- |||||||||| Xalkori (crizotinib) / Pfizer, Alecensa (alectinib) / Roche
Journal: ALK Fusions in a Wide Variety of Tumor Types Respond to Anti-ALK Targeted Therapy. (Pubmed Central) - Jul 25, 2018 Patients whose tumors harbor ALK rearrangements or fusions respond to treatment with crizotinib and alectinib, including tumors not normally associated with ALK mutations, such as non-Langerhans cell histiocytosis or renal cell carcinoma. Comprehensive genomic profiling using next-generation sequencing can detect targetable ALK fusions irrespective of tumor type or fusions partner.
- |||||||||| Trial completion date, Trial primary completion date, Tumor mutational burden, PD(L)-1 Biomarker, Metastases: My Pathway: A Study Evaluating Herceptin/Perjeta, Tarceva, Zelboraf/Cotellic, Erivedge, Alecensa, and Tecentriq Treatment Targeted Against Certain Molecular Alterations in Participants With Advanced Solid Tumors (clinicaltrials.gov) - Jun 1, 2018
P2a, N=600, Recruiting, Alectinib also had an acceptable safety profile with a longer duration of follow-up. Trial completion date: Aug 2019 --> Aug 2020 | Trial primary completion date: Aug 2019 --> Aug 2020
- |||||||||| Alecensa (alectinib) / Roche
Clinical, Journal: Personalized Medicine Tackles Clinical Resistance: Alectinib in ALK-positive NSCLC Progressing on First Generation ALK Inhibitor. (Pubmed Central) - Jan 21, 2018 Over the last 2 years, our therapeutic armamentarium against genomically-defined subgroups of non-small cell lung cancer (NSCLC) has extended to patients with acquired resistance to front-line targeted therapy. Alectinib (Alecensa®, CH5424802), a second-generation, orally active, potent and highly selective inhibitor of anaplastic lymphoma kinase (ALK), is indicated for patients with metastatic, ALK rearrangement-positive NSCLC whose disease has worsened after treatment with crizotinib or who became intolerant of the drug and it received orphan drug designation, breakthrough therapy designation, priority review status, and accelerated approval by the FDA.
- |||||||||| Xalkori (crizotinib) / Pfizer, Alecensa (alectinib) / Roche
Journal: Coupling an EML4-ALK-centric interactome with RNA interference identifies sensitizers to ALK inhibitors. (Pubmed Central) - Nov 30, 2017 Among these, knocking down fibroblast growth factor receptor substrate 2 (FRS2) or coiled-coil and C2 domain-containing protein 1A (CC2D1A), both scaffolding proteins, sensitized multiple ALK fusion cell lines to the ALK inhibitors crizotinib and alectinib. Collectively, our data set provides a resource that enhances our understanding of signaling and drug resistance networks consequent to ALK fusions and identifies potential targets to improve the efficacy of ALK inhibitors in patients.
- |||||||||| Trial initiation date: NCT Neuro Master Match - N (clinicaltrials.gov) - Nov 1, 2017
P1/2, N=350, Not yet recruiting, In parallel, development of more selective, potent RET TKIs is warranted. Initiation date: Jul 2017 --> Jan 2018
- |||||||||| Enrollment open, Tumor mutational burden, IO Companion diagnostic, PD(L)-1 Biomarker, PD(L)-1 companion diagnostic, Metastases: BFAST: A Study to Evaluate the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Participants With Non-Small Cell Lung Cancer (NSCLC) (clinicaltrials.gov) - Oct 10, 2017
P2/3, N=580, Recruiting, Recruiting --> Active, not recruiting Not yet recruiting --> Recruiting
- |||||||||| Retrospective data, Journal: Targeting RET in Patients With RET-Rearranged Lung Cancers: Results From the Global, Multicenter RET Registry. (Pubmed Central) - Aug 16, 2017
Of those patients, 53 received one or more RET tyrosine kinase inhibitors in sequence: cabozantinib (21 patients), vandetanib (11 patients), sunitinib (10 patients), sorafenib (two patients), alectinib (two patients), lenvatinib (two patients), nintedanib (two patients), ponatinib (two patients), and regorafenib (one patient)...Conclusion Available multikinase inhibitors had limited activity in patients with RET-rearranged NSCLC in this retrospective study. Further investigation of the biology of RET-rearranged lung cancers and identification of new targeted therapeutics will be required to improve outcomes for these patients.
- |||||||||| Zykadia (ceritinib) / Novartis
Review, Journal: The accelerated path of ceritinib: Translating pre-clinical development into clinical efficacy. (Pubmed Central) - Aug 10, 2017 The discovery of anaplastic lymphoma kinase (ALK)-rearranged non-small-cell lung cancer (NSCLC) in 2007 led to the development and subsequent approval of the ALK inhibitor crizotinib in 2011...There is now a next generation of ALK inhibitors, including two that have been approved-ceritinib and alectinib-and others that are in development-brigatinib, lorlatinib and X-396...Selective gastrointestinal toxicity of ceritinib, such as diarrhea, nausea and vomiting is generally manageable with prophylactic medication and prompt dose reduction or interruption. Future progress in treating ALK+ NSCLC will focus on determining the optimal sequencing of therapies and strategies to overcome acquired resistance, an ongoing challenge in treating ALK-mutation-driven tumors.
- |||||||||| Xalkori (crizotinib) / Pfizer, Alecensa (alectinib) / Roche
Biomarker, Review, Journal: J-ALEX: alectinib versus crizotinib in ALK-positive lung cancer. (Pubmed Central) - Jul 29, 2017 Future progress in treating ALK+ NSCLC will focus on determining the optimal sequencing of therapies and strategies to overcome acquired resistance, an ongoing challenge in treating ALK-mutation-driven tumors. No abstract available
- |||||||||| Tecentriq (atezolizumab) / Roche, Alecensa (alectinib) / Roche
Enrollment closed, Combination therapy, PD(L)-1 Biomarker, Metastases: A Phase 1b Study of Atezolizumab in Combination With Erlotinib or Alectinib in Participants With Non-Small Cell Lung Cancer (NSCLC) (clinicaltrials.gov) - Jun 29, 2017 P1b, N=52, Active, not recruiting, Not yet recruiting --> Recruiting Recruiting --> Active, not recruiting
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