First-line alectinib for ALK-positive lung cancer: is there room for further improvement?
- PMID: 30023004
- PMCID: PMC6044318
- DOI: 10.7573/dic.212537
First-line alectinib for ALK-positive lung cancer: is there room for further improvement?
Abstract
In the present editorial we describe the therapeutic achievements in the treatment of patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC). We focus on the major breakthroughs we have been witnessing in this context, from the introduction of crizotinib as the first approved targeted drug, to the meaningful improvement in terms of clinical benefit that alectinib, a second generation ALK-inhibitor, has recently provided over crizotinib. Finally, we address major trends of clinical research in this setting, and whether this might translate into further clinical improvement in the near future.
Keywords: ALK; alectinib; brain metastases; brigatinib; ceritinib; crizotinib; non-small cell lung cancer.
Conflict of interest statement
Disclosure and potential conflicts of interest: The authors declare that there is no conflict of interest regarding the publication. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors are available for download at http://www.drugsincontext.com/wp-content/uploads/2018/06/dic.212537-COI.pdf
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References
-
- Ou SH, Bartlett CH, Mino-Kenudson M, Cui J, Iafrate AJ. Crizotinib for the treatment of ALK-rearranged non-small cell lung cancer: a success story to usher in the second decade of molecular targeted therapy in oncology. Oncologist. 2012;17:1351–1375. doi: 10.1634/theoncologist.2012-0311. - DOI - PMC - PubMed
-
- Lu S, Mok T, Lu Y, et al. Phase 3 study of first-line crizotinib vs pemetrexed-cisplatin/carboplatin (PCC) in East Asian patients (pts) with ALK+ advanced non-squamous nonsmall cell lung cancer (NSCLC) J Clin Oncol. 2016;34(Suppl 15):9058. (abstract)
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