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Updated: May 30, 2026

Ultra-Fast Amplicon-Based Next-Generation Sequencing in Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Targeted therapy for NSCLC: ALK inhibition
Rachel Pearson1, Jill M Kolesar
1Division of Pharmacy Practice, School of Pharmacy, University of Wisconsin-Madison, Madison, WI, USA.
Purpose:
The purpose of this review article is to describe the emerging data of ALK receptor tyrosine kinaase inhibitors in ALK mutation positive NSCLC.
Summary:
ALK mutations have been identified in approximately 2.4-13% of patients with NSCLC, occurring more frequently in adenocarcinomas and never and light smokers. Crizotinib is an oral ATP-competitive selective inhibitor of the ALK and MET tyrosine kinases that inhibits tyrosine phosphorylation of activated ALK at nanomolar concentrations. A phase II study demonstrated an overall response rate of 57% (95% CI, 46 to 68), with the most common toxicity grade I fatigue and visual disturbances. Elevations in lever function tests were also reported.
Conclusion:
The ALK receptor tyrosine kinase inhibitor crizotinib may be an effective therapy in ALK mutated NSCLC and is currently being compared to standard chemotherapy for advanced or metastatic NSCLC.
Insights
Anaplastic Lymphoma Kinase (ALK) inhibitors like crizotinib show promise for ALK-positive Non-Small Cell Lung Cancer (NSCLC). Early studies indicate a 57% response rate, with manageable side effects.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Anaplastic Lymphoma Kinase (ALK) gene rearrangements are key drivers in a subset of Non-Small Cell Lung Cancer (NSCLC).
- Identifying patients with ALK mutations is crucial for targeted therapy selection.
Purpose of the Study:
- To review emerging data on ALK receptor tyrosine kinase inhibitors.
- To discuss their efficacy in ALK mutation-positive NSCLC.
Main Methods:
- Review of clinical trial data and published literature on ALK inhibitors.
- Analysis of response rates and toxicity profiles.
Main Results:
- ALK mutations occur in 2.4-13% of NSCLC patients, particularly in adenocarcinomas and never/light smokers.
- Crizotinib, an ALK and MET inhibitor, demonstrated a 57% overall response rate in a Phase II study.
- Common toxicities included fatigue and visual disturbances; liver function test elevations were also noted.
Conclusions:
- Crizotinib represents a potential effective therapy for ALK-mutated NSCLC.
- Ongoing trials are comparing crizotinib to standard chemotherapy for advanced or metastatic disease.
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