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Table 2 Examples of targeted therapies currently undergoing clinical testing in NSCLC

From: Clinical potential of gene mutations in lung cancer

Study name/identifiera

Purpose

Targeted therapies

Pilot trial of molecular profiling and targeted therapy for advanced NSCLC, SCLC, and thymic malignancies

NCT01306045

Evaluate the ability of genetic analysis to determine targeted therapy for patients with NSCLC

AZD6244 MEK1 inhibitor for KRAS or BRAF mutations

MK-2206 AKT inhibitor for PIK3CA, AKT, PTEN mutations

Sunitib inhibitor for KIT or PDGFRA mutations

Lapatinib inhibitor for ERBB2

Erlotinib inhibitor for EGFR mutations

Evaluation of the efficacy of high throughput genome analysis as a therapeutic decision tool for patients with metastatic NSCLC

NCT02117167

Evaluate the use of high throughput genome analysis to determine administration of targeted therapy according to genetic profile of the tumor compared to standard treatment. Randomized multicenter Phase II trial

AZD2014 inhibitor for m-TOR

AZD4547 inhibitor for FGFR

AZD5363 inhibitor for AKT,

AZD8931 inhibitor for EGFR

Selumetinib inhibitor for MEK1

Vandetanib inhibitor for VEGFR and EGFR

FGFR1 amplification as a predictor of efficacy in a biomarker-driven phase II study of BIBF 1120 in advanced lung SCC patients who have failed up to 2 prior chemotherapeutic regimens

NCT01948141

Evaluate efficacy of nintedanib in treating patients with advanced NSCLC who failed up to two previous chemotherapy regimens and use of FGFR1 gene copy number is a predictive biomarker

Nintedanib TKI for FGFR1

  1. AKT v-akt murine thymoma vial oncogene homolog 1, BRAF v-raf murine sarcoma viral oncogene homolog B, EGFR epidermal growth factor receptor, FGFR1 fibroblast growth factor receptor 1, KRAS v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog, MEK mitogen-activated protein kinase kinase 1, m-TOR mechanistic target of rapamycin, NSCLC non-small cell lung carcinoma, SCC squamous cell carcinoma, SCLC small cell lung carcinoma, VEGF vascular endothelial growth factor, VEGFR vascular endothelial growth factor receptor
  2. aDenotes http://www.clinicaltrials.gov identifier