Title |
Post-crizotinib management of effective ceritinib therapy in a patient with ALK-positive non-small cell lung cancer
|
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Published in |
BMC Cancer, August 2016
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DOI | 10.1186/s12885-016-2636-z |
Pubmed ID | |
Authors |
Brian Won, Isa Mambetsariev, Ravi Salgia |
Abstract |
We report the re-biopsied diagnosis of a patient with anaplastic lymphoma receptor tyrosine kinase (ALK)-positive lung adenocarcinoma successfully treated with ceritinib 450 mg/day taken with food following disease progression and gastrointestinal intolerance to crizotinib. A 74-year old female patient initially diagnosed with ALK-negative lung adenocarcinoma responded to initial standard chemotherapy. The patient was subsequently re-tested by next generation sequencing (NGS) and found to have ALK EIF2AK3-ALK fusion, and responded to crizotinib, but ultimately progressed and showed intolerance to this ALK inhibitor. She was then successfully treated with ceritinib 450 mg/day taken with food, has not suffered from any further gastrointestinal side-effects, and remains on ceritinib treatment after 12 months. Second-line ceritinib treatment, when administered at 450 mg/day with food, is both well tolerated and efficacious in a patient with previously treated lung adenocarcinoma who had discontinued crizotinib due to disease progression and gastrointestinal adverse effects (AEs). |
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Professor | 1 | 6% |
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Unknown | 6 | 38% |
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Other | 0 | 0% |
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