FGFR2 Might Be a Promising Therapeutic Target for Some Solid Tumors: Analysis of 1312 Cancers with FGFR2

Hinano Nishikubo1, Dongheng Ma1, Tomoya Sano1

  • 1Molecular Oncology and Therapeutics, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.

Insights

Fibroblast growth factor receptor 2 (FGFR2) gene abnormalities are found in various cancers. FGFR2 inhibitors show promise beyond cholangiocarcinoma, particularly in esophagus/stomach and breast cancers with FGFR2 alterations.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacology

Background:

  • Genetic abnormalities in fibroblast growth factor receptor 2 (FGFR2), including amplification, fusions, and mutations, are implicated in diverse solid tumors.
  • While FGFR2 fusions are targeted in cholangiocarcinoma, the efficacy of FGFR2 inhibitors in other solid cancers remains under investigation.

Purpose of the Study:

  • To investigate the clinical-pathological significance of FGFR2 gene abnormalities in solid tumors using a large-scale Japanese database.
  • To explore the therapeutic potential of FGFR2 inhibitors in cancers beyond cholangiocarcinoma.

Main Methods:

  • Analysis of genomic and clinical data from 101,231 solid tumor patients in the Center for Cancer Genomics and Advanced Therapeutics (C-CAT) database.
  • Identification and characterization of FGFR2 alterations (amplification, fusion, mutation) in 1312 patients.
  • Evaluation of treatment outcomes for 85 patients receiving FGFR2 inhibitors.

Main Results:

  • FGFR2 abnormalities were identified in 1312 out of 101,231 patients, with alterations including amplification (515), fusion (280), and mutation (568).
  • The most frequent sites for FGFR2 alterations were the biliary tract (271), esophagus/stomach (231), and breast (211).
  • Disease control was achieved in 49 of 85 patients treated with FGFR2 inhibitors, with 44 cases being biliary tract cancer.

Conclusions:

  • FGFR2 alterations are prevalent across various solid tumors, with distinct patterns of amplification and mutation.
  • FGFR2 inhibitors demonstrate therapeutic potential in biliary tract cancer and suggest promise for esophagus/stomach and breast cancers harboring FGFR2 alterations.

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