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Advancing therapeutics in small-cell lung cancer
Journal article   Peer reviewed

Advancing therapeutics in small-cell lung cancer

Anish Thomas, Chirayu Mohindroo and Giuseppe Giaccone
Nature cancer, Vol.6(6), pp.938-953
06/01/2025
DOI: 10.1038/s43018-025-00996-1
PMID: 40523990

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Abstract

Small-cell lung cancer (SCLC) accounts for 10-15% of lung cancers and is characterized by early metastasis, treatment resistance and rapid progression. Treatment advancements have been stagnant for decades, with chemotherapy as the mainstay and immune checkpoint inhibitors offering only modest survival extensions. However, new insights into tumor heterogeneity and recent practice-changing observations such as the identification of targetable cell surface proteins could effectively transform SCLC therapy. In this Review, we highlight key advances in SCLC biology, therapeutic innovation and biomarker development. Finally, we discuss the role of reverse translation in optimizing treatments, approaches to overcoming resistance and ensuring equitable access to care.
Antineoplastic Agents - therapeutic use Biomarkers, Tumor - genetics Drug Resistance, Neoplasm Humans Immune Checkpoint Inhibitors - therapeutic use Lung Neoplasms - drug therapy Lung Neoplasms - genetics Lung Neoplasms - pathology Lung Neoplasms - therapy Molecular Targeted Therapy Small Cell Lung Carcinoma - drug therapy Small Cell Lung Carcinoma - genetics Small Cell Lung Carcinoma - pathology Small Cell Lung Carcinoma - therapy

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