First-line treatment of ALK-positive non-small cell lung cancer

Active Ingredient: Crizotinib

Indication for Crizotinib

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Crizotinib as monotherapy is indicated for the first-line treatment of adults with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC).

For this indication, competent medicine agencies globally authorize below treatments:

250 mg twice daily

For:

Dosage regimens

Oral, 250 milligrams crizotinib, 2 times daily.

Detailed description

The recommended dose schedule of crizotinib is 250 mg twice daily (500 mg daily) taken continuously.

If a dose is missed, then it should be taken as soon as the patient remembers unless it is less than 6 hours until the next dose, in which case the patient should not take the missed dose. Patients should not take 2 doses at the same time to make up for a missed dose.

Dosage considerations

It may be taken either after a meal or while fasted.

Grapefruit or grapefruit juice should be avoided since it may increase crizotinib plasma concentration. St. John’s wort should be avoided since it may decrease crizotinib plasma concentration.

Active ingredient

Crizotinib

Crizotinib is a selective small-molecule inhibitor of the ALK receptor tyrosine kinase (RTK) and its oncogenic variants (i.e. ALK fusion events and selected ALK mutations). Crizotinib is also an inhibitor of the Hepatocyte Growth Factor Receptor (HGFR, c-Met) RTK, ROS1 (c-ros) and Recepteur d’Origine Nantais (RON) RTK.

Read more about Crizotinib

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