This randomized, active controlled, multicenter phase III open-label study is designed to evaluate the efficacy and safety of alectinib compared with crizotinib treatment in participants with treatment-naive anaplastic lymphoma kinase-positive (ALK-positive) advanced non-small cell lung cancer (NSCLC). Participants will be randomized in a 1:1 ratio to receive either alectinib, 600 milligrams (mg) orally twice daily (BID), or crizotinib, 250 mg orally BID. Participants will receive treatment until disease progression, unacceptable toxicity, withdrawal of consent, or death. The study is expected to last approximately 144 months.
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Progression-Free Survival (PFS) by Investigator Assessment
Timeframe: Randomization to first documented disease progression or death, whichever occurs first (assessed every 8 weeks up to 33 months)
Percentage of Participants With PFS Event by Investigator Assessment
Timeframe: Randomization to first documented disease progression or death, whichever occurs first (assessed every 8 weeks up to 33 months)