“…In 2018, crizotinib was given a breakthrough therapy designation to treat ALK-positive relapsed/ refractory anaplastic large cell lymphoma (ALCL) [24][25][26][27] patients. However, acquired secondary mutations (L1196M, G1269A, F1174L, S1206Y, 1151 T-ins, L1152R, C1156Y and G1202R) occurring in the ALK kinase domain resulted in resistance to crizotinib 18,20,[28][29][30] . The ALK gatekeeper mutation L1196M is the most frequent secondary mutation taking place in NSCLC patients and, consequently, a significant effort has been made to identify novel and potent L1196M inhibitors 31 .…”