FDA approved ensartinib (Ensacove) for ALK-positive locally advanced or metastatic NSCLC on Dec 18, 2024. Ensartinib showed significant PFS improvement over crizotinib in a trial, with a median PFS of 25.8 months vs 12.7 months. Common adverse reactions include rash, musculoskeletal pain, constipation, and cough. Recommended dose is 225 mg orally once daily.