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The EML4-ALK fusion gene has recently been identified as a new oncogene in about 7% of Japanese non-small cell lung cancers (NSCLC), but its association with ethnic and patient characteristics is unknown. In this study, Koivunen and colleagues identified EML4-ALK in about 3% of NSCLC tumors from patients of different ethnic backgrounds. EML4-ALK is related to adenocarcinoma histology, limited smoking history of a patient, and Asian ethnicity. Furthermore, they identified three NSCLC cell lines carrying the EML4-ALK fusion. One of these lines was sensitive to the ALK specific inhibitor TAE684, and another was sensitive to TAE684 in combination with an EGFR/HER2 inhibitor. These results suggest that EML4-ALK is a potential target for drug therapies in NSCLC.