid development of lung cancer molecular detection and precision therapy, targeted therapy has covered the entire process of diagnosis and treatment of nonsmall cell lung cancer patients. Overall mortality from lung cancer has decreased significantly over the past 20 years, especially since the introduction of targeted drugs in 2013. In 2022, targeted therapy for lung cancer has developed rapidly. The optimization of treatment modes and the exploration of new target drugs such as antibody-drug conjugates will broaden the selection range of nonsmall cell lung cancer patients with positive driver genes. This article reviews the latest advances in targeted therapy for driver gene-positive lung cancer in 2022.


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Annual progress of clinical research on targeted therapy for nonsmall cell lung cancer in 2022

Show Author's information Yan HuangLi Zhang( )
State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China

Abstract

With the rapid development of lung cancer molecular detection and precision therapy, targeted therapy has covered the entire process of diagnosis and treatment of nonsmall cell lung cancer patients. Overall mortality from lung cancer has decreased significantly over the past 20 years, especially since the introduction of targeted drugs in 2013. In 2022, targeted therapy for lung cancer has developed rapidly. The optimization of treatment modes and the exploration of new target drugs such as antibody-drug conjugates will broaden the selection range of nonsmall cell lung cancer patients with positive driver genes. This article reviews the latest advances in targeted therapy for driver gene-positive lung cancer in 2022.

Keywords: targeted therapy, ALK, driver gene-positive lung cancer, EGFR, rare mutations

References(55)

1

Howlader N, Forjaz G, Mooradian MJ, Meza R, Kong CY, Cronin KA, et al. The effect of advances in lung-cancer treatment on population mortality. N Engl J Med. 2020;383(7):640–49. https://doi.org/10.1056/NEJMoa1916623

2

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: CA Cancer J Clin. 2018;68(6):394–424. https://doi.org/10.3322/caac.21492

3

Fois SS, Paliogiannis P, Zinellu A, Fois AG, Cossu A, Palmieri G. Molecular epidemiology of the main druggable genetic alterations in non-small cell lung cancer. Int J Mol Sci. 2021;22(2):612. https://doi.org/10.3390/ijms22020612

4

Chen G, Wang X, Liu Y, Wu L, Hao Y, Liu C, et al. Central nervous system efficacy of furmonertinib versus gefitinib in patients with non–small cell lung cancer with epidermal growth factor receptor mutations: Results from FURLONG study. J Clin Oncol. 2022;40:9101. https://doi.org/10.1200/JCO.2022.40.16_suppl.9101

5

Lu S, Dong X, Jian H, Chen J, Chen G, Sun Y, et al. AENEAS: a randomized phase iii trial of aumolertinib versus gefitinib as first-line therapy for locally advanced or metastaticnon–small-cell lung cancer with EGFR Exon 19 Deletion or L858R Mutations. J Clin oncol. 2022;40(27):3162–71. https://doi.org/10.1200/JCO.21.02641

6

Nobuhisa I, Takashi N, Toshiyuki K, Shoichi K, Koji I, Toshihide Y, et al. Treatment of patients with EGFR-mutated advanced non-squamous NSCLC: Primary analysis of the multicenter, randomized, phase Ⅱ study—AfaBev-CS study. ASCO Abstract. 2022:9112.

7

Kenmotsu H, Wakuda K, Mori K, Kato T, Sugawara S, Kirita K, et al. Randomized Phase 2 Study of Osimertinib Plus Bevacizumab Versus Osimertinib for Untreated Patients With Nonsquamous NSCLC Harboring EGFR Mutations: WJOG9717L Study. J Thorac Oncol. 2022;17:1098–1108. https://doi.org/10.1016/j.jtho.2022.05.006

8

Atsushi N, Ryota S, Ryo K, Koichi A, Ryo M, Makoto M, et al. A phase Ⅱ study of osimertinib in combination with platinum plus pemetrexed in patients with EGFR-mutated, advanced non–small cell lung cancer: the OPAL study (NEJ032C/LOGIK1801). ASCO Abstract. 2022;40:9097.

