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[2024年晚期非小细胞肺癌的年度治疗进展]

[Annual therapeutic advances in advanced non-small cell lung cancer in 2024].

作者信息

Luan T, Shen P X, Zhang Y H, Xie X H, Lin X Q, Liu M, Peng J, Deng H Y, Wang S Y, Wang C C, Zhou C Z

机构信息

National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou510120, China.

Department of Pulmonary and Critical Care Medicine, the Affiliated Hospital of Kunming University of Science and Technology, the First People's Hospital of Yunnan Province, Kunming650000, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2025 Jan 12;48(1):72-77. doi: 10.3760/cma.j.cn112147-20241103-00655.

Abstract

This paper reviews the clinical progress achieved in 2024 in the field of advanced non-small cell lung cancer (NSCLC), both nationally and internationally. In the area of targeted therapy, particularly for rare mutations, new targets beyond EGFR, ALK, and ROS1 mutations, such as KRAS G12C, HER2, and MET, have gained more clinical validation and approval for targeted drugs in 2024. KRAS G12C inhibitors have also shown significant improvements in disease control rates for patients. Novel dual-target inhibitors are increasingly attracting increasing attention, as these drugs target both primary driver mutations and secondary mutations associated with resistance, thus overcoming the resistance problemsoften seen with traditional targeted therapies. This approach has demonstrated the potential to extend progression-free survival (PFS) in clinical settings. Immunotherapy with PD-1/PD-L1 inhibitors will remain an important treatment option for advanced lung cancer in 2024. While single-agent immunotherapy has limited efficacy in some patients, new combination therapies have shown promising potential, particularly the combination of immune checkpoint inhibitors with chemotherapy, anti-angiogenesis drugs, and targeted therapies, which has been shown to significantly improve efficacy. Antibody-drug conjugates (ADCs) targeting HER2 mutations have also been approved. The development of anti-cancer drugs continues to evolve, with new combinations and strategies being actively explored.

摘要

本文回顾了2024年国内外晚期非小细胞肺癌(NSCLC)领域取得的临床进展。在靶向治疗领域,特别是针对罕见突变,除了EGFR、ALK和ROS1突变外,新的靶点如KRAS G12C、HER2和MET在2024年获得了更多的临床验证和靶向药物批准。KRAS G12C抑制剂在患者疾病控制率方面也显示出显著改善。新型双靶点抑制剂越来越受到关注,因为这些药物既针对主要驱动突变,也针对与耐药相关的次要突变,从而克服了传统靶向治疗中常见的耐药问题。这种方法在临床环境中已显示出延长无进展生存期(PFS)的潜力。2024年,PD-1/PD-L1抑制剂免疫治疗仍将是晚期肺癌的重要治疗选择。虽然单药免疫治疗在一些患者中疗效有限,但新的联合疗法已显示出有前景的潜力,特别是免疫检查点抑制剂与化疗、抗血管生成药物和靶向治疗的联合,已显示出可显著提高疗效。靶向HER2突变的抗体药物偶联物(ADC)也已获批。抗癌药物的研发不断发展,新的联合用药和策略正在积极探索。

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