Diagnosis and treatment of anaplastic lymphoma kinase–positive non–small cell lung cancer Journal Article


Authors: Arbour, K. C.; Riely, G. J.
Article Title: Diagnosis and treatment of anaplastic lymphoma kinase–positive non–small cell lung cancer
Abstract: Anaplastic lymphoma kinase (ALK) gene rearrangements occur in a small portion of patients with non–small cell lung cancer (NSCLC). These gene rearrangements lead to constitutive activation of the ALK kinase and subsequent ALK-driven tumor formation. Patients with tumors harboring such rearrangements are highly sensitive to ALK inhibitors, such as crizotinib, ceritinib, and alectinib. Resistance to these kinase inhibitors occurs through several mechanisms, resulting in ongoing clinical challenges. This review summarizes the biology of ALK-positive lung cancer, methods for diagnosing ALK-positive NSCLC, current FDA-approved ALK inhibitors, mechanisms of resistance to ALK inhibition, and potential strategies to combat resistance. © 2016 Elsevier Inc.
Keywords: crizotinib; alectinib; anaplastic lymphoma kinase inhibitors (alk inhibitors); ceritinb; eml4-alk rearrangement; non–small cell lung cancer (nsclc)
Journal Title: Hematology/Oncology Clinics of North America
Volume: 31
Issue: 1
ISSN: 0889-8588
Publisher: Elsevier Inc.  
Date Published: 2017-02-01
Start Page: 101
End Page: 111
Language: English
DOI: 10.1016/j.hoc.2016.08.012
PROVIDER: scopus
PMCID: PMC5154547
PUBMED: 27912826
DOI/URL:
Notes: Review -- Export Date: 3 January 2017 -- Source: Scopus
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  1. Gregory J Riely
    599 Riely
  2. Kathryn Cecilia Arbour
    88 Arbour