The Journey of an EGFR-Mutant Lung Adenocarcinoma through Erlotinib, Osimertinib and ABCP Immunotherapy Regimens: Sensitivity and Resistance

Albina Kibirova, Malcolm D. Mattes, Matthew Smolkin, Patrick C. Ma

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Patients with epidermal growth factor receptor (EGFR) mutation positive non-small cell lung cancer (NSCLC) have several EGFR targeting tyrosine kinase inhibitors (TKIs) available in frontline management. However, the disease will inevitably progress over time due to acquired resistance. Longitudinal tumor profiling for genomics guided therapy is indicated upon disease progression. It is a common scenario yet, when after failure of EGFR-TKIs, potentially actionable genomic alterations are lacking. Management of such patient is challenging with very limited options available. Combination of chemotherapy, anti-vascular/anti-angiogenic and immune-checkpoint inhibitors may become a salvage option for such patients. Here we describe a case of TKI refractory EGFR-mutant NSCLC successfully treated with carboplatin, paclitaxel, atezolizumab and bevacizumab combination with remarkable prompt tumor response.

Original languageEnglish (US)
Pages (from-to)765-776
Number of pages12
JournalCase Reports in Oncology
Volume12
Issue number3
DOIs
StatePublished - Sep 1 2019

All Science Journal Classification (ASJC) codes

  • Oncology

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