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塞瑞替尼:全球首次获批。

Ceritinib: first global approval.

机构信息

Adis, Level 1, 5 The Warehouse Way, Northcote, 0627, Auckland, New Zealand,

出版信息

Drugs. 2014 Jul;74(11):1285-91. doi: 10.1007/s40265-014-0251-3.

DOI:10.1007/s40265-014-0251-3
PMID:24980964
Abstract

Ceritinib is an oral anaplastic lymphoma kinase (ALK) inhibitor developed by Novartis for the treatment of tumours characterised by genetic abnormalities in ALK. ALK is a member of the insulin receptor family of tyrosine kinases that can become oncogenic when fused to other proteins. Ceritinib has been approved in the US under 'Breakthrough Therapy' designation for the second-line treatment of ALK-positive non-small cell lung cancer (NSCLC). Regulatory submissions have also been made in the EU and other countries. Phase III development is ongoing worldwide to evaluate ceritinib both as a first- and second-line therapy for ALK-positive NSCLC. This article summarizes the milestones in the development of ceritinib leading to this first approval for the treatment of patients with ALK-positive metastatic NSCLC who have progressed on or are intolerant to crizotinib.

摘要

塞瑞替尼是诺华公司开发的一种针对间变性淋巴瘤激酶(ALK)的口服抑制剂,用于治疗具有 ALK 基因异常的肿瘤。ALK 是胰岛素受体家族的一种酪氨酸激酶,当其与其他蛋白融合时可致癌。塞瑞替尼已被美国食品和药物管理局(FDA)授予“突破性疗法”认定,用于二线治疗 ALK 阳性非小细胞肺癌(NSCLC)。该药在欧盟和其他国家的监管申请也已提交。全球范围内正在进行 III 期临床试验,以评估塞瑞替尼作为一线和二线治疗 ALK 阳性 NSCLC 的疗效。本文总结了塞瑞替尼的开发历程中的重要里程碑,该药由此获得批准,用于治疗接受克唑替尼治疗后进展或不耐受克唑替尼的 ALK 阳性转移性 NSCLC 患者。

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1
Ceritinib: first global approval.塞瑞替尼:全球首次获批。
Drugs. 2014 Jul;74(11):1285-91. doi: 10.1007/s40265-014-0251-3.
2
Spotlight on ceritinib in the treatment of ALK+ NSCLC: design, development and place in therapy.色瑞替尼治疗ALK阳性非小细胞肺癌的聚焦:设计、研发及治疗地位
Drug Des Devel Ther. 2017 Jul 5;11:2047-2063. doi: 10.2147/DDDT.S113500. eCollection 2017.
3
Role of anaplastic lymphoma kinase inhibition in the treatment of non-small-cell lung cancer.间变性淋巴瘤激酶抑制在非小细胞肺癌治疗中的作用
Am J Health Syst Pharm. 2015 Sep 1;72(17):1456-62. doi: 10.2146/ajhp140836.
4
The accelerated path of ceritinib: Translating pre-clinical development into clinical efficacy.色瑞替尼的加速之路:将临床前开发转化为临床疗效。
Cancer Treat Rev. 2017 Apr;55:181-189. doi: 10.1016/j.ctrv.2017.03.006. Epub 2017 Mar 30.
5
Molecular and clinical features of second-generation anaplastic lymphoma kinase inhibitors: ceritinib.第二代间变性淋巴瘤激酶抑制剂:色瑞替尼的分子和临床特征。
Future Oncol. 2017 Dec;13(29):2629-2644. doi: 10.2217/fon-2017-0262. Epub 2017 Sep 11.
6
Ceritinib for the treatment of patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer.色瑞替尼用于治疗间变性淋巴瘤激酶(ALK)阳性转移性非小细胞肺癌患者。
Expert Rev Clin Pharmacol. 2016;9(2):203-14. doi: 10.1586/17512433.2016.1122518. Epub 2015 Dec 16.
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The efficacy of ceritinib in patients with ALK-positive non-small cell lung cancer.色瑞替尼在ALK阳性非小细胞肺癌患者中的疗效。
Ther Adv Respir Dis. 2015 Oct;9(5):236-41. doi: 10.1177/1753465815597834. Epub 2015 Jul 30.
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Ceritinib for treatment of ALK-rearranged advanced non-small-cell lung cancer.塞瑞替尼治疗间变性淋巴瘤激酶重排的晚期非小细胞肺癌。
Future Oncol. 2014 Oct;10(12):1925-39. doi: 10.2217/fon.14.94. Epub 2014 May 23.
9
The ALK inhibitor ceritinib overcomes crizotinib resistance in non-small cell lung cancer.ALK 抑制剂色瑞替尼克服非小细胞肺癌的克唑替尼耐药性。
Cancer Discov. 2014 Jun;4(6):662-673. doi: 10.1158/2159-8290.CD-13-0846. Epub 2014 Mar 27.
10
Ceritinib (LDK378): a potent alternative to crizotinib for ALK-rearranged non-small-cell lung cancer.色瑞替尼(LDK378):用于ALK重排的非小细胞肺癌的一种有效的克唑替尼替代药物。
Clin Lung Cancer. 2015 Mar;16(2):86-91. doi: 10.1016/j.cllc.2014.09.011. Epub 2014 Oct 13.

