We collected 26 plasma and two cerebrospinal fluid samples from 24 advanced ALK-positive NSCLC patients at disease progression to an ALK-I...Specifically, a deletion in exon 19 in EGFR, a non-V600 BRAF mutation (G466V) and the F129L mutation in MAP2K1 were identified in four patients who showed no objective survival benefit from ALK-Is.