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个体化医学应对临床耐药:阿来替尼治疗第一代 ALK 抑制剂治疗后进展的 ALK 阳性非小细胞肺癌。

Personalized Medicine Tackles Clinical Resistance: Alectinib in ALK-Positive Non-Small Cell Lung Cancer Progressing on First-Generation ALK Inhibitor.

机构信息

Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

Clin Cancer Res. 2016 Nov 1;22(21):5177-5182. doi: 10.1158/1078-0432.CCR-16-1415. Epub 2016 Sep 8.

DOI:10.1158/1078-0432.CCR-16-1415
PMID:27609840
Abstract

Over the last 2 years, our therapeutic armamentarium against genomically defined subgroups of non-small cell lung cancer (NSCLC) has extended to patients with acquired resistance to front-line targeted therapy. Alectinib (Alecensa; Roche/Genentech), a second-generation, orally active, potent, and highly selective inhibitor of anaplastic lymphoma kinase (ALK), is indicated for patients with metastatic, ALK rearrangement-positive NSCLC whose disease has worsened after treatment with crizotinib or who became intolerant to the drug. Alectinib received orphan drug designation, breakthrough therapy designation, priority review status, and accelerated approval by the FDA. Clin Cancer Res; 22(21); 5177-82. ©2016 AACR.

摘要

在过去的 2 年中,我们针对非小细胞肺癌(NSCLC)的基因组定义亚组的治疗武器已经扩展到对一线靶向治疗产生获得性耐药的患者。艾乐替尼(Alecensa;罗氏/基因泰克)是第二代、口服、有效、高度选择性的间变性淋巴瘤激酶(ALK)抑制剂,适用于接受克唑替尼治疗后疾病进展或对该药物不耐受的转移性、ALK 重排阳性 NSCLC 患者。艾乐替尼获得了孤儿药、突破性治疗药物、优先审查和 FDA 加速批准的认定。临床癌症研究;22(21);5177-82。©2016AACR。