9

Cho BC, Felip E, Hayashi H, Thomas M, Lu S, Besse B, et al. MARIPOSA: phase 3 study of first-line amivantamab + lazertinib versus osimertinib in EGFR-mutant non-small-cell lung cancer. Future Oncol. 2022;18(6):639–47. https://doi.org/10.2217/fon-2021-0923

10

Jänne PA, Baik C, Su WC, Johnson ML, Hayashi H, Nishio M, et al. Efficacy and safety of patritumab deruxtecan (HER3-DXd) in EGFR inhibitor–resistant, EGFR-mutated non–small cell lung cancer. Cancer Discov. 2022;12(1):74–89. https://doi.org/10.1158/2159-8290.CD-21-0715

11

Ahn M-J, De Marinis F, Bonanno L, Cho BC, Kim TM, Cheng S, et al. MET Biomarker-based Preliminary Efficacy Analysis in SAVANNAH: savolitinib + osimertinib in EGFRm NSCLC Post-osimertinib. WCLC EP08.02-140. 2022;17:S469–70.

12

Jonathan WG, Hidehito H, Byoung CC, Pascale T, Martin D, David H, et al. Phase 1/1b study of telisotuzumab vedotin (Teliso-V) plus osimertinib (Osi), after failure on prior Osi, in patients with advanced, c-Met overexpressing, EGFR-mutated non-small cell lung cancer. J Clin Oncol. 2022;40(16):S9013.

13

Lu S, Wu L, Jian H, Chen Y, Wang Q, Fang J, et al. Sintilimab with or without IB1305 plus chemotherapy in patients with EGFR mutated non-squamous non-small-cell lung cancer EGFRm nsqNSCLC) who progressed on EGFR tyrosine-kinase(TKIs) therapy: second interim analysis of phase 3 ORIENT-31 study. ESMO LBA58. 2022;23:1167–79.

14

Yang JC-H, Wang M, Mitchell P, Fang J, Nian W, Chiu C, et al. EP08.02-029 sunvozertinib in NSCLC patients with EGFR Exon20 insertion mutations: effect of prior treatment. J Thorac Oncol. 2022;17:S410–11. https://doi.org/10.1016/j.jtho.2022.07.711

15

Zwierenga F, van Veggel B, Hendriks LEL, Hiltermann TJN, Hiddinga BI, Hijmering Kappelle LBM, et al. High dose osimertinib in patients with advanced stage EGFR exon 20 mutation-positive NSCLC: results from the phase 2 multicenter POSITION20 trial. Lung Cancer. 2022;170:133–40. https://doi.org/10.1016/j.lungcan.2022.06.012

16

Pizzutilo EG, Cerea G, Oresti S, Agostara AG, Signorelli D, Stabile S, et al. 996P Activity of OsimeRTInib in NSCLC with UNcommon EGFR Mutations: Retrospective observational multicenter study (ARTICUNO). Ann Oncol. 2022;33:S1009. https://doi.org/10.1016/j.annonc.2022.07.1122

17

Qing Z, Kim HR, Soo RA, Chiu CH, Hayashi H, Kim S, et al. Updated analyses from the CROWN study of first-line lorlatinib vs crizotinib in Asian patients with ALK-positive non-small cell lung cancer (NSCLC). ESMO 992P. 2022;33:S1007. https://doi.org/10.1016/j.annonc.2022.07.1119

18

Hotta K, Hida T, Nokihara H, Morise M, Kim YH, Azuma K, et al. Final overall survival analysis from the phase Ⅲ J-ALEX study of alectinib versus crizotinib in ALK inhibitor-naïve Japanese patients with ALK-positive non-small-cell lung cancer. ESMO Open. 2022;7(4):100527. https://doi.org/10.1016/j.esmoop.2022.100527

19

Lu S, Zhou Q, Liu X, Du Y, Fan Y, Cheng Y, et al. Lorlatinib for Previously Treated ALK-Positive Advanced NSCLC: Primary Efficacy and Safety From a Phase 2 Study in People's Republic of China. J Thorac Oncol. 2022;17(6):816–26. https://doi.org/10.1016/j.jtho.2022.02.014

20

Lu S, Fang J, Li X, Cao J, Zhou Q, Guo Z, et al. Final OS results and subgroup analysis of savolitinib in patients with MET exon 14 skipping mutations (METex14+) NSCLC. Ann Oncol. 2022;33:S27–70.

