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Developments in predictive biomarker testing and targeted therapy in advanced stage non-small cell lung cancer and their application across European countries

VD. de Jager, W. Timens, A. Bayle, J. Botling, L. Brcic, R. Büttner, MGO. Fernandes, L. Havel, MJ. Hochmair, P. Hofman, A. Janssens, M. Johansson, L. van Kempen, I. Kern, F. Lopez-Rios, M. Lüchtenborg, JC. Machado, K. Mohorcic, L. Paz-Ares, S....

. 2024 ; 38 (-) : 100838. [pub] 20240301

Status neindexováno Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc24005671

In the past two decades, the treatment of metastatic non-small cell lung cancer (NSCLC), has undergone significant changes due to the introduction of targeted therapies and immunotherapy. These advancements have led to the need for predictive molecular tests to identify patients eligible for targeted therapy. This review provides an overview of the development and current application of targeted therapies and predictive biomarker testing in European patients with advanced stage NSCLC. Using data from eleven European countries, we conclude that recommendations for predictive testing are incorporated in national guidelines across Europe, although there are differences in their comprehensiveness. Moreover, the availability of recently EMA-approved targeted therapies varies between European countries. Unfortunately, routine assessment of national/regional molecular testing rates is limited. As a result, it remains uncertain which proportion of patients with metastatic NSCLC in Europe receive adequate predictive biomarker testing. Lastly, Molecular Tumor Boards (MTBs) for discussion of molecular test results are widely implemented, but national guidelines for their composition and functioning are lacking. The establishment of MTB guidelines can provide a framework for interpreting rare or complex mutations, facilitating appropriate treatment decision-making, and ensuring quality control.

Centre for Cancer Society and Public Health King's College London London United Kingdom

Charles University and Thomayer Hospital Prague Czech Republic

Department of Histopathology University Hospitals Birmingham NHS Foundation Trust Birmingham United Kingdom

Department of Laboratory Medicine Institute of Biomedicine Sahlgrenska Academy of University of Gothenburg Gothenburg Sweden

Department of Oncology University Hospital Antwerp University of Antwerp Edegem Belgium

Department of Pathology and Medical Biology University Medical Center Groningen University of Groningen Groningen the Netherlands

Department of Pathology University Hospital Antwerp University of Antwerp Edegem Belgium

Department of Pulmonary Diseases and Tuberculosis University Medical Center Groningen University of Groningen Groningen the Netherlands

Department of Radiation Sciences Oncology Umeå University Umeå Sweden

Department of Respiratory and Critical Care Medicine Klinik Floridsdorf Vienna Healthcare Group Vienna Austria

Diagnostic and Research Institute of Pathology Medical University of Graz Graz Austria

Faculty of Medicine of the University of Porto Institute for Research and Innovation in Health Porto Portugal

Hospital Universitario 12 de Octubre Universidad Complutense de Madrid H12O CNIO Lung Cancer Clinical Research Unit Research Institute Hospital 12 de Octubre Ciberonc Madrid Spain

Hospital Universitario 12 de Octubre Universidad Complutense de Madrid Research Institute Hospital 12 de Octubre Ciberonc Madrid Spain

IHU RespirERA FHU OncoAge Nice University Hospital Côte d'Azur University Nice France

Institute of Medical Genetics and Applied Genomics University of Tuebingen Tuebingen Germany

Institute of Molecular Pathology and Immunology of the University of Porto Porto Portugal

Karl Landsteiner Institute of Lung Research and Pulmonary Oncology Klinik Floridsdorf Vienna Austria

Laboratory for Cytology and Pathology University Clinic Golnik Golnik Slovenia

Lung Cancer Group Cologne Department 1 for Internal Medicine and Center for Integrated Oncology Cologne Bonn University Hospital Cologne Cologne Germany

Lung Unit Royal Marsden NHS Trust London United Kingdom

National Disease Registration Service NHS England London United Kingdom

Oncostat U1018 Inserm Paris Saclay University Gustave Roussy Villejuif France

Pulmonology Department Centro Hospitalar Universitário de São João Porto Portugal

The Fingerland Department of Pathology Charles University Medical Faculty and University Hospital Czech Republic

University Clinic of Respiratory and Allergic Diseases Golnik Slovenia

Citace poskytuje Crossref.org

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