Journal article

Crizotinib versus chemotherapy in advanced ALK-positive lung cancer

AT Shaw, DW Kim, K Nakagawa, T Seto, L Crinó, MJ Ahn, T De Pas, B Besse, BJ Solomon, F Blackhall, YL Wu, M Thomas, KJ O'Byrne, D Moro-Sibilot, DR Camidge, T Mok, V Hirsh, GJ Riely, S Iyer, V Tassell Show all

New England Journal of Medicine | Published : 2013

Abstract

BACKGROUND: In single-group studies, chromosomal rearrangements of the anaplastic lymphoma kinase gene (ALK ) have been associated with marked clinical responses to crizotinib, an oral tyrosine kinase inhibitor targeting ALK. Whether crizotinib is superior to standard chemotherapy with respect to efficacy is unknown. METHODS: We conducted a phase 3, open-label trial comparing crizotinib with chemotherapy in 347 patients with locally advanced or metastatic ALK-positive lung cancer who had received one prior platinum-based regimen. Patients were randomly assigned to receive oral treatment with crizotinib (250 mg) twice daily or intravenous chemotherapy with either pemetrexed (500 mg per square..

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University of Melbourne Researchers