Updates in the Management of Small Cell Lung Cancer

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Apar Kishor Ganti
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The standard treatment for limited-stage small cell lung cancer (SCLC) is concurrent chemoradiation, with a small subset of patients that could potentially benefit from surgery. For extensive-stage SCLC, the current standard of care is chemoimmunotherapy with a PD-1/PD-L1 inhibitor. The role of prophylactic cranial irradiation in SCLC is currently under debate, and is being investigated in the ongoing MAVERICK trial. Despite high initial response rates to chemoradiotherapy, relapse is common, and outcomes for these patients remain poor. However, recent advances in understanding the molecular biology of SCLC have led to the identification of potential new targets for treatment, including the combination of temozolomide with PARP inhibitors and DLL3-targeted bispecific T-cell engager therapy, both of which have shown activity in early studies.

Disclosures: Dr. Ganti has disclosed receiving grant/research support from Apexigen, Iovance Pharmaceuticals, Merck & Co., Inc., Mirati Therapeutics, Inc., and Nektar Therapeutics; serving as a consultant for AstraZeneca Pharmaceuticals LP, Bayer HealthCare, Cardinal Health, Jazz Pharmaceuticals, Sanofi Genzyme, and Regeneron Pharmaceuticals; serving as a scientific advisor for Flagship Biosciences; and receiving honoraria from Y-mAbs Therapeutics.

Correspondence: Apar Kishor Ganti, MD, MS, University of Nebraska Medical Center, 987680 Nebraska Medical Center, Omaha, NE 68198. Email: aganti@unmc.edu
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