Document Type
Article
Publication Date
2019
College/Unit
School of Medicine
Department/Program/Center
Radiation Oncology
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.
Digital Commons Citation
Kibrova, Albina; Mattes, Malcom D.; Smolkin, Matthew; and Ma, Patrick C., "The Journey of an EGFR-Mutant Lung Adenocarcinoma through Erlotinib, Osimertinib and ABCP Immunotherapy Regimens: Sensitivity and Resistance" (2019). Faculty & Staff Scholarship. 2349.
https://researchrepository.wvu.edu/faculty_publications/2349
Source Citation
Kibirova, A., Mattes, M. D., Smolkin, M., & Ma, P. C. (2019). The Journey of an EGFR-Mutant Lung Adenocarcinoma through Erlotinib, Osimertinib and ABCP Immunotherapy Regimens: Sensitivity and Resistance. Case Reports in Oncology, 12(3), 765–776. https://doi.org/10.1159/000503417
Comments
© 2019 The Author(s). Published by S. Karger AG, Basel