Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China

HER2-mutated non-small lung cancer (NSCLC) in China represents a substantial patient population characterized by an unfavorable prognosis. However, at present, the main clinical treatment options are relatively limited. HER2 mutations in Chinese NSCLC (2019-2024) demonstrated 3.8%-5.6% prevalence vi...

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Main Authors: Chang Liu MS, Tao Li MD, Xiaoran Cui MD, Yahui Lv MS, Min Liu MS, Xin Zhou MS, Fan Yang MS, Yi Dong MS, Ruixin Li MS, Fan Zhang MD, Tong Zhang MD, Yi Hu MD
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748251347572
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author Chang Liu MS
Tao Li MD
Xiaoran Cui MD
Yahui Lv MS
Min Liu MS
Xin Zhou MS
Fan Yang MS
Yi Dong MS
Ruixin Li MS
Fan Zhang MD
Tong Zhang MD
Yi Hu MD
author_facet Chang Liu MS
Tao Li MD
Xiaoran Cui MD
Yahui Lv MS
Min Liu MS
Xin Zhou MS
Fan Yang MS
Yi Dong MS
Ruixin Li MS
Fan Zhang MD
Tong Zhang MD
Yi Hu MD
author_sort Chang Liu MS
collection DOAJ
description HER2-mutated non-small lung cancer (NSCLC) in China represents a substantial patient population characterized by an unfavorable prognosis. However, at present, the main clinical treatment options are relatively limited. HER2 mutations in Chinese NSCLC (2019-2024) demonstrated 3.8%-5.6% prevalence via NGS, exceeding global baselines, with superior detection vs PCR (4.5% vs 3.1%). In addition, more attention was paid to molecular analysis and the detection rate of HER2 genomic alterations in NSCLC patients in eastern and northern China compared to other parts of China, which might be related to regional economic differences and geographic differences in lung cancer epidemiology. The evolving therapeutic landscape has established new-generation TKIs (pyrotinib) and antibody-drug conjugates (ADCs) like trastuzumab deruxtecan (T-Dxd) as targeted strategies for HER2-mutant NSCLC. Despite late research initiation, China rapidly advanced from retrospective analyses to pioneering new drug trials. In general, the incidence of HER2-mutated NSCLC in the Chinese population seems to be higher than the world average, and there is a large number of missed HER2-mutated NSCLC patients in China. In this field, ADCs and novel TKIs are being developed and researched in spurts, and new drugs are moving from back-line therapy to front-line therapy, and from single-drug regimens to combination regimens.
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issn 1526-2359
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spelling doaj-art-8c58cd734389492d9bb321d56eb4b1102025-08-20T03:24:34ZengSAGE PublishingCancer Control1526-23592025-05-013210.1177/10732748251347572Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in ChinaChang Liu MSTao Li MDXiaoran Cui MDYahui Lv MSMin Liu MSXin Zhou MSFan Yang MSYi Dong MSRuixin Li MSFan Zhang MDTong Zhang MDYi Hu MDHER2-mutated non-small lung cancer (NSCLC) in China represents a substantial patient population characterized by an unfavorable prognosis. However, at present, the main clinical treatment options are relatively limited. HER2 mutations in Chinese NSCLC (2019-2024) demonstrated 3.8%-5.6% prevalence via NGS, exceeding global baselines, with superior detection vs PCR (4.5% vs 3.1%). In addition, more attention was paid to molecular analysis and the detection rate of HER2 genomic alterations in NSCLC patients in eastern and northern China compared to other parts of China, which might be related to regional economic differences and geographic differences in lung cancer epidemiology. The evolving therapeutic landscape has established new-generation TKIs (pyrotinib) and antibody-drug conjugates (ADCs) like trastuzumab deruxtecan (T-Dxd) as targeted strategies for HER2-mutant NSCLC. Despite late research initiation, China rapidly advanced from retrospective analyses to pioneering new drug trials. In general, the incidence of HER2-mutated NSCLC in the Chinese population seems to be higher than the world average, and there is a large number of missed HER2-mutated NSCLC patients in China. In this field, ADCs and novel TKIs are being developed and researched in spurts, and new drugs are moving from back-line therapy to front-line therapy, and from single-drug regimens to combination regimens.https://doi.org/10.1177/10732748251347572
spellingShingle Chang Liu MS
Tao Li MD
Xiaoran Cui MD
Yahui Lv MS
Min Liu MS
Xin Zhou MS
Fan Yang MS
Yi Dong MS
Ruixin Li MS
Fan Zhang MD
Tong Zhang MD
Yi Hu MD
Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
Cancer Control
title Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
title_full Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
title_fullStr Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
title_full_unstemmed Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
title_short Advances and Future Perspectives of HER2 Mutations in Non-Small Lung Cancer (NSCLC), Especially in China
title_sort advances and future perspectives of her2 mutations in non small lung cancer nsclc especially in china
url https://doi.org/10.1177/10732748251347572
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