PMID- 37511255 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230801 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 14 DP - 2023 Jul 15 TI - Therapeutical Options in ROS1-Rearranged Advanced Non Small Cell Lung Cancer. LID - 10.3390/ijms241411495 [doi] LID - 11495 AB - ROS proto-oncogene 1 (ROS1) rearrangements occur in 0.9-2.6% of patients with non small cell lung cancer (NSCLC), conferring sensitivity to treatment with specific tyrosine-kinase inhibitors (TKI). Crizotinib, a first-generation TKI, was the first target-therapy approved for the first-line treatment of ROS1-positive NSCLC. Recently, entrectinib, a multitarget inhibitor with an anti-ROS1 activity 40 times more potent than crizotinib and better activity on the central nervous system (CNS), received approval for treatment-naive patients. After a median time-to-progression of 5.5-20 months, resistance mechanisms can occur, leading to tumor progression. Therefore, newer generation TKI with greater potency and brain penetration have been developed and are currently under investigation. This review summarizes the current knowledge on clinicopathological characteristics of ROS1-positive NSCLC and its therapeutic options. FAU - Stanzione, Brigida AU - Stanzione B AUID- ORCID: 0000-0002-0475-7399 AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. FAU - Del Conte, Alessandro AU - Del Conte A AUID- ORCID: 0000-0003-1763-0335 AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. FAU - Bertoli, Elisa AU - Bertoli E AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. AD - Department of Medicine (DAME), University of Udine, 33100 Udine, Italy. FAU - De Carlo, Elisa AU - De Carlo E AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. FAU - Revelant, Alberto AU - Revelant A AUID- ORCID: 0000-0002-4505-9650 AD - Department of Radiotherapy, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. FAU - Spina, Michele AU - Spina M AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. FAU - Bearz, Alessandra AU - Bearz A AUID- ORCID: 0000-0003-1020-2338 AD - Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081 Aviano, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230715 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 53AH36668S (Crizotinib) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Humans MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics/pathology MH - Crizotinib/therapeutic use MH - *Lung Neoplasms/drug therapy/genetics/pathology MH - Protein-Tyrosine Kinases/genetics MH - Proto-Oncogene Proteins/genetics MH - Gene Rearrangement MH - Protein Kinase Inhibitors/pharmacology/therapeutic use PMC - PMC10380455 OTO - NOTNLM OT - ROS1 OT - non small cell lung cancer OT - target therapy COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:43 MHDA- 2023/07/31 06:42 PMCR- 2023/07/15 CRDT- 2023/07/29 01:23 PHST- 2023/06/10 00:00 [received] PHST- 2023/07/11 00:00 [revised] PHST- 2023/07/11 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/29 11:43 [pubmed] PHST- 2023/07/29 01:23 [entrez] PHST- 2023/07/15 00:00 [pmc-release] AID - ijms241411495 [pii] AID - ijms-24-11495 [pii] AID - 10.3390/ijms241411495 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jul 15;24(14):11495. doi: 10.3390/ijms241411495.