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Alectinib Extends Survival in Treatment-Naïve Patients With ALK+ NSCLC

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Hi, I'm Dr Yasir Elamin, Assistant Professor of Thoracic Medical Oncology at the University of Texas MD Anderson Cancer Center in Houston, Texas.

The second abstract that I would like to highlight is abstract 9518, which is the updated overall survival and safety data from the randomized phase 3 ALEX study of alectinib versus crizotinib in untreated ALK-positive lung cancer.

I'll remind you that the investigator-assessed PFS, which is the primary end point, was reported last year and showed a PFS of 35 months with alectinib versus 11 months with crizotinib. In this abstract, office presented updated OS data with a median duration of follow-up of around 48 months with alectinib.

The median OS [with alectinib] is not reached; however, the median OS with crizotinib is 57 months.

The remarkable finding of this study is the 5-year survival rate of 62.5% with alectinib. This is probably the best 5-year survival outcomes from any trial to date for patients with metastatic lung cancer.

In fact, these outcomes are comparable to surgically-resected stage II disease.

I think this is an important milestone, and it shows that if we find the right target and the right drug, we achieve these amazing outcomes.

 

Yasir Y. Elamin, MD, University of Texas MD Anderson Cancer Center, Houston, discusses the findings of a study comparing alectinib therapy with crizotinib in treatment-naïve patients with ALK-positive non–small-cell lung cancer (NSCLC).

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