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Molecular Advances in Lung Cancer: From Pathogenesis to Precision Therapy (2nd Edition)

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Molecular Cancer Biology".

Deadline for manuscript submissions: 31 December 2026 | Viewed by 2084

Special Issue Editor

Special Issue Information

Dear Colleagues, 

Following the success of our previous Special Issue, “Molecular Advances in Lung Cancer: From Pathogenesis to Precision Therapy” (https://www.mdpi.com/journal/cancers/special_issues/41R029SP49), we are pleased to announce its second edition in Cancers. This Issue will comprehensively examine the molecular landscape of lung cancer, bridging fundamental discoveries with clinical applications in precision medicine. 

Lung cancer represents a complex and heterogeneous disease driven by diverse molecular alterations. While targeted therapies against EGFR, ALK, ROS1, KRAS, and other oncogenic drivers have revolutionized treatment, emerging research continues to uncover novel molecular mechanisms underlying tumor initiation, progression, and therapeutic resistance. This Special Issue will highlight cutting-edge advances across the entire spectrum of lung cancer research, including the following: 

  1. Molecular pathogenesis: Oncogenic signaling pathways and tumor microenvironment interactions, epigenetic regulation and non-coding RNAs in lung carcinogenesis, and molecular subtypes and tumor heterogeneity;
  2. Diagnostic innovations: Novel biomarkers for early detection and minimal residual disease, liquid biopsy and next-generation sequencing technologies, and computational approaches for molecular profiling;
  3. Therapeutic advances: Development of targeted therapies (TKIs, antibody–drug conjugates, etc.), immunotherapy resistance mechanisms and combination strategies, and emerging targets (e.g., MET exon 14, RET, NRG1, HER2);
  4. Translational and clinical research: Biomarker-guided clinical trial design, real-world evidence for molecularly matched therapies, and strategies to overcome therapeutic resistance. 

We invite original research articles and reviews that contribute to these themes. This Special Issue will provide a platform for multidisciplinary research ranging from basic science to clinical applications, with the ultimate goal of improving outcomes for lung cancer patients worldwide. All submissions will undergo rigorous peer review to ensure scientific excellence. 

We look forward to receiving your valuable contributions to this endeavor. 

Sincerely,

Dr. Federico Pio Fabrizio
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lung cancer molecular biology
  • targeted therapy
  • precision medicine
  • biomarkers
  • therapeutic resistance

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Published Papers (1 paper)

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Review

11 pages, 547 KB  
Review
Zipalertinib—A Novel Treatment Opportunity for Non-Small Cell Lung Cancers with Exon 20 Insertions and Uncommon EGFR Mutations
by Wolfram C. M. Dempke, Klaus Fenchel and Niels Reinmuth
Cancers 2026, 18(2), 323; https://doi.org/10.3390/cancers18020323 - 20 Jan 2026
Viewed by 1690
Abstract
Non-small cell lung cancer (NSCLC) represents over 80% of all lung cancer cases and still has a huge mortality worldwide. Targeting epidermal growth-factor receptor (EGFR) alterations with overall response rates of more than 80% has provided a paradigm shift in the treatment of [...] Read more.
Non-small cell lung cancer (NSCLC) represents over 80% of all lung cancer cases and still has a huge mortality worldwide. Targeting epidermal growth-factor receptor (EGFR) alterations with overall response rates of more than 80% has provided a paradigm shift in the treatment of NSCLC; however, NSCLC patients harbouring uncommon mutations and exon 20 insertions still have a dismal prognosis underscoring the urgent need to develop novel EGFR tyrosine kinase inhibitors (TKIs) with proven activity against these EGFR alterations. Zipalertinib is a newly developed oral, irreversible compound which is characterized by its unique pyrrolopyrimidine structure which discriminates this novel TKI from others. It is active against the classical mutations (i.e., del19, L858R) and some of the uncommon mutations (e.g., T790M, G719X, S768I, L861Q, but not C797S) and is predominantly active in NSCLC cells harbouring exon20ins. Zipalertinib is currently being extensively evaluated in several clinical NSCLC trials (REZILIENT 1–4) and has shown significant clinical activity in NSCLC patients with uncommon mutations, exon20ins, and in brain metastases (REZILIENT 3 trial). Moreover, zipalertinib in combination with platinum-based chemotherapy followed by zipalertinib monotherapy as first-line therapy is currently being evaluated in the pivotal, ongoing REZILIENT 3 randomized trial. In addition, the efficacy of zipalertinib is also studied in the adjuvant setting (REZILIENT 4 trial, stage IB-IIIA NSCLCs with exon20ins and uncommon mutations). The role and the integration of therapies targeting exon20ins or uncommon mutations into the first- and second-line treatment armamentarium for NSCLC patients is not yet fully established, and the therapeutic impact of monotherapies (e.g., sunvozertinib, firmonertinib) versus combinations with standard platinum-based chemotherapy (e.g., zipalertinib, amivantamab) currently still lacks robust evidence to further change the therapeutic landscape for these patients. Therefore, results from the ongoing trials are eagerly awaited and are expected to shed some light on these open questions. Full article
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