This study analyzed whether co-occurring alterations impact survival outcomes of metastatic ALK-rearranged NSCLC who received second-generation ALK-TKIs….In patients with a concurrent CDKN2A/B loss (n=21), the median PFS was significantly shorter than those without the co-alteration [10.2 vs. 34.2 months; p<0.001]. As well, the median OS was shorter in patients with a concurrent CDKN2A/B loss, [26.2 vs. 80.7 months; p<0.001].