The efficacy of crizotinib in patients with ALK-positive nonsmall cell lung cancer

Ther Adv Respir Dis. 2015 Jun;9(3):97-104. doi: 10.1177/1753465815577738. Epub 2015 Mar 22.

Abstract

Molecular profiling of nonsmall cell lung cancer (NSCLC) contributes to better understanding the different molecular subtypes of this heterogeneous group of diseases. The discovery of oncogenic ALK rearrangements in NSCLC and the subsequent success in their therapeutic targeting with crizotinib reinforces the benefits of a precision approach to systemic anticancer therapy. In addition, the rapid development of crizotinib from first discovery thorough accelerated US Food and Drug Administration approval, and late stage confirmatory clinical trials, exemplifies the success of the drug development strategy of close collaboration between clinicians, industry and regulatory authorities. In this review we describe the identification of ALK rearranged NSCLC, clinical characteristics of such patients, and clinical outcomes when treated with crizotinib.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anaplastic Lymphoma Kinase
  • Bradycardia / chemically induced
  • Brain Neoplasms / prevention & control
  • Brain Neoplasms / secondary
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Carcinoma, Non-Small-Cell Lung / genetics
  • Chemical and Drug Induced Liver Injury / etiology
  • Clinical Trials as Topic
  • Crizotinib
  • Drug Resistance, Neoplasm
  • Gene Rearrangement
  • Humans
  • Hypogonadism / chemically induced
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / genetics
  • Protein Kinase Inhibitors / therapeutic use*
  • Pyrazoles / therapeutic use*
  • Pyridines / therapeutic use*
  • Receptor Protein-Tyrosine Kinases / genetics*

Substances

  • Protein Kinase Inhibitors
  • Pyrazoles
  • Pyridines
  • Crizotinib
  • ALK protein, human
  • Anaplastic Lymphoma Kinase
  • Receptor Protein-Tyrosine Kinases