21

Thomas M, Garassino M, Felip E, Sakai H, Le X, Veillon R, et al. OA03.05 Tepotinib in Patients with MET Exon 14 (METex14) Skipping NSCLC: primary Analysis of the Confirmatory VISION Cohort C. J Thorac Oncol. 2022;17:S9–10. https://doi.org/10.1016/j.jtho.2022.07.024

22

Lu S, Yu Y, Zhou J, Goto K, Li X, Sakakibara-Konishi J, et al. Phase Ⅱ study of SCC244 in NSCLC patients harboring MET exon 14 skipping (METex14) mutations (GLORY study). Cancer Res. 2022;82(12_Suppl):CT034. https://doi.org/10.1158/1538-7445.AM2022-CT034.

23

Li BT, Smit EF, Goto Y, Nakagawa K, Udagawa H, Mazières J, et al. Trastuzumab deruxtecan in HER2 mutant non–small-Cell Lung Cancer. N Engl J Med. 2022;386(3):241–51. https://doi.org/10.1056/NEJMoa2112431

24

Fan Y, Jianying Z, Yuanyuan Z, Yan Y, Nong Y, Juan L, et al. Safety and efficacy of dabrafenib plus trametinib in Chinese patients with BRAF V600E-mutation positive metastatic NSCLC. J Thorac Oncol. 2022;17(9):S423. https://doi.org/10.1016/j.jtho.2022.07.734

25

Besse B, Griesinger F, Curigliano G, Thomas M, Subbiah V, Baik CS, et al. 1170P Updated efficacy and safety data from the phase Ⅰ/Ⅱ ARROW study of pralsetinib in patients (pts) with advanced RET fusion+ non-small cell lung cancer (NSCLC). Ann Oncol. 2022;33:S1083–84. https://doi.org/10.1016/j.annonc.2022.07.1293

26

Drilon A, Subbiah V, Gautschi O, Tomasini P, de Braud F, Solomon BJ, et al. Durability of efficacy and safety with selpercatinib in patients with RET fusion+ non-small-cell lung cancer: LIBRETTO-001. J Clin Oncol. 2022;33:S43.

27

Lu S, Cheng Y, Huang D, Sun Y, Wu L, Zhou C, et al. Efficacy and safety of selpercatinib in Chinese patients with advancedRETfusion-positive non-small-cell lung cancer: a phase Ⅱ clinical trial (LIBRETTO-321). Ther Adv Med Oncol. 2022;14:17588359221105020. https://doi.org/10.1177/17588359221105020

28

Johnson ML, de Langen AJ, Waterhouse DM, Mazieres J, Dingemans AMC, Mountzios G, et al. LBA10 Sotorasib versus docetaxel for previously treated non-small cell lung cancer with KRAS G12C mutation: CodeBreaK 200 phase Ⅲ study. Ann Oncol. 2022;33:S1417–18. https://doi.org/10.1016/j.annonc.2022.08.051

29

Spira AI, Riely GJ, Gadgeel SM, Heist RS, Ou SHI, Pacheco JM, et al. KRYSTAL-1: Activity and safety of adagrasib (MRTX849) in patients with advanced/metastatic non–small cell lung cancer (NSCLC) harboring a KRASG12C mutation. J Clin Oncol. 2022;40:9002. https://doi.org/10.1200/JCO.2022.40.16_suppl.9002

