Treating ALK-positive lung cancer--early successes and future challenges.

Treating ALK-positive lung cancer--early successes and future challenges.
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DOI:
10.1038/nrclinonc.2012.43
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发表时间:
2012-04-03
期刊:
Nature reviews. Clinical oncology
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Rearrangements of the anaplastic lymphoma kinase (ALK) gene occur infrequently in non-small cell lung cancer (NSCLC), but provide an important paradigm for oncogene-directed therapy in this disease. Crizotinib, an orally bioavailable inhibitor of ALK, provides significant benefit for patients with ALK positive (ALK+) NSCLC in association with characteristic, mostly mild, toxicities and is now FDA approved in this molecularly defined subgroup of lung cancer. Many new ALK inhibitors are being developed and understanding the challenges of determining and addressing the side-effects that are likely to be ALK specific, maximizing the time of benefit on targeted agents, and understanding the mechanisms that underlie drug resistance will be critical in informing the optimal therapy of ALK+NSCLC in the future.
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