Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report

Background: Anaplastic lymphoma kinase (ALK) rearrangement is a key oncogenic driver promoting the expression of ALK protein in non-small cell lung cancer (NSCLC). ALK tyrosine kinase inhibitors (TKIs) have significantly improved survival benefits. Exploring the optimal therapeutic regimens for ALK+...

Full description

Saved in:
Bibliographic Details
Main Authors: Jialin Qian, Tianqing Chu
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Current Problems in Cancer: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621925000018
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832087383333404672
author Jialin Qian
Tianqing Chu
author_facet Jialin Qian
Tianqing Chu
author_sort Jialin Qian
collection DOAJ
description Background: Anaplastic lymphoma kinase (ALK) rearrangement is a key oncogenic driver promoting the expression of ALK protein in non-small cell lung cancer (NSCLC). ALK tyrosine kinase inhibitors (TKIs) have significantly improved survival benefits. Exploring the optimal therapeutic regimens for ALK+ NSCLC patients is of crucial clinical significance. Case description: A 67-year-old woman with no history of smoking was diagnosed with locally advanced ALK+ lung adenocarcinoma (stage IIIC) at the first diagnosis. The patient was enrolled in the CROWN study and was randomized to receive lorlatinib treatment, and the re-examination 1 month later showed that the lung lesions were significantly reduced. The efficacy was PR, and the PFS had reached 72 months at the last follow-up. During the treatment, the patient tolerated well, no serious adverse events occurred, and the tumor was effectively controlled. Conclusions: Lorlatinib is an effective 1 L treatment option for patient with advanced ALK-positive NSCLC, which can bring long-term benefits to patients.
format Article
id doaj-art-7abf889f62514feea7e8c5398ba4170a
institution Kabale University
issn 2666-6219
language English
publishDate 2025-03-01
publisher Elsevier
record_format Article
series Current Problems in Cancer: Case Reports
spelling doaj-art-7abf889f62514feea7e8c5398ba4170a2025-02-06T05:12:53ZengElsevierCurrent Problems in Cancer: Case Reports2666-62192025-03-0117100349Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case reportJialin Qian0Tianqing Chu1Department of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, PR ChinaCorresponding author.; Department of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, PR ChinaBackground: Anaplastic lymphoma kinase (ALK) rearrangement is a key oncogenic driver promoting the expression of ALK protein in non-small cell lung cancer (NSCLC). ALK tyrosine kinase inhibitors (TKIs) have significantly improved survival benefits. Exploring the optimal therapeutic regimens for ALK+ NSCLC patients is of crucial clinical significance. Case description: A 67-year-old woman with no history of smoking was diagnosed with locally advanced ALK+ lung adenocarcinoma (stage IIIC) at the first diagnosis. The patient was enrolled in the CROWN study and was randomized to receive lorlatinib treatment, and the re-examination 1 month later showed that the lung lesions were significantly reduced. The efficacy was PR, and the PFS had reached 72 months at the last follow-up. During the treatment, the patient tolerated well, no serious adverse events occurred, and the tumor was effectively controlled. Conclusions: Lorlatinib is an effective 1 L treatment option for patient with advanced ALK-positive NSCLC, which can bring long-term benefits to patients.http://www.sciencedirect.com/science/article/pii/S2666621925000018ALK-positiveNon-small cell lung cancerCase reportLorlatinibTyrosine kinase inhibitors (TKI)
spellingShingle Jialin Qian
Tianqing Chu
Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
Current Problems in Cancer: Case Reports
ALK-positive
Non-small cell lung cancer
Case report
Lorlatinib
Tyrosine kinase inhibitors (TKI)
title Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
title_full Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
title_fullStr Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
title_full_unstemmed Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
title_short Long term efficacy and safety of Lorlatinib in ALK-positive non-small cell lung cancer: A case report
title_sort long term efficacy and safety of lorlatinib in alk positive non small cell lung cancer a case report
topic ALK-positive
Non-small cell lung cancer
Case report
Lorlatinib
Tyrosine kinase inhibitors (TKI)
url http://www.sciencedirect.com/science/article/pii/S2666621925000018
work_keys_str_mv AT jialinqian longtermefficacyandsafetyoflorlatinibinalkpositivenonsmallcelllungcanceracasereport
AT tianqingchu longtermefficacyandsafetyoflorlatinibinalkpositivenonsmallcelllungcanceracasereport