PMID- 28467720 OWN - NLM STAT- MEDLINE DCOM- 20180131 LR - 20231213 IS - 1747-6356 (Electronic) IS - 1747-6348 (Linking) VI - 11 IP - 6 DP - 2017 Jun TI - Second-line therapy of squamous non-small cell lung cancer: an evolving landscape. PG - 469-479 LID - 10.1080/17476348.2017.1326822 [doi] AB - The treatment of lung cancer has radically changed over the last few years. The discovery of druggable oncogenic alterations and the introduction of immunotherapy have provided lung cancer patients with the possibility of more efficient and less toxic therapeutic alternatives than chemotherapy. In the case of lung squamous cell carcinoma (LSCC), the treatment progress is slower than adenocarcinoma, for which several targeted agents have been already approved. The standard first-line therapy for LSCC, in most sites of the world, is platinum-based chemotherapy. After disease progression, these patients now have novel treatment options, including antiangiogenic agents and immune checkpoint blockade. Areas covered: We provide a summary of the recent novelties for the second-line therapy of LSCC, emphasizing on the results of the most important clinical trials that have led to regulatory approvals. Expert commentary: Immune checkpoint inhibitors have changed the therapeutic algorithm for LSCC patients. Other treatment options in the second-line setting include ramucirumab in combination with docetaxel and afatinib. However, we still lack biomarkers to predict which patients could respond better to each treatment. Despite the identification of several actionable molecular alterations, there are no approved targeted agents specific for advanced LSCC. Results from ongoing biomarker-driven studies are eagerly awaited to establish effective treatments for molecularly selected subgroups of patients. FAU - Lazzari, Chiara AU - Lazzari C AD - a Department of Oncology, Division of Experimental Medicine , IRCCS San Raffaele , Milan , Italy. FAU - Karachaliou, Niki AU - Karachaliou N AD - b Medical Oncology Department , Institute of Oncology Rosell (IOR), University Hospital Sagrat Cor , Barcelona , Spain. FAU - Gregorc, Vanesa AU - Gregorc V AD - a Department of Oncology, Division of Experimental Medicine , IRCCS San Raffaele , Milan , Italy. FAU - Bulotta, Alessandra AU - Bulotta A AD - a Department of Oncology, Division of Experimental Medicine , IRCCS San Raffaele , Milan , Italy. FAU - Gonzalez-Cao, Maria AU - Gonzalez-Cao M AD - c Translational Cancer Research Unit, Instituto Oncologico Dr Rosell , Dexeus University Hospital-Quironsalud Group , Barcelona , Spain. FAU - Verlicchi, Alberto AU - Verlicchi A AD - d S.C. Oncologia , Fondazione IRCCS Policlinico San Matteo , Pavia , Italy. FAU - Altavilla, Giuseppe AU - Altavilla G AD - e Medical Oncology Unit, Department of Human Pathology "G. Barresi" , University of Messina , Messina , Italy. FAU - Rosell, Rafael AU - Rosell R AD - c Translational Cancer Research Unit, Instituto Oncologico Dr Rosell , Dexeus University Hospital-Quironsalud Group , Barcelona , Spain. AD - f Germans Trias i Pujol Research Institute , Badalona , Spain. AD - g Catalan Institute of Oncology , Germans Trias i Pujol University Hospital , Badalona , Spain. FAU - Santarpia, Mariacarmela AU - Santarpia M AD - e Medical Oncology Unit, Department of Human Pathology "G. Barresi" , University of Messina , Messina , Italy. LA - eng PT - Journal Article PT - Review DEP - 20170515 PL - England TA - Expert Rev Respir Med JT - Expert review of respiratory medicine JID - 101278196 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Quinazolines) RN - 0 (Radiation-Sensitizing Agents) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - 41UD74L59M (Afatinib) SB - IM MH - Afatinib MH - Angiogenesis Inhibitors/*therapeutic use MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols MH - Carcinoma, Squamous Cell/*drug therapy/pathology MH - Docetaxel MH - Humans MH - Lung Neoplasms/*drug therapy/pathology MH - Quinazolines/therapeutic use MH - Radiation-Sensitizing Agents/*therapeutic use MH - Retreatment MH - Taxoids/therapeutic use MH - Ramucirumab OTO - NOTNLM OT - Lung Squamous Cell Carcinoma (LSCC) OT - antiangiogenic agents OT - immune checkpoint inhibitors OT - immunotherapy OT - targeted therapies EDAT- 2017/05/04 06:00 MHDA- 2018/02/01 06:00 CRDT- 2017/05/04 06:00 PHST- 2017/05/04 06:00 [pubmed] PHST- 2018/02/01 06:00 [medline] PHST- 2017/05/04 06:00 [entrez] AID - 10.1080/17476348.2017.1326822 [doi] PST - ppublish SO - Expert Rev Respir Med. 2017 Jun;11(6):469-479. doi: 10.1080/17476348.2017.1326822. Epub 2017 May 15.