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Mechanistic models position ceritinib as a nuclear integrity disrupting therapy in pediatric liver tumors.机制模型将色瑞替尼定位为一种破坏小儿肝脏肿瘤细胞核完整性的疗法。
J Exp Clin Cancer Res. 2025 Sep 18;44(1):268. doi: 10.1186/s13046-025-03535-z.
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Ceritinib Reduces Transendothelial Invasion of Non-small Cell Lung Cancer Cells by Restoring Claudin-10 and Suppressing VEGF-A Signaling.色瑞替尼通过恢复Claudin-10和抑制VEGF-A信号通路减少非小细胞肺癌细胞的跨内皮侵袭。
Biochem Genet. 2025 Apr 21. doi: 10.1007/s10528-025-11103-5.
3
Presence of On-Target Resistant Mutation in Pre-Treatment Samples of ALK Fusion Gene Positive Lung Cancer Patients.

本文引用的文献

1
The ALK inhibitor ceritinib overcomes crizotinib resistance in non-small cell lung cancer.ALK 抑制剂色瑞替尼克服非小细胞肺癌的克唑替尼耐药性。
Cancer Discov. 2014 Jun;4(6):662-673. doi: 10.1158/2159-8290.CD-13-0846. Epub 2014 Mar 27.
2
Overcoming drug resistance in ALK-rearranged lung cancer.克服ALK重排肺癌中的耐药性。
N Engl J Med. 2014 Mar 27;370(13):1250-1. doi: 10.1056/NEJMe1316173.
3
Ceritinib in ALK-rearranged non-small-cell lung cancer.塞瑞替尼治疗间变性淋巴瘤激酶重排的非小细胞肺癌。
ALK融合基因阳性肺癌患者治疗前样本中存在靶向耐药突变。
Cancers (Basel). 2025 Mar 25;17(7):1090. doi: 10.3390/cancers17071090.
4
Oligoethylene Phosphoramidate-Based Kinase Inhibitor Prodrugs - Solubility, Enzyme Inhibition, and Hydrolysis.基于低聚亚乙基磷酰胺的激酶抑制剂前药——溶解度、酶抑制作用及水解作用
Chemistry. 2025 Feb 25;31(12):e202404618. doi: 10.1002/chem.202404618. Epub 2025 Jan 29.
5
Nonsmall-cell lung cancer treatment: current status of drug repurposing and nanoparticle-based drug delivery systems.非小细胞肺癌治疗:药物重新利用及基于纳米颗粒的药物递送系统的现状
Turk J Biol. 2024 Apr 3;48(2):112-132. doi: 10.55730/1300-0152.2687. eCollection 2024.
6
Mechanisms of resistance to targeted therapy and immunotherapy in non-small cell lung cancer: promising strategies to overcoming challenges.非小细胞肺癌中靶向治疗和免疫治疗的耐药机制:克服挑战的有前景策略
Front Immunol. 2024 Apr 9;15:1366260. doi: 10.3389/fimmu.2024.1366260. eCollection 2024.
7
Reductive coupling of nitro compounds with boronic acid derivatives: an overview.硝基化合物与硼酸衍生物的还原偶联:综述
RSC Adv. 2023 Nov 13;13(47):33390-33402. doi: 10.1039/d3ra05100e. eCollection 2023 Nov 7.
8
Incidence of pneumonitis following the use of different anaplastic lymphoma kinase tyrosine kinase inhibitor regimens: An updated systematic review and meta-analysis.不同间变性淋巴瘤激酶酪氨酸激酶抑制剂方案治疗后肺炎的发生率:一项更新的系统评价和荟萃分析。
