
The US Food and Drug Administration (FDA) has approved alectinib (Alecensa) as an adjuvant treatment after tumor resection for patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) tumors that are at least 4 cm or node positive, as detected by an FDA-approved test.
Alectinib is a kinase inhibitor that was previously approved as first- and second-line treatment for ALK-positive metastatic NSCLC. It is “now the first and only ALK inhibitor approved for people with ALK-positive early-stage NSCLC who have undergone surgery to remove their tumor,” according to a news release from Genentech, the manufacturer of the drug.
The approval is based on results from the phase 3 ALINA study, which demonstrated that alectinib reduced the risk of disease recurrence or death by 76% compared with platinum-based chemotherapy in people with a completely resected stage IB tumor of at least 4 cm to IIIA ALK-positive NSCLC.