Table 1.
ALK-positive NSCLC patients with acquired resistance to crizotinib. Adeno, adenocarcinoma; NA, tissue not available; BAC, bronchioloalveolar component.
| Patient | Duration (months)* | Timing (months)† | Histology | ALK fusion | ALK-amplified | ALK mutation | Phospho-EGFR (pre-crizotinib) | Phospho-EGFR (post-crizotinib) | CKIT FISH |
|---|---|---|---|---|---|---|---|---|---|
| MGH0NZ | 20 | 0 | Adeno | Positive | No | No | 1+ | 1+ (solid) 2+ (BAC) |
Amplified (solid) |
| MGH001 | 4 | 3.5 | Adeno | Positive | No | No | NA | 1+ | No |
| MGH010 | 8 | 0 | Adeno | Positive | No | No | 2+ | 1+ | No |
| MGH011 | 34 | 0 | Adeno | Positive | No | S1206Y | 2+ | 2+ | No |
| MGH013 | 9 | 0 | Adeno | Positive | No | No | NA | 2+ | No |
| MGH016 | 6 | 6 | Adeno | Positive | No | No | 1+ | 2+ | No |
| MGH017 | 23+ | 0 | Adeno | Positive | No | No | 0 | 2+ | No |
| MGH018 | 10 | 0.5 | Adeno | Positive | No | G1202R | 2+ | 2+ | Focal amplification |
| MGH019 | 8 | <0.5 | Adeno | Positive | No | No | NA | NA | NA |
| MGH020 | 13 | 0 | Adeno | Positive | No | L1196M | NA | NA | NA |
| MGH021 | 12 | 3 | Adeno | Positive | No | 1151Tins | 1+ | 2+ | No |
| MGH022 | 6 | 0 | Adeno | Positive | No | No | NA | 2+ | No |
| MGH023 | 12 | 0 | Adeno | Positive | No | No | 2+ | 1+ | No |
| MGH024 | 15 | 0 | Adeno | Positive | No | No | 2+ | 2+ | No |
| MGH025 | 11 | 0 | Adeno | NA | NA | No | NA | 2+ | No |
| MGH027 | 4 | 1 | Adeno | NA | NA | No | NA | NA | NA |
| MGH028 | 14 | 1 | Adeno | NA | NA | No | 1+‡ | NA | NA |
| MGH029 | 8 | 0 | Adeno | Positive | Yes | No | NA | 0 | NA |
Approximate duration of crizotinib therapy. “+” indicates that the patient remains on crizotinib.
Approximate time between the last crizotinib dose and the repeat biopsy. “0” indicates that the patient was still taking crizotinib at the time of the biopsy.
This sample had focal areas with 2+ staining.