PMID- 33033286 OWN - NLM STAT- MEDLINE DCOM- 20210104 LR - 20240329 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 10 IP - 1 DP - 2020 Oct 8 TI - Ceritinib in Japanese patients with anaplastic lymphoma kinase (ALK)+ non-small cell lung cancer: interim analysis results of a post-marketing surveillance study. PG - 16773 LID - 10.1038/s41598-020-72863-1 [doi] LID - 16773 AB - Ceritinib is a selective anaplastic lymphoma kinase (ALK) inhibitor approved for the treatment of patients with unresectable advanced and/or recurrent ALK fusion gene-positive non-small cell lung cancer (NSCLC). As per the approval condition in Japan, this post-marketing surveillance (PMS) study evaluated the clinical safety (including adverse events [AEs], adverse drug reactions [ADRs] and priority investigation items) and efficacy (including ORR and PFS) of ceritinib in Japanese patients. Interim analysis was conducted ~ 2 years after the start of this non-interventional, multicentre, uncontrolled, open-label, special drug-use investigation and results are reported from March 28, 2016 to April 28, 2018. Each patient was followed up for 1 year. Most patients started treatment with 750 mg ceritinib. Safety profile was similar to that observed at the time of approval. No new AEs or ADRs with incidences higher than that at approval were identified. The rate of gastrointestinal ADRs (nausea, vomiting and diarrhoea) was 73.64%. Meaningful efficacy was observed in both post-crizotinib and post-alectinib settings, with ORR of 29.55% (95% CI 20.29-40.22) and disease control rate of 53.41% (95% CI 42.46-64.12). No concerns regarding the safety and efficacy of ceritinib were identified. No new measures, including modification of the PMS study protocol, are considered necessary. FAU - Kaneda, Hiroyasu AU - Kaneda H AD - Osaka City University, Osaka, Japan. FAU - Kizaki, Minako AU - Kizaki M AD - Novartis Pharma K.K., Tokyo, Japan. FAU - Ochi, Masami AU - Ochi M AD - Novartis Pharma K.K., Tokyo, Japan. FAU - Shiraiwa, Naoko AU - Shiraiwa N AD - Novartis Pharma K.K., Tokyo, Japan. FAU - Akatsu, Shigemi AU - Akatsu S AD - Novartis Pharma K.K., Tokyo, Japan. shigemi.akatsu@novartis.com. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20201008 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Antineoplastic Agents) RN - 0 (Pyrimidines) RN - 0 (Sulfones) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - K418KG2GET (ceritinib) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase/*antagonists & inhibitors/metabolism MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/enzymology/mortality MH - Female MH - Humans MH - Japan MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*drug therapy/enzymology/mortality MH - Male MH - Middle Aged MH - Product Surveillance, Postmarketing MH - Progression-Free Survival MH - Pyrimidines/adverse effects/*therapeutic use MH - Sulfones/adverse effects/*therapeutic use PMC - PMC7544686 COIS- MK, MO, NS and SA are employees of Novartis Pharma K.K., Japan. HK has declare no competing interests. EDAT- 2020/10/10 06:00 MHDA- 2021/01/05 06:00 PMCR- 2020/10/08 CRDT- 2020/10/09 05:34 PHST- 2020/02/10 00:00 [received] PHST- 2020/09/03 00:00 [accepted] PHST- 2020/10/09 05:34 [entrez] PHST- 2020/10/10 06:00 [pubmed] PHST- 2021/01/05 06:00 [medline] PHST- 2020/10/08 00:00 [pmc-release] AID - 10.1038/s41598-020-72863-1 [pii] AID - 72863 [pii] AID - 10.1038/s41598-020-72863-1 [doi] PST - epublish SO - Sci Rep. 2020 Oct 8;10(1):16773. doi: 10.1038/s41598-020-72863-1.