Bifalgorithm post · ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer · CROWN: 7-Year Update for Lorlatinib

Brain Control

Brain Control (ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer · CROWN: 7-Year Update for Lorlatinib) — "Dr Mok emphasized the durability of…

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  • The 7-year CROWN update supports lorlatinib as a highly active first-line therapy for advanced ALK-positive NSCLC.
  • The update emphasized the durability of lorlatinib’s protection.
  • Brain tumor progression and the development of new brain metastases plateaued after 36 months.
  • Among patients without baseline brain metastases, 96% had no intracranial tumor progression from month 24 through month 84.
  • Patients with early progression had a higher tumor mutation burden than long-term responders.
  • Dr Schoenfeld described the long-term results as highly impressive.
  • He characterized the results as among the most durable long-term data reported in advanced NSCLC.
  • Intracranial control was particularly important, with no new intracranial progression events after 30 months on lorlatinib.
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ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer

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"Dr Mok emphasized the durability of that protection, pointing to a plateau in brain tumor progression and the development of new brain metastases after 36 months. Ninety-six percent of patients in the lorlatinib group who had no brain metastases at baseline saw no evidence of intracranial tumor progression from 24 months onward, through 84 months. (Patients with early progression had a higher tumor mutation burden compared to long-term responders, he noted.)\n\n“The 7-year CROWN update is very impressive and further supports lorlatinib as a highly active first-line therapy for advanced ALK-positive NSCLC,” commented Dr Schoenfeld. “[T]hese are among the most durable long-term data we have seen in advanced NSCLC. The intracranial control is also particularly important, with no new intracranial progression events reported after 30 months on lorlatinib.”"

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