MedPath

Alectinib

Generic Name
Alectinib
Brand Names
Alecensa, Alecensaro
Drug Type
Small Molecule
Chemical Formula
C30H34N4O2
CAS Number
1256580-46-7
Unique Ingredient Identifier
LIJ4CT1Z3Y
Background

Alectinib is a second generation oral drug that selectively inhibits the activity of anaplastic lymphoma kinase (ALK) tyrosine kinase. It is specifically used in the treatment of non-small cell lung cancer (NSCLC) expressing the ALK-EML4 (echinoderm microtubule-associated protein-like 4) fusion protein that causes proliferation of NSCLC cells. Inhibition of ALK prevents phosphorylation and subsequent downstream activation of STAT3 and AKT resulting in reduced tumour cell viability.

Approved under accelerated approval in 2015, alectinib is indicated for use in patients who have progressed on or were not tolerant of crizotinib, which is associated with the development of resistance.

Indication

Alectinib is a kinase inhibitor indicated for the treatment of patients with anaplastic lymphoma kinase (ALK)-positive, metastatic non-small cell lung cancer (NSCLC) who have progressed on or are intolerant to crizotinib. This indication is approved under accelerated approval based on tumor response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.

Associated Conditions
Refractory, metastatic Non small cell lung cancer

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• Nuvalent, a clinical-stage biopharmaceutical company, has appointed Grant Bogle to its Board of Directors to leverage his expertise in oncology and biotechnology. • Bogle's experience includes leadership roles at Epizyme, TESARO, and US Oncology, guiding numerous oncology products from development to commercialization. • Nuvalent anticipates pivotal data readouts in 2025 from trials of its kinase inhibitors and plans to initiate a Phase 3 trial for ALK-positive NSCLC. • Nuvalent is focused on developing precisely targeted therapies for cancer, aiming to overcome resistance and improve outcomes for patients with kinase-driven tumors.

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