Sustained remission after discontinuation of ALK inhibition in ALK-positive histiocytosis - Takeaways - MDSpire

Sustained remission after discontinuation of ALK inhibition in ALK-positive histiocytosis

  • By

  • Paul G. Kemps

  • Jennifer L. Picarsic

  • Sébastien Héritier

  • Jean Donadieu

  • Julien Haroche

  • Laure Farnault

  • Stefania Gaspari

  • Dmitry A. Evseev

  • Daria S. Osipova

  • Alexander E. Druy

  • Milen Minkov

  • Susan Picton

  • Andreas Beilken

  • Robert Möhle

  • Miloš B. Kuzmanović

  • Hitomi S. Okuma

  • Chung W. Chow

  • Martin A. Campbell

  • Gregory S. Phillips

  • Yuhang Zhou

  • Gaurav Goyal

  • Ronald S. Go

  • Kee Kiat Yeo

  • Bryan A. Sisk

  • Joanna L. Weinstein

  • Patrick K. Campbell

  • Eli L. Diamond

  • Jean-François Emile

  • April 14, 2026

  • 0 min

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  • 1

    ALK-positive histiocytosis is a rare neoplasm characterized by KIF5B::ALK fusions, often affecting the neurologic system.

  • 2

    In a study of 27 patients, all responded to ALK inhibitors, with 56% achieving complete response and 44% partial response.

  • 3

    Seventy percent of patients discontinued ALK therapy, with 18 maintaining sustained remission and a median treatment-free remission of 1.8 years.

  • 4

    Adverse events occurred in 78% of patients, primarily grade 1 or 2, with manageable complications leading to dose adjustments in some cases.

  • 5

    The study confirms the efficacy of ALK inhibition in ALK-positive histiocytosis, highlighting the potential for long-term remission after treatment cessation.

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