“…Therefore, the current strategy to the development of second-generation ALK inhibitors to combat the acquired resistance of Crizotinib is rather dependent on the fine structural tuning on the earlier ALK inhibitors either to elevate the antitumor potency or to identify new structural scaffolds capable of interacting with the secondary mutations, especially the gatekeeper L1196M ( Figure 1). Several structurally distinct small molecules have been developed as the second-generation ALK inhibitors, including PF-06463922 (2) [22][23][24], Ceritinib (3, LDK-378) [25][26][27], Alectinib (5, CH5424802) [10,[28][29][30][31][32], AP26113 [33,34], X-396 [35], TSR-011 [36,37], and so on [7,38]. Among these, Ceritinib and Alectinib have The second-in-class ALK inhibitor 2,4-diaminopyrimidine Ceritinib (3) [25,26] and the third-in-class ALK inhibitor benzo [b]carbazolone Alectinib (5) [28][29][30] represent the two major chemotypes of second-generation ALK inhibitors possessing distinct structural characteristics.…”