PMID- 29450203 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240315 IS - 2312-0541 (Print) IS - 2312-0541 (Electronic) IS - 2312-0541 (Linking) VI - 4 IP - 1 DP - 2018 Jan TI - Real-life experience of ceritinib in crizotinib-pretreated ALK(+) advanced non-small cell lung cancer patients. LID - 00058-2017 [pii] LID - 10.1183/23120541.00058-2017 [doi] AB - Here we report our experience of ceritinib in crizotinib-pretreated patients with anaplastic lymphoma kinase (ALK) positive (ALK(+)) non-small cell lung cancer (NSCLC) in a French temporary authorisation for use (TAU) study. The French TAU study included crizotinib-pretreated patients with advanced ALK(+) or ROS proto-oncogene 1 positive (ROS1(+)) tumours. Patients received oral ceritinib (750 mg.day(-1) as a starting dose) and best tumour response (as evaluated by the investigator) and safety were reported every 3 months. A total of 242 TAUs were granted from March 12, 2013 to August 05, 2015. Of the 242 patients, 228 had ALK(+) NSCLC and 13 had ROS1(+) NSCLC. The median age of ALK(+) patients (n=214) was 58.5 years, 51.9% were female, 70.8% had an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1 and 50.0% had brain metastases. Of the 149 efficacy evaluable ALK(+) NSCLC patients, 5.4% had a complete response (CR), 47.0% had a partial response (PR) and 22.8% had stable disease (SD). At September 05, 2015, the median duration of ceritinib treatment (n=182) was 3.9 months but 5.5 months for patients (n=71) with a follow-up of >/=12 months. Higher objective response rate (ORR) was observed for patients with ECOG PS 0 to 1 (55.0% versus 42.4%) and those receiving prior crizotinib for >5 months (51.6% versus 36.1%). Treatment-related adverse events (AEs) were reported in 118 of 208 patients (56.7%), the most common being diarrhoea (22.1%) and hepatic toxicity (19.7%). Ceritinib (750 mg.day(-1)) demonstrated efficacy similar efficacy to ASCEND-1, ASCEND-2 and phase 3 ASCEND-5 trials with manageable safety in crizotinib-pretreated patients with ALK(+) NSCLC. FAU - Cadranel, Jacques AU - Cadranel J AD - Service de Pneumologie, Hopital Tenon, Assistance Publique-Hopitaux de Paris (AP-HP) and Universite Pierre-et-Marie-Curie (Paris 6), Paris, France. FAU - Cortot, Alexis B AU - Cortot AB AD - Thoracic Oncology, Centre Hospitalier Universitaire (CHU) and Universite de Lille, Lille, France. FAU - Lena, Herve AU - Lena H AD - Pneumologie, CHU and INSERM ERL440-OSS, Rennes, France. FAU - Mennecier, Bertrand AU - Mennecier B AD - Pneumologie, Nouvel Hopital Civil, Strasbourg, France. FAU - Do, Pascal AU - Do P AD - Pathologies Thoraciques, Centre Francois Baclesse, Caen, France. FAU - Dansin, Eric AU - Dansin E AD - Departement de cancerologie cervico-faciale et thoracique, CLCC Oscar Lambret, Lille, France. FAU - Mazieres, Julien AU - Mazieres J AD - Pneumologie, CHU, Toulouse, France. FAU - Chouaid, Christos AU - Chouaid C AD - Service de Pneumologie, Centre Hospitalier Intercommunal Creteil (CHIC), Creteil, France. FAU - Perol, Maurice AU - Perol M AD - Cancerologie poumon, tumeurs thoraciques, Centre Leon Berard, Lyon, France. FAU - Barlesi, Fabrice AU - Barlesi F AD - Multidisciplinary Oncology & Therapeutic Innovations Dept, Assistance Publique-Hopitaux de Marseille (AP-HM) and Universite Aix-Marseille, Marseille, France. FAU - Robinet, Gilles AU - Robinet G AD - Institut de Cancerologie, CHU, Brest, France. FAU - Friard, Sylvie AU - Friard S AD - Pneumologie, Hopital Foch, Suresnes, France. FAU - Thiberville, Luc AU - Thiberville L AD - Pneumologie, CHU, Rouen, France. FAU - Audigier-Valette, Clarisse AU - Audigier-Valette C AD - Pneumologie, Centre Hospitalier Intercommunal (CHI), Toulon, France. FAU - Vergnenegre, Alain AU - Vergnenegre A AD - Pneumologie, CHU, Limoges, France. FAU - Westeel, Virginie AU - Westeel V AD - Pneumologie, CHU, Besancon, France. FAU - Slimane, Khemaies AU - Slimane K AD - Novartis Oncology, Rueil-Malmaison, France. FAU - Buturuga, Alexandru AU - Buturuga A AD - Novartis Oncology, Rueil-Malmaison, France. FAU - Moro-Sibilot, Denis AU - Moro-Sibilot D AD - Pneumologie, CHU Grenoble-Alpes, Grenoble, France. FAU - Besse, Benjamin AU - Besse B AD - Institut d'Oncologie Thoracique, Institut Gustave Roussy, Villejuif, France. AD - Universite Paris-Sud, Orsay, France. LA - eng PT - Journal Article DEP - 20180213 PL - England TA - ERJ Open Res JT - ERJ open research JID - 101671641 PMC - PMC5810621 COIS- Conflict of interest: Disclosures can be found alongside this article at openres.ersjournals.com EDAT- 2018/02/17 06:00 MHDA- 2018/02/17 06:01 PMCR- 2018/02/13 CRDT- 2018/02/17 06:00 PHST- 2017/04/28 00:00 [received] PHST- 2017/11/21 00:00 [accepted] PHST- 2018/02/17 06:00 [entrez] PHST- 2018/02/17 06:00 [pubmed] PHST- 2018/02/17 06:01 [medline] PHST- 2018/02/13 00:00 [pmc-release] AID - 00058-2017 [pii] AID - 10.1183/23120541.00058-2017 [doi] PST - epublish SO - ERJ Open Res. 2018 Feb 13;4(1):00058-2017. doi: 10.1183/23120541.00058-2017. eCollection 2018 Jan.