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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Surgery and Oncology</journal-id><journal-title-group><journal-title xml:lang="en">Surgery and Oncology</journal-title><trans-title-group xml:lang="ru"><trans-title>Хирургия и онкология</trans-title></trans-title-group></journal-title-group><issn publication-format="electronic">2949-5857</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">884</article-id><article-id pub-id-type="doi">10.17650/2949-5857-2025-15-4-11-18</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">New drugs in the 2<sup>nd</sup> line of therapy of small cell lung cancer</article-title><trans-title-group xml:lang="ru"><trans-title>Новые препараты 2-й линии терапии мелкоклеточного рака легкого</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5441-8424</contrib-id><name-alternatives><name xml:lang="en"><surname>Seydinovich</surname><given-names>A.</given-names></name><name xml:lang="ru"><surname>Сейдинович</surname><given-names>А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1357-0956</contrib-id><name-alternatives><name xml:lang="en"><surname>Kuzminov</surname><given-names>A. E.</given-names></name><name xml:lang="ru"><surname>Кузьминов</surname><given-names>А. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4548-1026</contrib-id><name-alternatives><name xml:lang="en"><surname>Barbolina</surname><given-names>T. D.</given-names></name><name xml:lang="ru"><surname>Барболина</surname><given-names>Т. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0042-1150</contrib-id><name-alternatives><name xml:lang="en"><surname>Ter-Ovanesov</surname><given-names>M. D.</given-names></name><name xml:lang="ru"><surname>Тер-Ованесов</surname><given-names>М. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6244-4294</contrib-id><name-alternatives><name xml:lang="en"><surname>Breder</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Бредер</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4469-502X</contrib-id><name-alternatives><name xml:lang="en"><surname>Laktionov</surname><given-names>K. K.</given-names></name><name xml:lang="ru"><surname>Лактионов</surname><given-names>К. К.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alen-s-99@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Russian University of Medicine, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Российский университет медицины» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-12-21" publication-format="electronic"><day>21</day><month>12</month><year>2025</year></pub-date><volume>15</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>11</fpage><lpage>18</lpage><history><date date-type="received" iso-8601-date="2025-12-21"><day>21</day><month>12</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-12-21"><day>21</day><month>12</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, ABV-press</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, АБВ-пресс</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">ABV-press</copyright-holder><copyright-holder xml:lang="ru">АБВ-пресс</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://onco-surgery.info/jour/about/editorialPolicies</ali:license_ref></license></permissions><self-uri xlink:href="https://onco-surgery.info/jour/article/view/884">https://onco-surgery.info/jour/article/view/884</self-uri><abstract xml:lang="en"><p>Small cell lung cancer (SCLC) is the most aggressive histological subtype of lung cancer and accounts for approximately 13–15 % of all lung cancers. The aggressive nature of SCLC is manifested through rapid progression of the disease accompanied by early metastases. Despite good response to chemotherapy, recurrences and progression quickly develop requiring switching to the second line of chemotherapy, efficacy of which remains very low. As a result, the purpose of our publication is to review data on the standard therapy schemes, as well as new drugs used in the second line of SCLC therapy, namely lurbinectedin and tarlatamab. The review contains literature sources on the research on these drugs from the PubMed database published between 2015 and 2024.</p></abstract><trans-abstract xml:lang="ru"><p>Мелкоклеточный рак легкого (МРЛ) является наиболее агрессивным гистологическим подтипом рака легкого и составляет примерно 13–15 % всех его случаев. Агрессивный характер МРЛ проявляется в быстром прогрессировании заболевания, сопровождающемся ранним метастазированием. Несмотря на хороший ответ на химиотерапию, у пациентов быстро развиваются рецидив и прогрессирование, что требует назначения 2-й линии химиотерапии, эффективность которой остается весьма низкой. В связи с этим целью работы стал обзор данных литературы о стандартных схемах лечения, а также о новых препаратах, используемых во 2-й линии терапии МРЛ, а именно лурбинектедине и тарлатамабе. Обзор включает публикации из базы PubMed за 2015–2024 гг., посвященные данным препаратам.</p></trans-abstract><kwd-group xml:lang="en"><kwd>small cell lung cancer</kwd><kwd>second line</kwd><kwd>lurbinectedin</kwd><kwd>tarlatamab</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>мелкоклеточный рак легкого</kwd><kwd>2-я линия терапии</kwd><kwd>лурбинектедин</kwd><kwd>тарлатамаб</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Solta A., Ernhofer B., Boettiger K. et al. 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