30

Michels SYF, Franklin J, Massuti B, Sebastian M, Felip E, Grohé C, et al. Crizotinib in ROS1-rearranged lung cancer (EUCROSS): updated overall survival. J Clin Oncol. 2022;40:S9078. https://doi.org/10.1200/JCO.2022.40.16_suppl.9078

31

Fan Y, Drilon A, Chiu C, Bowles D, Loong H, Siena S, et al. Entrectinib in patients with ROS1 fusion-positive (ROS1-fp) NSCLC: updated efficacy and safety analysis. WCLC. 2022;17(9):S89–S90. https://doi.org/10.1016/j.jtho.2022.07.150

32

Lu S, Pan H, Wu L, Yao Y, He J, Wang Y, et al. The phase Ⅱ study of unecritinib (TQ-B3101) monotherapy in the first line treatment in patients with ROS1 positive non-small cell lung cancer (NCT03972189). ELCC. 2022;33:S31.

33

Moreno V, Lin JJ, Tan DSW, Kummar S, Dai M-S, Lassen UN, et al. Extended follow-up of efficacy and safety of larotrectinib in patients with TRK fusion lung cancer. WCLC. 2022;17(9):S473–S474. https://doi.org/10.1016/j.jtho.2022.07.831

34

Demetri GD, De Braud F, Drilon A, Siena S, Patel MR, Cho BC, et al. Updated integrated analysis of the efficacy and safety of entrectinib in patients with NTRK fusion-positive solid tumors. Clin Cancer Res. 2022;28(7):1302–12. https://doi.org/10.1158/1078-0432.CCR-21-3597

35

Lu L, Chiu C-H, Yu Y, Loong HHF, Lin CC, Hu X, et al. Entrectinib in Chinese patients with metastatic ROS1 fusion-positive (fp) NSCLC and NTRK-fp solid tumours. ELCC. 2022;33:S83–S84.

36

Harrison PT, Vyse S, Huang PH. Rare epidermal growth factor receptor (EGFR) mutations in non-small cell lung cancer. Semin Cancer Biol. 2020;61:167–79. https://doi.org/10.1016/j.semcancer.2019.09.015

37

Lyu C, Fang W, Ma H, Wang J, Jiao W, Wang R, et al. Osimertinib as neoadjuvant therapy in patients with EGFR mutated resectable stage Ⅱ-ⅢB lung adenocarcinoma (NEOS): updated results. ELCC. 2022;33:S71–S72. https://doi.org/10.1016/j.annonc.2022.02.091

38

Tsuboi M, Wu Y-L, Grohe C, John T, Majems M, Wang J, et al. Osimertinib as adjuvant therapy in patients with resected EGFR Mutated stage IB-ⅢA NSCLC: updated results from ADAURA. ESMO LBA47. 2022;33(suppl_7):S808–S869.

39

Yue D, Xu S, Wang Q, Li X, Shen Y, Zhao H, et al. Updated overall survival and exploratory analysis from randomized, phase ii evan study of erlotinib versus vinorelbine plus cisplatin adjuvant therapy in Stage ⅢA epidermal growth factor receptor+ non-small-cell lung cancer. J Clin Oncol. 2022;40(34):3912–17. https://doi.org/10.1200/JCO.22.00428

40

Zhang JT, Liu SY, Gao W, Liu SYM, Yan HH, Ji L, et al. Longitudinal undetectable molecular residual disease defines potentially cured population in localized non–small cell lung cancer. Cancer Discov. 2022;12(7):1690–1701. https://doi.org/10.1158/2159-8290.CD-21-1486

41

Shum E, Elamin YY, Piotrowska Z, Spigel DR, Reckamp KL, Rotow JK, et al. A phase 1/2 study of BLU-945 in patients with common activating EGFRmutant non–small cell lung cancer (NSCLC): SYMPHONY trial in progress. J Clin Oncol. 2022;40(16):TPS9156.

