Is there a preferred ALK targeting agent for patients with ALK+ mNSCLC presenting with CNS metastases?
Answer from: Medical Oncologist at Academic Institution
We do not have head-to-head comparisons and thus bearing the caveats of cross-trial comparisons given the heterogeneity in patients enrolled (e.g. baseline brain mets and type of treatment received), we do this exercise given the limitations of available data. There are considerable differences in b...
Answer from: Medical Oncologist at Academic Institution
In the CROWN trial, the hazard ratio for survival without CNS progression was 0.07 (95% CI, 0.03-0.17). The cumulative 12-month rate of CNS progression on lorlatinib was only 2.8% (95% CI, 1.0-8.1). In my personal experience, in patients with severe, symptomatic CNS disease, the rates of response, d...