Table 1.

ALK inhibitors, indications, and active ALCL clinical trials

NameCompanyGenerationFDA approval (country)Active ALCL clinical trialsPhaseNotes
Crizotinib (Xalkori) Pfizer First Locally advanced and metastatic NSCLC (US) NCT00939770 1/2 Pediatric ALCL, CNS tumors (monotherapy) 
    NCT02487316 Adult ALCL (with or without chemotherapy) 
    NCT01606878 Pediatric ALCL (combination with chemotherapy) 
    NCT02584634 Adult NSCLC (combination avelumab with crizotinib or lorlatinib) 
Ceritinib (LDK378, Zykadia) Novartis Second Metastatic crizotinib-resistant NSCLC (US)    
Alectinib (CH5424802, AF802) Roche/Chugai Second Crizotinib-resistant NSCLC (US); ALK+ NSCLC (Japan) NCT01588028 ALK+ NSCLC 
ASP3026 Astellas Second  NCT01284192 Adult refractory solid tumor or B-cell lymphoma 
Brigatinib (AP26113) Ariad Second  NCT01449461 1/2 Adult NSCLC, ALCL, DLCL, IMFT 
    NCT02094573 Adult NSCLC 
Lorlatinib (PF-06463922) Pfizer Third  NCT01970865 1/2 Adult ALK+ and ROS1+ NSCLC 
   NCT02584634 Adult NSCLC, avelumab (with crizotinib or lorlatinib) 
    NCT02569554 Adult, healthy, PPI, and food effect 
NameCompanyGenerationFDA approval (country)Active ALCL clinical trialsPhaseNotes
Crizotinib (Xalkori) Pfizer First Locally advanced and metastatic NSCLC (US) NCT00939770 1/2 Pediatric ALCL, CNS tumors (monotherapy) 
    NCT02487316 Adult ALCL (with or without chemotherapy) 
    NCT01606878 Pediatric ALCL (combination with chemotherapy) 
    NCT02584634 Adult NSCLC (combination avelumab with crizotinib or lorlatinib) 
Ceritinib (LDK378, Zykadia) Novartis Second Metastatic crizotinib-resistant NSCLC (US)    
Alectinib (CH5424802, AF802) Roche/Chugai Second Crizotinib-resistant NSCLC (US); ALK+ NSCLC (Japan) NCT01588028 ALK+ NSCLC 
ASP3026 Astellas Second  NCT01284192 Adult refractory solid tumor or B-cell lymphoma 
Brigatinib (AP26113) Ariad Second  NCT01449461 1/2 Adult NSCLC, ALCL, DLCL, IMFT 
    NCT02094573 Adult NSCLC 
Lorlatinib (PF-06463922) Pfizer Third  NCT01970865 1/2 Adult ALK+ and ROS1+ NSCLC 
   NCT02584634 Adult NSCLC, avelumab (with crizotinib or lorlatinib) 
    NCT02569554 Adult, healthy, PPI, and food effect 

CNS, central nervous system; DLCL, diffuse large cell lymphoma; IMFT, inflammatory myofibroblasic tumor; PPI, proton pump inhibitor; US, United States.

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