Alice T. Shaw
爱丽丝·肖
MD, PhD
Director, Thoracic Oncology Service, Massachusetts General Hospital; Professor of Medicine, Harvard Medical School麻省总医院胸部肿瘤学部主任;哈佛医学院医学教授
👥Biography 个人简介
Alice T. Shaw, MD, PhD is Director of the Thoracic Oncology Service at Massachusetts General Hospital (MGH) and Professor of Medicine at Harvard Medical School. She is recognized globally as the leading clinical scientist in ALK-rearranged non-small cell lung cancer, having driven the development of virtually every generation of ALK inhibitor from crizotinib through lorlatinib. Dr. Shaw co-led the pivotal clinical trials and translational studies that established crizotinib as the first approved ALK inhibitor, and subsequently contributed to J-ALEX and ALEX trials showing alectinib's superiority over crizotinib including dramatic CNS activity. Her most transformative contribution may be the clinical development of lorlatinib, the third-generation brain-penetrant ALK/ROS1 inhibitor: her team conducted the phase I/II studies defining lorlatinib's dose, activity spectrum, and CNS efficacy, and she co-designed the CROWN trial in which lorlatinib demonstrated unprecedented 5-year PFS rates as first-line therapy in ALK+ NSCLC. Dr. Shaw also pioneered serial tumor biopsy and ctDNA studies to characterize compound resistance mutations in ALK, identifying the G1202R solvent-front mutation as a dominant mechanism of resistance to second-generation ALK inhibitors and demonstrating lorlatinib activity against this resistance profile. She has authored more than 200 publications and is an editorial board member of the Journal of Clinical Oncology and Cancer Discovery.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
ALK Inhibitor Clinical Development — From Crizotinib to Lorlatinib
Led or co-led the clinical programs establishing each generation of ALK inhibitors, from first-in-human crizotinib studies through PROFILE-1001 to alectinib in ALEX and ultimately lorlatinib in the CROWN trial, demonstrating continuous improvement in PFS, CNS control, and overall outcomes across three generations of ALK-targeted therapy.
CROWN Trial — Lorlatinib as First-Line Standard in ALK+ NSCLC
Co-designed and contributed to the CROWN phase III trial demonstrating that first-line lorlatinib achieved a 5-year PFS rate of 60% versus 8% for crizotinib in ALK+ advanced NSCLC with near-complete intracranial disease control, establishing lorlatinib as a preferred first-line choice for patients with brain metastases.
Resistance Mechanisms and Lorlatinib Rational Development
Characterized ALK kinase domain resistance mutations including G1202R, I1171T, and compound mutations (e.g., G1202R+L1196M) arising after first- and second-generation ALK inhibitors, demonstrating that lorlatinib retains potency against the broadest spectrum of resistance mutations and validating a sequential mutation-based strategy for ALK+ NSCLC.
ROS1 Fusions and Cross-Target Activity of ALK Inhibitors
Conducted landmark clinical studies demonstrating that crizotinib and lorlatinib have clinically meaningful activity in ROS1-rearranged NSCLC, characterizing ROS1 fusion partners, CNS activity, and emergent resistance mutations including G2032R, informing the approved indication of crizotinib and lorlatinib in ROS1+ disease.
Representative Works 代表性著作
Lorlatinib in non-small-cell lung cancer with ALK or ROS1 rearrangement: an international, multicentre, open-label, single-arm, first-in-man phase 1 trial
The Lancet Oncology (2017)
Phase I first-in-human trial establishing lorlatinib dose, safety, and activity in heavily pretreated ALK+ and ROS1+ NSCLC, including patients with brain metastases and compound resistance mutations.
Five-Year Outcomes with Lorlatinib in Previously Untreated ALK-Positive Non–Small-Cell Lung Cancer (CROWN)
New England Journal of Medicine (2024)
Long-term CROWN data showing unprecedented 5-year PFS rate of 60% with first-line lorlatinib versus 8% for crizotinib in ALK+ advanced NSCLC, with near-complete intracranial control.
Crizotinib versus chemotherapy in advanced ALK-positive lung cancer
New England Journal of Medicine (2013)
PROFILE 1007 trial demonstrating superior PFS and response rate for crizotinib over pemetrexed or docetaxel in previously treated ALK+ NSCLC, cementing crizotinib as the first ALK inhibitor standard.
Mechanisms of resistance to crizotinib in patients with ALK gene rearranged non-small cell lung cancer
Clinical Cancer Research (2013)
Comprehensive characterization of ALK secondary resistance mutations and bypass signaling mechanisms (including EGFR, KRAS, KIT activation) in crizotinib-resistant ALK+ NSCLC biopsies.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-04-06 | All information from publicly available academic sources
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