Title |
Anaplastic lymphoma kinase inhibition in metastatic non-small cell lung cancer: clinical impact of alectinib
|
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Published in |
OncoTargets and therapy, September 2017
|
DOI | 10.2147/ott.s109493 |
Pubmed ID | |
Authors |
Ittai B Muller, Adrianus J de Langen, Elisa Giovannetti, Godefridus J Peters |
Abstract |
A subset of non-small cell lung cancer (NSCLC) tumors (5%) harbors an anaplastic lymphoma kinase (ALK) translocation that drives tumorigenesis. The clinically approved first-line treatment crizotinib specifically inhibits ALK and improves progression-free survival (PFS) in treated and untreated patients by 4 months compared to standard chemotherapy. While some patients relapse after crizotinib treatment due to resistance mutations in ALK, second-generation ALK inhibitors effectively induce tumor response and prolong PFS. Alectinib, a second-generation ALK inhibitor, has recently been approved for ALK-rearranged NSCLC after patients progressed on crizotinib. Alectinib is able to inhibit several crizotinib- and ceritinib-resistant ALK mutations in vitro. Furthermore, alectinib is a more potent tyrosine kinase inhibitor (TKI), with favorable safety profile, and has increased penetration into the central nervous system, inhibiting crizotinib-resistant brain metastases. The discovery of effective personalized therapies to combat ALK-rearranged NSCLC such as alectinib is an example of the importance of genomic profiling of NSCLC and provides an excellent template for future discoveries in managing these tumors. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 41 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 9 | 22% |
Researcher | 8 | 20% |
Student > Postgraduate | 2 | 5% |
Student > Bachelor | 2 | 5% |
Student > Doctoral Student | 1 | 2% |
Other | 6 | 15% |
Unknown | 13 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 8 | 20% |
Biochemistry, Genetics and Molecular Biology | 7 | 17% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 5% |
Agricultural and Biological Sciences | 2 | 5% |
Chemistry | 2 | 5% |
Other | 5 | 12% |
Unknown | 15 | 37% |