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Updated: Jul 27, 2025

Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Alectinib for treating patients with metastatic
Daniel Samacá-Samacá1, Laura Prieto-Pinto2, Andrés Yepes Peréz3
1IQVIA, Real World Insights, Bogotá, Colombia.
Aim:
To compare the efficacy and safety of alectinib with other ALK inhibitors in treating patients with metastatic or locally advanced ALK-positive NSCLC.
Methods:
A systematic literature review was conducted up to November 2021. Network meta-analyses were performed using the frequentist method (random effects). GRADE evidence profile was conducted.
Results:
13 RCTs were selected. For overall survival, alectinib was found to reduce the risk of death compared with crizotinib. In progression-free survival, alectinib reduced the risk of death or progression compared with crizotinib and ceritinib. Subgroup analysis by brain metastasis at baseline showed the superiority of alectinib over crizotinib and a similar effect compared with second-and third-generation inhibitors. Alectinib showed a good safety profile compared with the other ALK inhibitors.
Insights
Alectinib demonstrates superior efficacy and a favorable safety profile compared to crizotinib for ALK-positive non-small cell lung cancer (NSCLC). This analysis confirms alectinib
Area of Science:
- Oncology
- Pharmacology
- Clinical Trials
Background:
- Anaplastic Lymphoma Kinase (ALK) positive non-small cell lung cancer (NSCLC) is a distinct subtype.
- Targeted therapies, including ALK inhibitors, have revolutionized treatment paradigms.
Purpose of the Study:
- To compare the efficacy and safety of alectinib against other ALK inhibitors.
- Evaluate treatment outcomes in patients with metastatic or locally advanced ALK-positive NSCLC.
Main Methods:
- Systematic literature review up to November 2021.
- Frequentist network meta-analyses (random effects model).
- GRADE evidence profile assessment.
Main Results:
- Alectinib improved overall survival versus crizotinib.
- Alectinib demonstrated superior progression-free survival versus crizotinib and ceritinib.
- Alectinib showed comparable efficacy to second- and third-generation inhibitors, with a favorable safety profile.
Conclusions:
- Alectinib is an effective and safe treatment option for ALK-positive NSCLC.
- Alectinib offers significant survival benefits over older ALK inhibitors.
- Further research may explore long-term outcomes and comparative effectiveness.
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