PMID- 27835868 OWN - NLM STAT- MEDLINE DCOM- 20180223 LR - 20221207 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 51 DP - 2016 Dec 20 TI - Clinical data from the real world: efficacy of Crizotinib in Chinese patients with advanced ALK-rearranged non-small cell lung cancer and brain metastases. PG - 84666-84674 LID - 10.18632/oncotarget.13179 [doi] AB - Brain metastasis in non small cell lung cancer (NSCLC) patients is often considered as a terminal stage of advanced disease. Crizotinib is a small-molecule tyrosine kinase inhibitor (TKI) for ALK-rearranged NSCLC patients. Herein, we conducted a retrospective study to explore how Crizotinib affects the control of brain metastases and the overall prognosis in advanced ALK-rearranged NSCLC patients with brain metastases in Chinese population. A total of 34 patients were enrolled, of whom 20 (58.8%) patients had baseline brain metastases before Crizotinib treatment. Among patients with brain metastases before Crizotinib, overall survival (OS) after brain metastases was significantly longer than that of patients with brain metastases after Crizotinib (median OS, not reached vs. 10.3 months, respectively, p = 0.001). There was also a significant difference in systemic progression-free survival (PFS) between patients developing brain metastases before and after Crizotinib treatment (21.2 months vs. 13.9 months, p = 0.003). In conclusion, ALK-rearranged NSCLC patients with brain metastases before Crizotinib may benefit more from Crizotinib than those developing brain metastases during Crizotinib treatment. FAU - Xing, Puyuan AU - Xing P AD - Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. FAU - Wang, Shouzheng AU - Wang S AD - Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. FAU - Hao, Xuezhi AU - Hao X AD - Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. FAU - Zhang, Tongtong AU - Zhang T AD - Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. FAU - Li, Junling AU - Li J AD - Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 53AH36668S (Crizotinib) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase MH - Antineoplastic Agents/*therapeutic use MH - Asian People MH - Brain Neoplasms/*drug therapy/mortality/secondary MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/mortality/secondary MH - China MH - Crizotinib MH - Female MH - Follow-Up Studies MH - Humans MH - Lung Neoplasms/*drug therapy/mortality/pathology MH - Male MH - Middle Aged MH - Protein Kinase Inhibitors/*therapeutic use MH - Pyrazoles/*therapeutic use MH - Pyridines/*therapeutic use MH - Receptor Protein-Tyrosine Kinases/genetics MH - Retrospective Studies MH - Survival Analysis MH - Young Adult PMC - PMC5356690 OTO - NOTNLM OT - NSCLC OT - brain metastasis OT - chinese OT - crizotinib OT - real world COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2016/11/12 06:00 MHDA- 2018/02/24 06:00 PMCR- 2016/12/20 CRDT- 2016/11/12 06:00 PHST- 2016/06/29 00:00 [received] PHST- 2016/10/28 00:00 [accepted] PHST- 2016/11/12 06:00 [pubmed] PHST- 2018/02/24 06:00 [medline] PHST- 2016/11/12 06:00 [entrez] PHST- 2016/12/20 00:00 [pmc-release] AID - 13179 [pii] AID - 10.18632/oncotarget.13179 [doi] PST - ppublish SO - Oncotarget. 2016 Dec 20;7(51):84666-84674. doi: 10.18632/oncotarget.13179.