在EGFR突变的NSCLC中,osimertinib和palbociclib在osimertinib下进展后具有初级CDK4放大后的NSCLC中
Vincent D de Jager1, Jos A Stigt2, Maarten Niemantsverdriet3
1Department of Pathology and Medical Biology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
将奥西默蒂尼布与palbociclib结合使用对EGFR突变和CDK4放大非小细胞肺癌 (NSCLC) 患者有希望,克服对向疗法的耐药性.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 精准医学彻底改变了非小细胞肺癌 (NSCLC) 对具有特定分子变化的患者的治疗.
- 对向疗法的获得性或初级耐药性仍然是NSCLC管理中的重大临床挑战.
研究的目的:
- 在转移性NSCLC患者的EGFR外基因19缺失,PIK3CA突变和CDK4放大中报告成功的联合治疗案例.
- 为了评估与palbociclib结合 osimertinib 的疗效,在一个对 osimertinib 单一治疗产生耐药性的患者中.
主要方法:
- 一个61岁的男性患有转移性NSCLC的病例报告.
- 开始使用奥西默蒂尼布 (EGFR TKI) 治疗,然后进行进展.
- 随后的治疗是使用组合的奥西默蒂尼布和palbociclib (CDK4/6抑制剂).
主要成果:
- 患者获得了对 osimertinib 单一治疗的初始部分反应.
- 经过4个月的osimertinib,疾病的进展发生了.
- 与奥西默蒂尼布和palbociclib的联合治疗导致持续的部分反应超过10个月的临床改善,尽管过渡性肺炎.
结论:
- 联合奥西默蒂尼布和palbociclib疗法在患有EGFR突变,PIK3CA突变和CDK4放大,克服耐药性的NSCLC患者中显示出有效性.
- CDK4放大发生在约10%的未经治疗的EGFR突变NSCLC患者中,这表明这种组合治疗可能有利于相关的患者亚组.
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