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Comprehensive analysis of resistance mechanism against ALK inhibitors and treatment strategy against such resistance mechanism

Research Project

Project/Area Number 15K18452
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Tumor therapeutics
Research InstitutionKyushu University

Principal Investigator

TOYOKAWA Gouji  九州大学, 医学研究院, 助教 (30627261)

Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords非小細胞肺癌 / ALK融合遺伝子 / ALK阻害剤 / 耐性機序 / 肺癌 / 次世代ALK阻害剤 / 耐性獲得機序
Outline of Final Research Achievements

Previous preclinical and clinical studies have identified various resistance mechanisms, such as secondary mutations in the ALK gene and the activation of bypass tracks. In the current study, novel ALK secondary mutations including I1171T/N and G1123S were shown to confer resistance against crizotinib, alectinib and ceritinib. Furthermore, we showed that MET amplification might mediate alectinib resistance, which could be overcome by crizotinib, a first generation ALK inhibitor. These findings are important for the optimal treatemnt strategies to overcome resistances against ALK inhibitors.

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (7 results)

All 2017 2016 2015

All Journal Article (4 results) (of which Peer Reviewed: 1 results) Presentation (3 results)

  • [Journal Article] W‘ALK’ Into the Next Stage.2017

    • Author(s)
      Toyokawa G, Seto T, Takenoyama M, Ichinose Y.
    • Journal Title

      Clinical Lung Cancer

      Volume: 18 Issue: 2 Pages: 122-126

    • DOI

      10.1016/j.cllc.2016.10.005

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Identification of a Novel ALK G1123S Mutation in a Patient with ALK-rearranged Non-small-cell Lung Cancer Exhibiting Resistance to Ceritinib.2015

    • Author(s)
      Toyokawa G, Inamasu E, Shimamatsu S, Yoshida T, Nosaki K, Hirai F, Yamaguchi M, Seto T, Takenoyama M, Ichinose Y.
    • Journal Title

      J Thorac Oncol

      Volume: 10 Issue: 7 Pages: e55-e57

    • DOI

      10.1097/jto.0000000000000509

    • Related Report
      2015 Research-status Report
  • [Journal Article] Updated Evidence on the Mechanisms of Resistance to ALK Inhibitors and Strategies to Overcome Such Resistance: Clinical and Preclinical Data.2015

    • Author(s)
      Toyokawa G, Seto T.
    • Journal Title

      Oncol Res Treat

      Volume: 38 Issue: 6 Pages: 291-8

    • DOI

      10.1159/000430852

    • Related Report
      2015 Research-status Report
  • [Journal Article] Insights into brain metastasis in patients with ALK+ lung cancer: is the brain truly a sanctuary?2015

    • Author(s)
      Toyokawa G, Seto T, Takenoyama M, Ichinose Y.
    • Journal Title

      Cancer Metastasis Rev

      Volume: 34 Issue: 4 Pages: 797-805

    • DOI

      10.1007/s10555-015-9592-y

    • Related Report
      2015 Research-status Report
  • [Presentation] Treatment Strategy for Patients with the Acquired Resistance against ALK Inhibitors2016

    • Author(s)
      Gouji Toyokawa
    • Organizer
      第57回日本肺癌学会学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2016-12-19
    • Related Report
      2016 Annual Research Report
  • [Presentation] ALK阻害剤に対する耐性獲得と克服の治療戦略2015

    • Author(s)
      豊川剛二
    • Organizer
      第56回日本肺癌学会学術総会
    • Place of Presentation
      横浜市
    • Year and Date
      2015-11-26
    • Related Report
      2015 Research-status Report
  • [Presentation] Pure GGOを呈する肺癌切除例におけるEGFRとALKの解析2015

    • Author(s)
      豊川剛二, 島松晋一郎, 吉田月久, 野崎要, 平井文彦, 山口正史, 田口健一, 瀬戸貴司, 竹之山光広, 一瀬幸人
    • Organizer
      第32回日本呼吸器外科学会
    • Place of Presentation
      高松市
    • Year and Date
      2015-05-14
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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