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Could we personalise 1

st

line treatment?

ALK

is an heterogeneous disease (>19 fusions)

Gridelli – CTR 2014 * Christopoulous – Int J Cancer 2018

EML4-ALK

variant V3 is a high-risk feature for ALK

+

NSCLC

V1/2

V3

N=67

V1 39%

V2 10%

V3 51%

V1

V3

V2

1. Gridelli, et al. Cancer Treat Rev 2014

2. D‘Arcangelo, et al. Curr Opin Oncol 2013

3. Hallberg, et al. Nat Rev Cancer 2013; Ou, et al. Oncologist 2012