Tracheal, bronchus, and lung cancer
Lung cancer deaths fall 2% yearly; targeted therapies offer hopeAI-generated
Milestones
dot size = significance- 2020Selpercatinib approved (FDA)
- 2021Amivantamab approved (FDA)
- 2021Tepotinib approved (FDA)
- 2021Sotorasib approved (FDA)
- 1953Methotrexate approved (FDA)
- 1983Etoposide approved (FDA)
- 1992Paclitaxel approved (FDA)
- 1995Docetaxel anhydrous approved (FDA)
- 1996Topotecan approved (FDA)
- 1996Gemcitabine approved (FDA)
What's being tested now
Trials started per year, stacked by phase (darker = later phase). Source: ClinicalTrials.gov via Clin2, which tracks studies recruiting in recent years — early years undercount.
See all 2821 active Carcinoma, Non-Small-Cell Lung trials on Clin2 →Where we are
AI-generatedLung cancer is curable in some cases, particularly early-stage non-small cell and limited-stage small cell disease. However, most patients present with advanced cancer, where treatments like targeted drugs and immunotherapy extend survival but rarely cure. Deaths have been falling about 2% a year, reflecting earlier detection and better therapies. A key milestone was the 2021 approval of sotorasib, the first drug targeting KRAS mutations, once considered undruggable. While not all patients benefit, this breakthrough opened new avenues for precision medicine. Ongoing research, with over 2,600 trials in the last five years, continues to refine treatment strategies.
- How has the survival rate changed for lung cancer over time?
- Survival has improved gradually. Five-year survival for all stages rose from about 15% in the 1970s to over 25% today, driven by screening, surgery, and new systemic therapies.
- What is the role of targeted therapy in lung cancer?
- Targeted drugs attack specific genetic mutations, such as EGFR, ALK, and KRAS. They often shrink tumors and improve quality of life, especially in non-smokers with these mutations.
- Are there new treatments being tested for advanced lung cancer?
- Yes. Over 2,600 trials have started in the last five years, including 259 phase-3 studies. These test novel combinations, immunotherapies, and next-generation targeted agents.
- Can lung cancer be cured if caught early?
- Yes, early-stage lung cancer is often curable with surgery, sometimes combined with radiation or chemotherapy. For stage I non-small cell cancer, five-year survival exceeds 70%.
- What is the significance of the sotorasib approval?
- Sotorasib, approved in 2021, is the first therapy for KRAS G12C mutations, previously considered undruggable. It offers a new option for patients with this specific genetic change.