Alectinib (Alecensa)

Targeted Therapy · Approved since 2015

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 3 Clinical Trials
ALK RET

Description

Alectinib is an oral anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitor that belongs to the targeted therapy class of anticancer agents. In colorectal cancer, alectinib is utilized for patients whose tumors harbor ALK gene rearrangements, which occur in a small subset of CRC cases. This precision medicine approach targets the specific molecular abnormality driving tumor growth in ALK-positive colorectal cancers. Alectinib represents a tumor-agnostic treatment option for advanced or metastatic solid tumors with confirmed ALK alterations.

Mechanism of Action

Alectinib selectively inhibits the ALK tyrosine kinase receptor and its oncogenic fusion variants that result from chromosomal rearrangements. By blocking ALK signaling pathways, the drug disrupts downstream cellular processes including cell proliferation, survival, and angiogenesis that drive tumor progression. Alectinib also demonstrates activity against the RET tyrosine kinase receptor, providing additional antitumor effects.

Molecular Targets

Side Effects

Fatigue Peripheral edema Myalgia Constipation Elevated liver enzymes Bradycardia Vision disorders Nausea

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05525858 Not Applicable
Recruiting
KPMNG Study of MOlecular Profiling Guided Therapy Based on Genomic Alterations in Advanced Solid Tumors II
South Korea
NCT05725200 Phase 2
Recruiting
Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer
Norway
NCT04644315 Phase 2
Archived
A Home-Based Approach Study to Evaluate the Efficacy and Safety of Alectinib in Locally-Advanced or Metastatic ALK-Positive Solid Tumors
United States