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Lorlatinib + chemotherapy is a combination treatment regimen being investigated as an induction therapy for patients with resectable ALK-positive non-small cell lung cancer (NSCLC). Lorlatinib is a potent, third-generation, brain-penetrant small-molecule tyrosine kinase inhibitor (TKI) targeting ALK and ROS1, specifically designed to overcome resistance mutations that develop after treatment with earlier-generation TKIs like crizotinib or alectinib. In this clinical trial context sponsored by The First Affiliated Hospital of Guangzhou Medical University, lorlatinib is combined with standard chemotherapy to evaluate its efficacy in remodeling the tumor microenvironment and to identify potential primary resistance mechanisms using advanced genomic techniques like single-cell RNA sequencing and spatial transcriptomics.
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