Pazopanib Sensitivity in a Patient With Breast Cancer and FGFR1 Amplification

Fiona Tsui-Fen Cheng1, Fu Ou-Yang2,3, Nina Lapke4

  • 1Breast Cancer Center, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City

Insights

Limited treatment options exist for endocrine therapy-resistant hormone receptor-positive (HR+) HER2-negative breast cancer. A patient with FGFR1 amplification responded well to pazopanib, showing significant improvement in brain, lung, and liver lesions.

Area of Science:

  • Oncology
  • Medical Genetics

Background:

  • Hormone receptor-positive (HR+), HER2-negative (HER2-) breast cancer often develops resistance to endocrine therapy, limiting treatment options.
  • Fibroblast growth factor receptor 1 (FGFR1) amplification is observed in approximately 11% of breast cancers, particularly HR+ disease, presenting a potential therapeutic target.

Observation:

  • This report details a patient with metastatic HR+ HER2- breast cancer and an FGFR1 amplification.
  • The patient was resistant to standard endocrine therapy.

Findings:

  • The patient responded positively to pazopanib, a multi-tyrosine kinase inhibitor with FGFR-inhibiting properties.
  • Pazopanib treatment led to near-complete resolution of brain metastases.
  • Therapeutic changes were observed in lung lesions, and liver function improved.

Implications:

  • Pazopanib demonstrates potential as a treatment for patients with breast cancer harboring FGFR1 amplifications.
  • This case highlights the clinical relevance of targeting FGFR1 in endocrine-resistant HR+ HER2- breast cancer.