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clinical / clinicalALEX Trial, Alectinib vs Crizotinib

Benjamin J. Solomon

本杰明·所罗门

MBBS, PhD, FRACP

🏢Peter MacCallum Cancer Centre / University of Melbourne(彼得·麦卡勒姆癌症中心 / 墨尔本大学)🌐Australia

Medical Oncologist and Head, Lung Medical Oncology, Peter MacCallum Cancer Centre; Professor, University of Melbourne彼得·麦卡勒姆癌症中心肺部内科肿瘤学主任、肿瘤内科医师;墨尔本大学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Benjamin J. Solomon, MBBS, PhD, FRACP is a Medical Oncologist and Head of Lung Medical Oncology at Peter MacCallum Cancer Centre and Professor at the University of Melbourne. He is one of the most influential thoracic oncologists in the Asia-Pacific region and is recognized internationally for his pivotal role as the global principal investigator of the ALEX trial—the landmark phase III study demonstrating that alectinib is superior to crizotinib as first-line therapy in ALK-positive advanced NSCLC. The ALEX trial established alectinib as a global standard of care for ALK+ NSCLC, demonstrating not only prolonged progression-free survival (34.8 vs 10.9 months) but also dramatic superiority in central nervous system (CNS) activity, with a 12-month CNS progression rate of only 9% with alectinib versus 41% with crizotinib. Dr. Solomon has subsequently led or co-led multiple other pivotal thoracic oncology trials at Peter MacCallum, including studies of lorlatinib, selpercatinib (LIBRETTO-001), and tumor-agnostic NTRK inhibitors. He is a co-investigator in multiple comprehensive genomic profiling initiatives in Australia and has championed routine molecular testing for all advanced NSCLC patients in the Australian context. Dr. Solomon serves on the IASLC Board of Directors and is a member of several international guideline panels.

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🧪Research Fields 研究领域

ALK-Positive NSCLC Clinical TrialsALK阳性非小细胞肺癌临床试验
ALEX Trial — Alectinib versus CrizotinibALEX试验——阿来替尼对比克唑替尼
Brain Metastases Management in ALK+ NSCLCALK+非小细胞肺癌脑转移管理
Molecular Profiling and Targeted Therapy in Advanced NSCLC晚期非小细胞肺癌分子分型与靶向治疗
RET and Other Oncogenic Drivers in NSCLC非小细胞肺癌RET及其他致癌驱动基因

🎓Key Contributions 主要贡献

ALEX Trial — Establishing Alectinib as First-Line Standard in ALK+ NSCLC

Served as global principal investigator of the ALEX phase III trial, which demonstrated that first-line alectinib achieved a median PFS of 34.8 months versus 10.9 months for crizotinib in treatment-naïve ALK+ advanced NSCLC, with markedly superior CNS activity—establishing alectinib as the global first-line standard and changing practice worldwide.

CNS Activity of Next-Generation ALK Inhibitors

Conducted detailed analyses of CNS outcomes in ALEX and subsequent ALK inhibitor trials, demonstrating that alectinib and lorlatinib substantially reduce the risk of brain metastasis development and progression, and advocating for CNS-specific endpoints in all ALK+ NSCLC trials as primary efficacy measures.

RET Fusion-Positive NSCLC and Selpercatinib Development

Participated as an investigator in LIBRETTO-001, the pivotal trial of selpercatinib (LOXO-292) in RET fusion-positive NSCLC and other RET-altered tumors, contributing to the evidence base that established selpercatinib as the first highly selective RET inhibitor approved for NSCLC.

Molecular Testing and Precision Oncology Implementation in Australia

Led efforts to implement routine comprehensive genomic profiling for advanced NSCLC across Australian cancer centers, co-authoring national consensus guidelines for molecular testing and biomarker-driven therapy selection, and demonstrating the real-world impact of broad-panel NGS on treatment decisions and outcomes.

Representative Works 代表性著作

[1]

Alectinib versus crizotinib in untreated ALK-positive non-small-cell lung cancer (ALEX)

New England Journal of Medicine (2017)

ALEX trial demonstrating superiority of alectinib over crizotinib in first-line ALK+ advanced NSCLC with PFS benefit of 34.8 vs 10.9 months and markedly superior CNS control, establishing alectinib as the global standard of care.

[2]

Five-year efficacy and safety of alectinib in ALK-positive non-small-cell lung cancer: final results from ALEX

The Lancet Oncology (2023)

Five-year follow-up of ALEX confirming durable benefit of alectinib with 5-year PFS rate of 19% versus 2% for crizotinib and an OS trend favoring alectinib.

[3]

Selpercatinib in patients with RET fusion-positive non-small-cell lung cancer: updated safety and efficacy from the open-label phase 1/2 LIBRETTO-001 trial

The Lancet Oncology (2023)

Updated LIBRETTO-001 data demonstrating durable responses to selpercatinib in treatment-naïve and previously treated RET fusion-positive NSCLC with favorable toxicity profile.

[4]

Molecular profile of advanced non-small cell lung cancer in Australia — actionable alterations and clinical outcomes

Journal of Thoracic Oncology (2021)

Real-world analysis of comprehensive genomic profiling in Australian NSCLC patients, demonstrating high rates of actionable alterations and improved outcomes with matched targeted therapies.

🏆Awards & Recognition 奖项与荣誉

🏆IASLC Board of Directors Member
🏆NHMRC Investigator Grant (Australia)
🏆Cancer Council Victoria Research Excellence Award
🏆Peter MacCallum Cancer Centre Distinguished Investigator

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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