Evidence map›Paper›PMID 29666949›Full record

ReviewMedical oncology (Northwood, London, England)2018

Precision medicine against ALK-positive non-small cell lung cancer: beyond crizotinib.

Biagio Ricciuti, Andrea De Giglio, Carmen Mecca, Cataldo Arcuri, Sabrina Marini, Giulio Metro, Sara Baglivo, Angelo Sidoni, Guido Bellezza, Lucio Crinò and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Medical oncology (Northwood, London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Biagio RicciutiDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy. biagio.ricciuti@gmail.com.ORCID http://orcid.org/0000-0002-0651-2678
Andrea De GiglioDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Carmen MeccaDepartment of Experimental Medicine, Perugia Medical School, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Cataldo ArcuriDepartment of Experimental Medicine, Perugia Medical School, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Sabrina MariniDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Giulio MetroDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Sara BaglivoDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Angelo SidoniDivision of Pathology and Histology, Department of Experimental Medicine, Perugia Medical School, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Guido BellezzaDivision of Pathology and Histology, Department of Experimental Medicine, Perugia Medical School, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.
Lucio CrinòDepartment of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, Meldola FC, Italy.
Rita ChiariDepartment of Medical Oncology, Santa Maria della Misericordia Hospital, University of Perugia, Piazzale L. Severi n. 1, 06132, Perugia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaplastic lymphoma kinase (ALK) rearrangements represent the molecular driver of a subset of non-small cell lung cancers (NSCLCs). Despite the initial response, virtually all ALK-positive patients develop an acquired resistance to the ALK inhibitor crizotinib, usually within 12 months. Several next-generation ALK inhibitors have been developed in order to overcome crizotinib limitation, providing an unprecedented survival for this subset of patients. The aim of this review to summarize the current knowledge on ALK tyrosine kinase inhibitors (TKIs) in the treatment of advanced ALK-positive NSCLC, focusing on the role of novel ALK inhibitors in this setting. In addition, we will discuss their role in the pharmacological management of ALK-positive brain metastasis. Next-generation ALK inhibitors showed an impressive clinical activity in ALK-positive NSCLC, also against the sanctuary site of CNS. Sequential therapy with ALK TKIs appears to be effective in patients who fail a first ALK TKI and translates in clinically meaningful benefit. However, these agents display different activity profiles against crizotinib resistance mutation; therefore re-genotyping the disease at progression in order to administer the right TKI to the right patient is going to be necessary to correctly tailor the treatment. To avoid repeated invasive procedure, noninvasive methods to detect and monitor ALK rearrangement are under clinical investigation.

Indexed as

Anaplastic Lymphoma KinaseAnimalsBrain NeoplasmsCarcinoma, Non-Small-Cell LungCrizotinibDrug Resistance, NeoplasmGene RearrangementHumansLung NeoplasmsPrecision MedicineProtein Kinase InhibitorsPyrazolesPyridinesReceptor Protein-Tyrosine KinasesALK protein, humanAnaplastic Lymphoma KinaseCrizotinibProtein Kinase InhibitorsPyrazolesPyridinesReceptor Protein-Tyrosine KinasesALK rearrangementBrain metastasisNSCLCTyrosine kinase inhibitors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.