Figure 3.
Patients with split signals on ALK FISH had a median decrease in tumor diameter of 48% compared to patients with 5′ deletion on ALK FISH (38%; p=0.03). Of 11 patients with split signals, 8 had partial response, 3 had stable disease, and none had disease progression. Of 15 patients with 5′ deletion, 9 had partial response, 4 had stable disease, and 2 had disease progression, including one case with new liver metastases. Two of the 3 cases with discordant FISH and IHC results showed disease progression – both cases were negative for ALK rearrangement by NGS.