Table 1 Clinical and molecular characteristics of patients who underwent ALKi therapy

From: Exploring ALK fusion in colorectal cancer: a case series and comprehensive analysis

Patient ID

Age

Gender

Primary tumor site

Histology

Stage at diagnosis

Surgery/locoregional treatment

Lines of systemic treatment before ALKi

ALK fusion partner

MSI/MSS status

Other NGS data

First-Line ALKi agent

Best tumor response

First-Line ALKi PFS (months)

Further ALKi agent (PFS[months])

Reference

P1

53

Female

Right colon

Adenocarcinoma

IV

Surgery

1

CAD-ALK

NA

TP53 p.R248W

Entrectinib

CR

4.5

None

5

P2

70

Female

Right colon

Adenocarcinoma

IV

None

2

EML4-ALK

MSS

TP53 R157H、AKT1、ANNKRD11、BRAF、DNMT3A、FLT4、GABRA6、PTPRT、RBM10、SLX4

Crizotinib

PR

3

Alectinib (0.5 months), Lorlatinib (11.5 months)

6

P3

87

Female

Right colon

Adenocarcinoma

IV

Surgery

3

STRN-ALK

MSI

KRAS R164Q、STK11、TP53、AEID1A、BCOR、CDH2、MLL2、MLL3、PAX5、RAD50

Ceritinib

PR

9

None

7

P4

53

Female

Right colon

Adenocarcinoma

IV

None

2

CAD-ALK

MSS

ALK 1196Q、TP53 R273C

Alectinib

CR

3.8

None

8

P5

46

Male

Rectum

Adenocarcinoma

IV

None

2

EML4-ALK

MSS

KDR, SMAD4, APC, TP53

Crizotinib

PD

2.3

None

8

P6

45

Male

Right colon

Adenocarcinoma

IV

None

2

EML4-ALK

MSS

TP53 splice site, APC truncating mutation

Crizotinib

PR

9.1

Alectinib (NA)

8

P7

51

Female

Right colon

Adenocarcinoma

IV

None

2

CAD-ALK

MSS

TP53

Crizotinib

SD

3.7

Alectinib (NA)

8

P8

50

Female

Right colon

Adenocarcinoma

IV

Surgery

2

CAD-ALK

NA

 

Ensartinib

PR

4.6

None

8

P9

67

Male

Left colon

Adenocarcinoma

IV

Surgery

1

STRN-ALK

MSS

TP53, PIK3CG, PTPRS, PTPRT, MYC

Alectinib

SD

14

Ceritinib (NA)

8

C5

43

Male

Right colon

Adenocarcinoma

III

Surgery

2

EML4-ALK

MSS

PIK3R2 p.R717H;TP53 p.L43*;LRP1B p.K1100R;WIPF1 p.G216R;NUDCD1-RSPO2Fusion

Ensartinib

PR

5.8

Brigatinib (3 months); Lorlatinib (2 months)

C6

77

Female

Left colon

Signet-ring cell

IV

None

1

SRSF7-ALK

MSS

MSH6 p.F1088fs;TP53 c.75-1G>C

Alectinib

SD

1.9

None

  1. ALKi ALK inhibitor, MSS microsatellite stability, MSI microsatellite instability, CR complete response, PR partial response, PD progressive disease, SD stable disease, NA not available.