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BIOMARKER:

ALK mutation

i
Other names: NBLST3, CD246, Anaplastic Lymphoma Kinase, Anaplastic Lymphoma Kinase (Ki-1), CD246 Antigen, Mutant Anaplastic Lymphoma Kinase, ALK, ALK Receptor Tyrosine Kinase, Anaplastic Lymphoma Receptor Tyrosine Kinase, ALK Tyrosine Kinase Receptor
Entrez ID:
9d
Neoadjuvant Alectinib in a Patient With Anaplastic Lymphoma Kinase (ALK)-Mutant Stage III Lung Adenocarcinoma: A Case Report. (PubMed, Cureus)
Initial treatment with chemoimmunotherapy was complicated by hypersensitivity reactions to nivolumab and paclitaxel, leading to a brief hospitalization...This case demonstrates the efficacy of neoadjuvant alectinib in managing ALK-mutant stage III lung adenocarcinoma, highlighting the potential benefits of targeted therapy in the neoadjuvant setting. Further studies are needed to establish optimal treatment protocols for patients with ALK-positive lung cancer.
Journal • PD(L)-1 Biomarker • IO biomarker
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ALK (Anaplastic lymphoma kinase) • EML4 (EMAP Like 4)
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PD-L1 expression • ALK positive • ALK rearrangement • ALK fusion • ALK mutation
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Opdivo (nivolumab) • Xalkori (crizotinib) • paclitaxel • Alecensa (alectinib)
12d
Patient-derived neuroblastoma models are sensitive to nucleolin-recognizing liposomal drugs. (PubMed, Biomed Pharmacother)
Our results confirm that cell surface NCL is a biomarker and a potential target for NB, paving the way for further investigations aimed at the future clinical translation of innovative combination strategies against NB.
Journal
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NCL (Nucleolin)
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ALK mutation
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Xalkori (crizotinib) • doxorubicin hydrochloride
14d
Bevacizumab plus chemotherapy versus chemotherapy in untreated advanced non-squamous non-small-cell lung cancer patients with brain metastases (BAP BRAIN): an open-label, randomized, multicenter, phase III study. (PubMed, ESMO Open)
This study demonstrated encouraging intracranial efficacy and acceptable safety of bevacizumab plus chemotherapy in patients with non-squamous NSCLC and brain metastases in the first-line setting.
Clinical • P3 data • Journal
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EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
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ALK mutation
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Avastin (bevacizumab) • pemetrexed
17d
KEYNOTE-797: DS8201a and Pembrolizumab in Participants With Locally Advanced/Metastatic Breast or Non-Small Cell Lung Cancer (clinicaltrials.gov)
P1, N=115, Active, not recruiting, Daiichi Sankyo | Trial completion date: Oct 2025 --> Mar 2027
Trial completion date
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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HER-2 positive • BRAF V600E • EGFR mutation • HR positive • BRAF V600 • HER-2 expression • HER-2 underexpression • ALK mutation • ROS1 fusion
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Keytruda (pembrolizumab) • Enhertu (fam-trastuzumab deruxtecan-nxki)
18d
Durable response with mutation-guided ALK inhibition in a patient with metastatic epithelioid inflammatory myofibroblastic sarcoma: A case report. (PubMed, Rare Tumors)
Here, we present a patient diagnosed with high grade metastatic inflammatory myofibroblastic tumor driven by a RANBP2::ALK fusion, who later developed an ALK G1202R resistance mutation in the setting of treatment with crizotinib. The patient remains without evidence of disease now 18 months after discontinuing adjuvant lorlatinib. This case illustrates the importance of serial molecular profiling to guide selection of the optimal ALK inhibitor for the best clinical outcomes.
Journal
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ALK (Anaplastic lymphoma kinase) • RANBP2 (RAN Binding Protein 2)
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ALK fusion • ALK mutation • ALK G1202R
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Xalkori (crizotinib) • Lorbrena (lorlatinib)
21d
Influencing factors and prediction of growth heterogeneity in solid nodule non-small cell lung cancer based on artificial intelligence: a prospective study. (PubMed, Transl Lung Cancer Res)
Squamous cell carcinomas and poorly differentiated tumors accelerated nodule growth. Gene mutations drove the differentiation of NSCLC cells but did not regulate their growth rate.
