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

Chronic Disease

Chronic Disease (ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer · CROWN: 7-Year Update for Lorlatinib) — "With this evidence of durable con…

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  • Lorlatinib shows strong potential as first-line therapy for advanced ALK-positive NSCLC and may help make it a chronic disease for some patients.
  • Durable control of both intracranial and extracranial disease provides the supporting evidence.
  • This control could transform advanced ALK-positive NSCLC into a chronic disease for some patients.
  • Future research must define the criteria for calling advanced lung cancer a chronic illness.
  • Dr Schoenfeld said the findings further cement lorlatinib as a leading first-line therapy.
  • Dr Herbst agreed that the findings were impressive and that patients generally do exceptionally well on lorlatinib.
  • Rare patients may experience unusual side effects, including cognitive issues.
  • Despite these side effects, Dr Herbst described lorlatinib as the drug of first choice.
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ASCO 2026: Studies Aim to Expand Treatment Options for Lung Cancer

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"With this evidence of durable control of intracranial and extracranial disease, Dr Mok said lorlatinib has the potential to transform advanced ALK-positive NSCLC into a chronic disease for some patients.\n\n“Now we ask the question, how do we define conversion of advanced lung cancer into chronic disease,” he concluded. “What are the criteria in the future when we can use the term chronic illness for advanced non-small cell lung cancer?”\n\nDr Schoenfeld said the findings “further cement lorlatinib as a leading first-line therapy for advanced ALK-positive NSCLC.”\n\nDr Herbst agreed, saying the findings were impressive. “Patients on that drug do incredibly well,” he said. “It’s got some unusual side effects, including some cognitive issues in rare patients, but I’d say there’s no doubt that it’s the drug of first choice.”"

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