PMID- 30209442 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1699-3993 (Print) IS - 1699-3993 (Linking) VI - 54 IP - 8 DP - 2018 Aug TI - Targeted agents in the management of small cell lung cancer - present and future. PG - 479-488 LID - 10.1358/dot.2018.54.8.2833977 [doi] AB - Lung cancer is the leading cause of cancer-related mortality worldwide and is the second most common cancer in both sexes. The small cell lung cancer (SCLC) subtype constitutes about 13% to 15% of all diagnosed lung cancers with an expected 5-year mortality of about 90%. In the past decades, various strategies used to treat newly diagnosed, relapsed or refractory SCLC have shown no significant improvement in clinical outcomes. In the genomic era of oncology, with a better understanding of tumor biology and pathway specific investigations, multiple investigational agents have been studied with the aim to improve clinical outcomes. Some of them include epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs), BCR-ABL TKIs, mammalian target of rapamycin (mTOR) inhibitors, vascular endothelial growth factor (VEGF) inhibitors, etc. All of them have been unsuccessful in adding any survival advantage. DNA repair inhibitors, immunotherapies and anti-delta-like protein 3 (DLL3) antibody-drug conjugates have also been tested so far. This article aims to review the current literature and investigational approaches to improving clinical outcomes of SCLC. CI - Copyright 2018 Clarivate Analytics. FAU - Srivastava, Roma AU - Srivastava R AD - Department of Hematology/Medical Oncology, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, USA. romaonco@gmail.com. FAU - Lebowicz, Y AU - Lebowicz Y AD - Department of Hematology/Medical Oncology, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, USA. FAU - Jamil, M O AU - Jamil MO AD - Department of Hematology/Medical Oncology, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, USA. LA - eng PT - Journal Article PT - Review PL - Spain TA - Drugs Today (Barc) JT - Drugs of today (Barcelona, Spain : 1998) JID - 101160518 RN - 0 (Antineoplastic Agents) RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (Radiopharmaceuticals) SB - IM MH - Animals MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Antineoplastic Agents, Immunological/therapeutic use MH - Apoptosis/drug effects MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/genetics/metabolism/pathology MH - Cell Proliferation/drug effects MH - Clinical Decision-Making MH - DNA Repair/drug effects MH - Genetic Therapy MH - Humans MH - Lung Neoplasms/*drug therapy/genetics/metabolism/pathology MH - Molecular Targeted Therapy/adverse effects/*methods MH - Neoplastic Stem Cells/drug effects/metabolism/pathology MH - Precision Medicine/adverse effects/*methods MH - Radiopharmaceuticals/therapeutic use MH - Signal Transduction/drug effects OTO - NOTNLM OT - Cancer immunotherapy OT - Novel cancer agents OT - Small cell lung cancer OT - Targeted cancer therapies EDAT- 2018/09/14 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/09/14 06:00 PHST- 2018/09/14 06:00 [entrez] PHST- 2018/09/14 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] AID - 2833977 [pii] AID - 10.1358/dot.2018.54.8.2833977 [doi] PST - ppublish SO - Drugs Today (Barc). 2018 Aug;54(8):479-488. doi: 10.1358/dot.2018.54.8.2833977.