Journal
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EGFR (Epidermal growth factor receptor) • KRAS (KRAS proto-oncogene GTPase) • ALK (Anaplastic lymphoma kinase) • TP53 (Tumor protein P53)
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TP53 mutation • KRAS mutation • EGFR mutation • EGFR L858R • EGFR exon 19 deletion • ALK mutation
24d
KEYNOTE B81: Brentuximab Vedotin With Pembrolizumab in Metastatic Solid Tumors (clinicaltrials.gov)
P2, N=161, Active, not recruiting, Seagen, a wholly owned subsidiary of Pfizer | Trial completion date: Dec 2029 --> Dec 2026 | Trial primary completion date: Dec 2029 --> Dec 2026
Trial completion date • Trial primary completion date
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EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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EGFR mutation • BRAF mutation • ALK mutation
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Keytruda (pembrolizumab) • Adcetris (brentuximab vedotin)
25d
CIMAvax Vaccine, Nivolumab, and Pembrolizumab in Treating Patients With Advanced Non-small Cell Lung Cancer or Squamous Head and Neck Cancer (clinicaltrials.gov)
P1/2, N=51, Active, not recruiting, Roswell Park Cancer Institute | Suspended --> Active, not recruiting | N=242 --> 51 | Trial primary completion date: Dec 2027 --> May 2025
Enrollment closed • Enrollment change • Trial primary completion date • Pan tumor
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PD-L1 (Programmed death ligand 1) • KRAS (KRAS proto-oncogene GTPase) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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PD-L1 expression • ALK mutation
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Keytruda (pembrolizumab) • Opdivo (nivolumab) • CimaVax EGF (EGF-PTI)
1m
Integration of ALK gene mutations and targeted therapies in pediatric high-risk neuroblastoma: advancements in precision oncology. (PubMed, Ann Med Surg (Lond))
Several ALK inhibitors, like crizotinib, ceritinib, lorlatinib, repotrectinib, and alectinib, have shown different levels of success, but resistance to these treatments is still a big challenge. While ALK inhibitors have shown promise, resistance mechanisms necessitate the development of combination therapies and next-generation inhibitors. Future research should focus on optimizing targeted treatment strategies to improve survival outcomes in pediatric patients with ALK-positive neuroblastoma.
Review • Journal
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ALK (Anaplastic lymphoma kinase)
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ALK positive • ALK mutation
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Xalkori (crizotinib) • Alecensa (alectinib) • Lorbrena (lorlatinib) • Zykadia (ceritinib) • Augtyro (repotrectinib)
1m
A national study of lung cancer patients below 50 years: Variations in characteristics and outcomes by age. (PubMed, Cancer Epidemiol)
Young patients diagnosed with lung cancer are less likely to be diagnosed in a curable stage. The pathology and smoking habits differ significantly from patients above fifty years. While pending screening is important for the older population of smokers, it remains essential to consistently address the need for early diagnosis in the young population to prevent exacerbating existing disparities.
Journal
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ALK (Anaplastic lymphoma kinase)
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ALK mutation
1m
A Prospective, Open-Label, Multicenter Phase II Clinical Study of Neoadjuvant Toripalimab Combined with Chemotherapy and Thermal Ablation in Stage IB-IIIB Non-Small Cell Lung Cancer (ChiCTR2500111260)
P2, N=61, Not yet recruiting, Beijing Friendship Hospital ,Capital Medical University; Beijing Friendship Hospital ,Capital Medical University
New P2 trial
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EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
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ALK mutation
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Loqtorzi (toripalimab-tpzi)
1m
A single-arm clinical study of subcutaneous injection of enolumab combined with oral vinorelbine as the first-line treatment for elderly patients with advanced non-small cell lung cancer (ChiCTR2500109581)
P2, N=62, Not yet recruiting, The First Affiliated Hospital of Guangzhou Medical University; The First Affiliated Hospital of Guangzhou Medical University
New P2 trial
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EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
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ALK mutation • EGFR negative
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Navelbine oral (vinorelbine tartrate oral)