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Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status

  • Authors:
    • Yoichi Nishii
    • Osamu Hataji
    • Kentaro Ito
    • Fumiaki Watanabe
    • Tetsu Kobayashi
    • Corina D'Alessandro‑Gabazza
    • Masaaki Toda
    • Osamu Taguchi
    • Nobuyuki Yamamoto
    • Esteban C. Gabazza
  • View Affiliations / Copyright

    Affiliations: Respiratory Center, Matsusaka Municipal Hospital, Matsusaka, Mie 515‑8544, Japan, Department of Pulmonary and Critical Care Medicine, Mie University Faculty and Graduate School of Medicine, Tsu, Mie 514‑8507, Japan, Department of Immunology, Mie University Faculty and Graduate School of Medicine, Tsu, Mie 514‑8507, Japan, Center for Mental and Physical Health, Mie University Faculty and Graduate School of Medicine, Tsu, Mie 514‑8507, Japan, Third Department of Internal Medicine, Wakayama Medical University, Wakayama, Wakayama 641‑8509, Japan
    Copyright: © Nishii et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Pages: 246-249
    |
    Published online on: November 29, 2017
       https://doi.org/10.3892/mco.2017.1522
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Abstract

Osimertinib, a third-generation epithelial growth factor receptor (EGFR) tyrosine kinase inhibitor, has been demonstrated to be effective for treating patients with T790M‑positive advanced non‑small cell lung cancer (NSCLC) with a relatively good performance status (grade 0‑1). Reports of therapeutic response to osimertinib in advanced NSCLC patients with poor performance status are infrequent. The present case report discusses a patient with advanced lung adenocarcinoma harboring EGFR exon 19 deletion and T790M mutation with central nervous system involvement and poor performance status. The patient had a past history of partial lung resection due to lung adenocarcinoma, positive genetic test for EGFR exon 19 deletion in post‑surgical tumor specimens, and therapy with erlotinib and onartuzumab for the appearance of a lung metastatic tumor during the post‑surgical follow‑up. The combined therapy was continued until the discovery of metastatic tumors in bones and the central nervous system. The Cobas test performed using tissue from bone metastatic tumor was positive for exon 19 deletion and for T790M mutation. The patient was treated with osimertinib and adverse effects or hematological toxicity were not observed. Performance status of the patient improved from grade 4 to 2. Subsequent studies revealed remission of bone metastasis and reduced central nervous system lesions. This report provides evidence on the safety and efficacy of osimertinib for treating NSCLC patients with progressive disease, central nervous system lesion and poor performance status.
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Copy and paste a formatted citation
Spandidos Publications style
Nishii Y, Hataji O, Ito K, Watanabe F, Kobayashi T, D'Alessandro‑Gabazza C, Toda M, Taguchi O, Yamamoto N, Gabazza EC, Gabazza EC, et al: Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status. Mol Clin Oncol 8: 246-249, 2018.
APA
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C. ... Gabazza, E.C. (2018). Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status. Molecular and Clinical Oncology, 8, 246-249. https://doi.org/10.3892/mco.2017.1522
MLA
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C., Toda, M., Taguchi, O., Yamamoto, N., Gabazza, E. C."Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status". Molecular and Clinical Oncology 8.2 (2018): 246-249.
Chicago
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C., Toda, M., Taguchi, O., Yamamoto, N., Gabazza, E. C."Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status". Molecular and Clinical Oncology 8, no. 2 (2018): 246-249. https://doi.org/10.3892/mco.2017.1522
Copy and paste a formatted citation
x
Spandidos Publications style
Nishii Y, Hataji O, Ito K, Watanabe F, Kobayashi T, D'Alessandro‑Gabazza C, Toda M, Taguchi O, Yamamoto N, Gabazza EC, Gabazza EC, et al: Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status. Mol Clin Oncol 8: 246-249, 2018.
APA
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C. ... Gabazza, E.C. (2018). Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status. Molecular and Clinical Oncology, 8, 246-249. https://doi.org/10.3892/mco.2017.1522
MLA
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C., Toda, M., Taguchi, O., Yamamoto, N., Gabazza, E. C."Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status". Molecular and Clinical Oncology 8.2 (2018): 246-249.
Chicago
Nishii, Y., Hataji, O., Ito, K., Watanabe, F., Kobayashi, T., D'Alessandro‑Gabazza, C., Toda, M., Taguchi, O., Yamamoto, N., Gabazza, E. C."Efficacy of osimertinib in a patient with non‑small cell lung cancer harboring epithelial growth factor receptor exon 19 deletion/T790M mutation, with poor performance status". Molecular and Clinical Oncology 8, no. 2 (2018): 246-249. https://doi.org/10.3892/mco.2017.1522
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