Evidence map›Paper›PMID 42505144›Full record

ArticleLung cancer management2026

Clinical characteristics of ALK-positive NSCLC patients treated with sequential ALK-TKI therapies in a single-centre.

Kohei Fujita, Takuma Imakita, Naoki Fujimoto, Saiki Yoshimura, Shogo Toyama, Takanori Ito, Issei Oi, Osamu Kanai, Yuki Yamamoto, Kiminobu Tanizawa

Abstract read
In one paragraph

Article in Lung cancer management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kohei FujitaDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Takuma ImakitaDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Naoki FujimotoDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Saiki YoshimuraDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Shogo ToyamaDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Takanori ItoDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Issei OiDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Osamu KanaiDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Yuki YamamotoDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.
Kiminobu TanizawaDivision of Respiratory Medicine, Center for Respiratory Diseases, NHO Kyoto Medical Center, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough sequential treatment with ALK-TKIs for ALK-positive lung cancer is commonly practiced in clinical settings, there are few reports on the actual treatment choices, efficacy and safety.

methodsThis retrospective study evaluated the treatment sequence, progression-free survival (PFS), overall survival (OS), and adverse events (AEs) for the patients who received two or more ALK-TKIs.

resultsEleven patients were included in the study. The median age was 59 years, and five patients (45.5%) were female. The number of ALK-TKIs administered was two in five patients, three in five patients, and four in one patient. The drugs used were Alectinib in 10 patients, Lorlatinib in eight, Brigatinib in six, Ceritinib in three, and Crizotinib in two. Six patients (54.5%) had a history of treatment with cytotoxic chemotherapy in addition to ALK-TKIs. The most common first-line drug was Alectinib, followed by Brigatinib and Crizotinib. The median PFS for each treatment line was 23 months for the first line, 17 months for the second, 14 months for the third, and 5 months for the fourth. The median OS from 1

conclusionSequential treatment with different types of ALK-TKIs demonstrated a certain degree of efficacy. However, the incidence of discontinuation due to adverse events was higher for Brigatinib than for other ALK-TKIs.

Indexed as

actionable gene alterationALKALK-TKImolecular target therapyNSCLCsequence treatment

Identifiers

PMID42505144
PMCPMC13432833

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.