PMID- 33139612 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 11 DP - 2020 Nov 1 TI - Advances and Therapeutic Perspectives in Extended-Stage Small-Cell Lung Cancer. LID - 10.3390/cancers12113224 [doi] LID - 3224 AB - Extended small cell lung cancer (ED-SCLC) is a very aggressive disease, characterized by rapid growth and an early tendency to relapse. In contrast to non-small cell lung cancer, no therapeutic innovation has improved survival in patients with ED-SCLC over the past 20 years. Recently, immunotherapy has shown an important role in the management of these patients, emerging as the treatment of first choice in combination with chemotherapy and completely changing the therapeutic paradigm. However, patients' selection for this strategy is still challenging due to a lack of reliable predictive biomarkers. Conversely, the immunotherapy efficacy beyond the first line is pretty disappointing and innovative chemotherapies or target agents seem to be more promising in this setting. Some of them are also under evaluation as an upfront strategy and they will probably change the treatment algorithm in the next future. This proposal provides a comprehensive overview of available treatment strategies for ED-SCLC patients, highlighting their strengths and weaknesses. FAU - Pierret, Thomas AU - Pierret T AUID- ORCID: 0000-0002-4297-7413 AD - Thoracic Oncology Unit, CHU Grenoble-Alpes, 38700 Grenoble, France. FAU - Toffart, Anne-Claire AU - Toffart AC AD - Thoracic Oncology Unit, CHU Grenoble-Alpes, 38700 Grenoble, France. FAU - Giaj Levra, Matteo AU - Giaj Levra M AD - Thoracic Oncology Unit, CHU Grenoble-Alpes, 38700 Grenoble, France. FAU - Moro-Sibilot, Denis AU - Moro-Sibilot D AD - Thoracic Oncology Unit, CHU Grenoble-Alpes, 38700 Grenoble, France. FAU - Gobbini, Elisa AU - Gobbini E AD - Thoracic Oncology Unit, CHU Grenoble-Alpes, 38700 Grenoble, France. AD - Cancer Research Center of Lyon, 69008 Lyon, France. LA - eng PT - Journal Article PT - Review DEP - 20201101 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7692868 OTO - NOTNLM OT - extended small cell lung cancer OT - immunotherapy OT - target agents COIS- E.G. received personal fees from AstraZeneca, Roche, Merck Sharpe and Dohme and Bristol-Myers Squibb, as well as research grant from Bristol-Myers Squibb outside the submitted work. DMS received personal fees from Roche, Merck Sharpe and Dohme, Bristol-Myers Squibb, and AstraZeneca outside the submitted work. ACT received personal fees from AstraZeneca, Roche, Merck Sharpe and Dohme and Bristol-Myers Squibb, outside the submitted work. MGL received personal fees from AstraZeneca, Roche, Merck Sharpe and Dohme and Bristol-Myers Squibb, outside the submitted work. T.P. declares personal fees received from BMS. EDAT- 2020/11/04 06:00 MHDA- 2020/11/04 06:01 PMCR- 2020/11/01 CRDT- 2020/11/03 05:40 PHST- 2020/09/29 00:00 [received] PHST- 2020/10/27 00:00 [revised] PHST- 2020/10/30 00:00 [accepted] PHST- 2020/11/03 05:40 [entrez] PHST- 2020/11/04 06:00 [pubmed] PHST- 2020/11/04 06:01 [medline] PHST- 2020/11/01 00:00 [pmc-release] AID - cancers12113224 [pii] AID - cancers-12-03224 [pii] AID - 10.3390/cancers12113224 [doi] PST - epublish SO - Cancers (Basel). 2020 Nov 1;12(11):3224. doi: 10.3390/cancers12113224.