相似文献

1
Personalized Medicine Tackles Clinical Resistance: Alectinib in ALK-Positive Non-Small Cell Lung Cancer Progressing on First-Generation ALK Inhibitor.个体化医学应对临床耐药:阿来替尼治疗第一代 ALK 抑制剂治疗后进展的 ALK 阳性非小细胞肺癌。
Clin Cancer Res. 2016 Nov 1;22(21):5177-5182. doi: 10.1158/1078-0432.CCR-16-1415. Epub 2016 Sep 8.
2
FDA Approval: Alectinib for the Treatment of Metastatic, ALK-Positive Non-Small Cell Lung Cancer Following Crizotinib.FDA 批准:阿来替尼用于克唑替尼治疗后进展的、ALK 阳性的转移性非小细胞肺癌。
Clin Cancer Res. 2016 Nov 1;22(21):5171-5176. doi: 10.1158/1078-0432.CCR-16-1293. Epub 2016 Jul 13.
3
Alectinib: a selective, next-generation ALK inhibitor for treatment of ALK-rearranged non-small-cell lung cancer.阿来替尼:一种用于治疗ALK重排非小细胞肺癌的选择性新一代ALK抑制剂。
Expert Rev Respir Med. 2015 Jun;9(3):255-68. doi: 10.1586/17476348.2015.1009040. Epub 2015 Feb 5.
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Alectinib for treatment of ALK-positive non-small-cell lung cancer.阿来替尼用于治疗ALK阳性非小细胞肺癌。
Future Oncol. 2017 Feb;13(4):321-335. doi: 10.2217/fon-2016-0386. Epub 2016 Oct 26.
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Alectinib: a review of its use in advanced ALK-rearranged non-small cell lung cancer.阿来替尼:在晚期 ALK 重排非小细胞肺癌中的应用评价。
Drugs. 2015 Jan;75(1):75-82. doi: 10.1007/s40265-014-0329-y.
6
Safety and activity of alectinib against systemic disease and brain metastases in patients with crizotinib-resistant ALK-rearranged non-small-cell lung cancer (AF-002JG): results from the dose-finding portion of a phase 1/2 study.克唑替尼耐药的间变性淋巴瘤激酶(ALK)重排非小细胞肺癌(NSCLC)患者中艾乐替尼针对全身疾病和脑转移的安全性和活性:一项 1/2 期研究剂量探索部分的结果。
Lancet Oncol. 2014 Sep;15(10):1119-28. doi: 10.1016/S1470-2045(14)70362-6. Epub 2014 Aug 18.
7
Alectinib: A Review in Advanced, ALK-Positive NSCLC.阿来替尼:治疗晚期、ALK 阳性 NSCLC 的研究进展。
Drugs. 2018 Aug;78(12):1247-1257. doi: 10.1007/s40265-018-0952-0.
8
Safety of alectinib for the treatment of metastatic ALK-rearranged non-small cell lung cancer.阿来替尼治疗转移性ALK重排非小细胞肺癌的安全性。
Expert Opin Drug Saf. 2017 Apr;16(4):509-514. doi: 10.1080/14740338.2017.1299706. Epub 2017 Mar 3.
9
ALK F1174V mutation confers sensitivity while ALK I1171 mutation confers resistance to alectinib. The importance of serial biopsy post progression.ALK F1174V突变使患者对阿来替尼敏感,而ALK I1171突变则使患者对阿来替尼耐药。疾病进展后进行系列活检的重要性。
Lung Cancer. 2016 Jan;91:70-2. doi: 10.1016/j.lungcan.2015.09.006. Epub 2015 Sep 12.
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I1171 missense mutation (particularly I1171N) is a common resistance mutation in ALK-positive NSCLC patients who have progressive disease while on alectinib and is sensitive to ceritinib.I1171错义突变(尤其是I1171N)是在接受阿来替尼治疗时病情进展且对色瑞替尼敏感的ALK阳性非小细胞肺癌患者中常见的耐药突变。
Lung Cancer. 2015 May;88(2):231-4. doi: 10.1016/j.lungcan.2015.02.005. Epub 2015 Feb 12.

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ALK Protein Expression Patterns in Squamous Cell Carcinoma of the Oral Cavity.口腔鳞状细胞癌中 ALK 蛋白的表达模式。
In Vivo. 2022 May-Jun;36(3):1144-1149. doi: 10.21873/invivo.12813.
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Combined EGFR/ALK Expression Analysis in Laryngeal Squamous Cell Carcinoma.喉鳞状细胞癌中表皮生长因子受体/间变性淋巴瘤激酶联合表达分析
In Vivo. 2019 May-Jun;33(3):815-819. doi: 10.21873/invivo.11544.
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Personalized medicine in non-small cell lung cancer: a review from a pharmacogenomics perspective.非小细胞肺癌中的个性化医疗:从药物基因组学角度的综述
Acta Pharm Sin B. 2018 Jul;8(4):530-538. doi: 10.1016/j.apsb.2018.04.005. Epub 2018 Apr 30.
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Breakthroughs in modern cancer therapy and elusive cardiotoxicity: Critical research-practice gaps, challenges, and insights.现代癌症治疗的突破与难以捉摸的心脏毒性:关键的研究与实践差距、挑战及见解
Med Res Rev. 2018 Jan;38(1):325-376. doi: 10.1002/med.21463. Epub 2017 Sep 1.
5
The second-generation ALK inhibitor alectinib effectively induces apoptosis in human neuroblastoma cells and inhibits tumor growth in a TH-MYCN transgenic neuroblastoma mouse model.第二代ALK抑制剂阿来替尼可有效诱导人神经母细胞瘤细胞凋亡,并在TH-MYCN转基因神经母细胞瘤小鼠模型中抑制肿瘤生长。
Cancer Lett. 2017 Aug 1;400:61-68. doi: 10.1016/j.canlet.2017.04.022. Epub 2017 Apr 26.