42

Garon EB, Johnson ML, Lisberg AE, Spira A, Yamamoto N, Heist RS, et al. LBA49 Efficacy of datopotamab deruxtecan (Dato-DXd) in patients (pts) with advanced/metastatic (adv/met) non-small cell lung cancer (NSCLC) and actionable genomic alterations (AGAs): Preliminary results from the phase Ⅰ TROPION-PanTumor01 study. Ann Onco. 2021;32:S1326–27. https://doi.org/10.1016/j.annonc.2021.08.2128

43

Fang W, Huang Y, Hong S, Zhang Z, Wang M, Gan J, et al. EGFR exon 20 insertion mutations and response to osimertinib in non-small-cell lung cancer. BMC Cancer. 2019;19(1):595. https://doi.org/10.1186/s12885-019-5820-0

44

Passaro A, Mok T, Peters S, Popat S, Ahn MJ, de Marinis F. Recent Advances on the Role of EGFR Tyrosine Kinase Inhibitors in the Management of NSCLC With Uncommon, Non Exon 20 Insertions, EGFR Mutations. J Thorac Oncol. 2021;16(5):764–73. https://doi.org/10.1016/j.jtho.2020.12.002

45

Yang JCH, Schuler M, Popat S, Miura S, Heeke S, Park K, et al. Afatinib for the treatment of NSCLC harboring uncommon EGFR mutations: a database of 693 cases. J Thorac Oncol. 2020;15(5):803–15. https://doi.org/10.1016/j.jtho.2019.12.126.

46
NCCN Guidelines Version 3.2022 Non-Small Cell Lung Cancer.
47

Liu S, Huang T, Liu M, He W, Zhao Y, Yang L, et al. The genomic characteristics of ALK fusion positive tumors in chinese NSCLC patients. Front Oncol. 2020;10:726. https://doi.org/10.3389/fonc.2020.00726

48

Mok T, Camidge DR, Gadgeel SM, Rosell R, Dziadziuszko R, Kim DW, et al. Updated overall survival and final progression-free survival data for patients with treatment-naive advanced ALK-positive non-small-cell lung cancer in the ALEX study. Ann Onco. 2020;31(8):1056–64. https://doi.org/10.1016/j.annonc.2020.04.478

49

Guo R, Luo J, Chang J, Rekhtman N, Arcila M, Drilon A. MET-dependent solid tumours - molecular diagnosis and targeted therapy. Nat Rev Clin Oncol. 2020;17(9):569–87. https://doi.org/10.1038/s41571-020-0377-z

50

Goto K, Kim S-W, Kubo T, Goto Y, Ahn M-J, Planchard D, et al. Trastuzumab deruxtecan in patients with HER2 mutant metastatic non–small-cell lung cancer: interim results from the phase 2 DESTINY-lung02 trial. ESMO. 2022;33(suppl_7):S808–S869. https://doi.org/10.1016/j.annonc.2022.08.057.

51

Bustamante JG, Otterson GA. Agents to treat BRAF-mutant lung cancer. Drugs Context. 2019;8:212566. https://doi.org/10.7573/dic.212566

52

Li AY, McCusker MG, Russo A, Scilla KA, Gittens A, Arensmeyer K, et al. RET fusions in solid tumors. Cancer Treat Rev. 2019;81:101911. https://doi.org/10.1016/j.ctrv.2019.101911

53

Skoulidis F, Heymach JV. Co-occurring genomic alterations in non-small-cell lung cancer biology and therapy. Nat Rev Cancer. 2019;19:495–509. https://doi.org/10.1038/s41568-019-0179-8

54
2022WCLC.OA03.04/OA03.07.
55

Liu F, Wei Y, Zhang H, Jiang J, Zhang P, Chu Q. NTRK fusion in non-small cell lung cancer: diagnosis, therapy, and TRK inhibitor resistance. Front Oncol. 2022;12:864666. https://doi.org/10.3389/fonc.2022.864666

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Received: 04 December 2022
Accepted: 31 January 2023
Published: 01 March 2023
Issue date: February 2023

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© 2023 The Authors. Cancer Innovation published by John Wiley & Sons Ltd. on behalf of Tsinghua University Press.

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