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Review
. 2022 Jun 30;23(13):7322.
doi: 10.3390/ijms23137322.

The Change in Paradigm for NSCLC Patients with EML4-ALK Translocation

Affiliations
Review

The Change in Paradigm for NSCLC Patients with EML4-ALK Translocation

Alessandra Bearz et al. Int J Mol Sci. .

Abstract

The severe prognosis linked with a lung cancer diagnosis has changed with the discovery of oncogenic molecularly driven subgroups and the use of tailored treatment. ALK-translocated advanced lung cancer is the most interesting model, having achieved the longest overall survival. Here, we report the most important paradigmatic shifts in the prognosis and treatment for this subgroup population occurred among lung cancer.

Keywords: ALK; NSCLC; targeted therapies.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Alternative splicing leads to several variants of EML4–ALK fusion gene.
Figure 2
Figure 2
Regulative approval timelines of ALK TKIs, in first-line and second-line settings.
Figure 3
Figure 3
ALK inhibitors have different resistance profiles: highlighted in red is the efficacy of several ALK TKIs against the aggressive resistance mutation G1202R; in vitro data (modified from [37]).
Figure 4
Figure 4
Different therapeutic strategies in the management of advanced ALK-positive NSCLC, according to pattern and site of progression.

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