Abstract

Since the finding of EGFR gene mutation in non-small cell lung cancer (NSCLC) 15 years ago, remarkable progress of precision medicine has been observed in this field. Due to the different ratio of EGFR-mutation positive patients among races, lots of important evidence regarding EGFR-mutation positive NSCLC has been built in East Asia studies. In addition, various driver oncogenes such as ALK and ROS1 were then identified and corresponding molecular-targeted drugs for these mutations have been developed. Best sequence of treatment by using these drugs is now being investigated. Furthermore, immune checkpoint inhibitors (ICI) were approved for the treatment of NSCLC. The results of clinical trials by monotherapy of ICI as well as Chemo/ICI combo have made us consider appropriate biomarkers for optimizing selection of NSCLC patients, especially those without driver oncogene mutation. Currently NSCLC is leading the way in the development of precision medicine in solid tumors and novel clinical questions are emerging day by day. In this symposium, we discuss the development of precision medicine in NSCLC from the point of Japanese view and introduce our challenge to establish new evidence.

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