Hello! My mum has been newly diagnosed as having ALK positive lung cancer, with brain mets. The NHS oncologist we are seeing wants to prescribe Crizotinib but I have been reading that Alectinib is now the new standard for first line treatment. Any thoughts on this would be much appreciated - is it the case that Crizotinib is still okay? If we start on Crizotinib, does this mean that we cannot try Alectinib? I only ask because the NICE guidance seems to indicate that Alectinib can only be used for first line treatment.
Thanks in advance for your help!