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Updated: Mar 18, 2026

Utilizing 18F-FDG PET/CT Imaging and Quantitative Histology to Measure Dynamic Changes in the Glucose Metabolism in Mouse Models of Lung Cancer
Published on: July 21, 2018
Abstract:
Data from a phase I study indicate that the investigational ALK inhibitor lorlatinib is active in patients with ALK- or ROS1-positive non-small cell lung cancer, including those with brain metastases. Objective responses were seen among patients with known ALK resistance mutations who had relapsed following treatment with other tyrosine kinase inhibitors.
Insights
The investigational ALK inhibitor lorlatinib shows activity in non-small cell lung cancer, including brain metastases. It is effective in patients with ALK resistance mutations who previously received other tyrosine kinase inhibitors.
Area of Science:
- Oncology
- Pharmacology
- Genetics
Background:
- Non-small cell lung cancer (NSCLC) is a leading cause of cancer death.
- Anaplastic lymphoma kinase (ALK) and ROS1 gene rearrangements are key drivers in a subset of NSCLC.
- Resistance to existing tyrosine kinase inhibitors (TKIs) remains a significant clinical challenge.
Framework:
- Phase I clinical study evaluating the safety and efficacy of lorlatinib.
- Lorlatinib is an investigational third-generation ALK and ROS1 inhibitor.
- Focus on patients with advanced NSCLC, including those with brain metastases and known resistance mutations.
Implementation:
- Lorlatinib demonstrated objective responses in patients with ALK- or ROS1-positive NSCLC.
- Activity was observed in patients with documented ALK resistance mutations.
- Efficacy was noted in patients who had relapsed after prior TKI treatments.
Implications:
- Lorlatinib represents a potential new therapeutic option for TKI-resistant NSCLC.
- Its activity in brain metastases suggests efficacy in a difficult-to-treat population.
- Further investigation in phase II/III trials is warranted to confirm these findings.
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