We present an exploratory integrated analysis of the impact of EML4-ALK fusion and secondary ALK mutations on efficacy with brigatinib from two phase 2 studies in alectinib-refractory ALK+ NSCLC….Pts with a baseline detectable EML4-ALK fusion, compared with pts without detectable EML4-ALK fusion (n=54), had lower ORR (26.0% vs 37.0%), DoR (5.3 months vs not achieved [NA]), and PFS (3.5 vs 9.3 months).