PROFILing non-small-cell lung cancer patients for treatment with crizotinib according to anaplastic lymphoma kinase abnormalities: Translating science into medicine

Sara Pilotto, Umberto Peretti, Silvia Novello, Giulio Rossi, Michele Milella, Matteo Giaj Levra, Ludovica Ciuffreda, Francesco Massari, Matteo Brunelli, Giampaolo Tortora, Emilio Bria

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: In the recent years, the growing attention to the molecular background of non-small-cell lung cancer (NSCLC) led to the identification of different molecular subtypes according to genetic abnormalities driving the disease development and progression. Whereas the addicted pathways were successfully inhibited (such as the mutant epidermal growth factor receptor), clinicians have witnessed a dramatic survival improvement. In this regard, the molecular portrait of adenocarcinoma was recently enriched by the identification of a specific patients' subgroup characterized by abnormalities in the anaplastic lymphoma kinase (ALK), with unclear prognostic features but impressive response to specific inhibitors. Areas covered: In this article, updated data derived from the development and the use of crizotinib (the most advanced in development among tyrosine kinase ALK inhibitors) in comparison with standard second-line chemotherapy for patients affected by ALK-altered NSCLC are reviewed. Expert opinion: Taking into account the available data, pretreated NSCLC patients carrying the ALK-translocation require a selected targeted therapy which significantly improves activity, efficacy and symptoms control versus chemotherapy. In this context, the identification of this disease entity and the availability of such impressive therapeutic targeting represent a further step toward the understanding of the molecular complexity behind the adenocarcinoma of the lung.

Original languageEnglish
Pages (from-to)597-608
Number of pages12
JournalExpert Opinion on Pharmacotherapy
Volume14
Issue number5
DOIs
Publication statusPublished - Apr 2013

Keywords

  • Adenocarcinoma
  • Anaplastic lymphoma kinase
  • Crizotinib
  • Lung cancer
  • Tyrosine kinase

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology

Fingerprint Dive into the research topics of 'PROFILing non-small-cell lung cancer patients for treatment with crizotinib according to anaplastic lymphoma kinase abnormalities: Translating science into medicine'. Together they form a unique fingerprint.

Cite this