Cancer Med. 2023 Jul;12(13):13873-13884. doi: 10.1002/cam4.5913. Epub 2023 Apr 5.
9
EML4-ALK fusion gene in non-small cell lung cancer.非小细胞肺癌中的EML4-ALK融合基因。
Oncol Lett. 2022 Jun 24;24(2):277. doi: 10.3892/ol.2022.13397. eCollection 2022 Aug.
10
Latest perspectives of orally bioavailable 2,4-diarylaminopyrimidine analogues (DAAPalogues) as anaplastic lymphoma kinase inhibitors: discovery and clinical developments.口服生物可利用的2,4-二芳基氨基嘧啶类似物(DAAP类似物)作为间变性淋巴瘤激酶抑制剂的最新研究进展:发现与临床进展
RSC Adv. 2018 May 4;8(30):16470-16493. doi: 10.1039/c8ra01934g. eCollection 2018 May 3.
N Engl J Med. 2014 Mar 27;370(13):1189-97. doi: 10.1056/NEJMoa1311107.
4
Emerging paradigms in the development of resistance to tyrosine kinase inhibitors in lung cancer.肺癌中酪氨酸激酶抑制剂耐药性发展的新兴模式。
J Clin Oncol. 2013 Nov 1;31(31):3987-96. doi: 10.1200/JCO.2012.45.2029. Epub 2013 Oct 7.
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Current status of targeted therapy for anaplastic lymphoma kinase-rearranged non-small cell lung cancer.间变性淋巴瘤激酶重排非小细胞肺癌的靶向治疗现状。
Clin Pharmacol Ther. 2014 Jan;95(1):15-23. doi: 10.1038/clpt.2013.200. Epub 2013 Oct 3.
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Synthesis, structure-activity relationships, and in vivo efficacy of the novel potent and selective anaplastic lymphoma kinase (ALK) inhibitor 5-chloro-N2-(2-isopropoxy-5-methyl-4-(piperidin-4-yl)phenyl)-N4-(2-(isopropylsulfonyl)phenyl)pyrimidine-2,4-diamine (LDK378) currently in phase 1 and phase 2 clinical trials.新型强效和选择性间变性淋巴瘤激酶(ALK)抑制剂 5-氯-N2-(2-异丙氧基-5-甲基-4-(哌啶-4-基)苯基)-N4-(2-(异丙基磺酰基)苯基)嘧啶-2,4-二胺(LDK378)的合成、构效关系及在研临床 1 期和 2 期研究中的体内疗效。
J Med Chem. 2013 Jul 25;56(14):5675-90. doi: 10.1021/jm400402q. Epub 2013 Jun 26.
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Anaplastic lymphoma kinase (ALK): structure, oncogenic activation, and pharmacological inhibition.间变性淋巴瘤激酶(ALK):结构、致癌激活和药理抑制。
Pharmacol Res. 2013 Feb;68(1):68-94. doi: 10.1016/j.phrs.2012.11.007. Epub 2012 Nov 28.
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The biology and clinical features of non-small cell lung cancers with EML4-ALK translocation.具有 EML4-ALK 易位的非小细胞肺癌的生物学和临床特征。
Curr Oncol Rep. 2012 Apr;14(2):105-10. doi: 10.1007/s11912-012-0213-4.
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Targeting anaplastic lymphoma kinase in lung cancer.针对肺癌中的间变性淋巴瘤激酶。
Clin Cancer Res. 2011 Apr 15;17(8):2081-6. doi: 10.1158/1078-0432.CCR-10-1591. Epub 2011 Feb 2.