Episode Summary
In this episode of TOGA’s Conversations in Lung Cancer Research, host A/Prof Tim Clay sits down with Australian oncology luminaries Prof Ben Solomon and A/Prof Malinda Itchins to discuss the rapidly evolving landscape of Anaplastic Lymphoma Kinase (ALK) positive lung cancer. Since its discovery in 2007, treatment for this subset of non-small cell lung cancer (NSCLC) has advanced through four generations of inhibitors, significantly improving survival outcomes for the 400–500 Australians diagnosed annually.
This episode is sponsored by Pfizer.
Speakers
- A/Prof Tim Clay, Medical Oncologist, St John of God Subiaco Hospital
- Prof Ben Solomon, Medical Oncologist at the Peter MacCallum Cancer Centre
- A/Prof Malinda Itchins, Medical Oncologist, Royal North Shore Hospital and Chris O’Brien Lifehouse
Timestamps
(00:00) Welcome and Acknowledgement
(00:43) Meet the Expert Guests
(01:40) ALK History and Breakthroughs
(03:48) Who Gets ALK Lung Cancer
(04:57) Workup and Staging Essentials
(05:54) Patterns of Spread and Clots
(07:24) Second Generation TKIs Standard
(09:03) Long Term Toxicities
(11:07) Progression Assessment and LAT
(12:50) Lorlatinib After Progression
(15:46) Lorlatinib First Line Crown Data
(17:11) Choosing and Dosing Lorlatinib
(20:55) Managing Lorlatinib Side Effects
(22:29) Predicting Response and Follow Up
(29:30) Next Generation Inhibitors NAL
(32:04) Early Stage and Adjuvant TKIs
(36:32) Beyond TKIs Chemo and ADCs
(39:30) Patient Support and Closing