Begum Parvin, Cui Wanyuan, Popat Sanjay
Lung Unit, Royal Marsden NHS Foundation Trust, London, United Kingdom.
Institute of Cancer Research, London, United Kingdom.
JTO Clin Res Rep. 2022 Jul 5;3(9):100376. doi: 10.1016/j.jtocrr.2022.100376. eCollection 2022 Sep.
gene rearrangements occur in 1% to 2% of NSCLC. Acquired "on-target" mutations within the ROS1 kinase domain are a known resistance mechanism to the first-line ROS1 inhibitor crizotinib. Here, we report the first case of a patient with an acquired G2101A resistance mutation after first-line crizotinib, who responded to lorlatinib. The response was dramatic but short in duration.
基因重排在1%至2%的非小细胞肺癌(NSCLC)中发生。ROS1激酶域内获得性“靶向”突变是对一线ROS1抑制剂克唑替尼的已知耐药机制。在此,我们报告首例一线克唑替尼治疗后出现获得性G2101A耐药突变的患者,该患者对劳拉替尼有反应。反应显著但持续时间短。