Lovly et al. have identified a therapeutic synergism between inhibitors of ALK and insulin-like growth factor 1 receptor (IGF1R) by analysing the response of a patient with ALK-positive lung cancer to a treatment combination that included an IGF1R inhibitor. The authors found that the IGF1R pathway was activated in ALK inhibition-resistant cells, and that an IGF1R-specific monoclonal antibody sensitized cells to ALK inhibition.