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Lorlatinib is a third-generation small molecule tyrosine kinase inhibitor developed for the treatment of non-small cell lung cancer (NSCLC) that harbors genetic alterations in the anaplastic lymphoma kinase (ALK) gene or ROS1 gene. It works by selectively inhibiting ALK and ROS1 kinases, including many mutated forms that confer resistance to earlier ALK inhibitors. Lorlatinib is notable for its ability to cross the blood-brain barrier, making it effective against brain metastases in NSCLC patients. The drug was developed and is manufactured by Pfizer. It received initial FDA approval in 2018 for use in patients with metastatic ALK-positive NSCLC who have progressed on prior ALK inhibitors.
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