Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion

Novel adjuvant strategies are needed to optimize outcomes after complete surgical resection in patients with early-stage non-small-cell lung cancer (NSCLC). The adjuvant treatment of ROS Proto-Oncogene 1 (ROS1) fusion-positive resected NSCLC is challenging because there is no curative confirmed rand...

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Main Authors: An-guo Chen, Dong-sheng Chen, Si Li, Le-le Zhao, Ming-zhe Xiao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.837219/full
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author An-guo Chen
Dong-sheng Chen
Dong-sheng Chen
Dong-sheng Chen
Si Li
Si Li
Si Li
Le-le Zhao
Le-le Zhao
Le-le Zhao
Ming-zhe Xiao
Ming-zhe Xiao
Ming-zhe Xiao
author_facet An-guo Chen
Dong-sheng Chen
Dong-sheng Chen
Dong-sheng Chen
Si Li
Si Li
Si Li
Le-le Zhao
Le-le Zhao
Le-le Zhao
Ming-zhe Xiao
Ming-zhe Xiao
Ming-zhe Xiao
author_sort An-guo Chen
collection DOAJ
description Novel adjuvant strategies are needed to optimize outcomes after complete surgical resection in patients with early-stage non-small-cell lung cancer (NSCLC). The adjuvant treatment of ROS Proto-Oncogene 1 (ROS1) fusion-positive resected NSCLC is challenging because there is no curative confirmed randomized controlled trial. Next-generation sequencing (NGS) and immunohistochemistry (IHC) staining were performed on the biopsy sample. In this case, we identified a novel LDLR–ROS1 fusion in a resectable stage IIIA NSCLC patient. The patient received crizotinib as adjuvant treatment and achieved recurrence-free survival (RFS) for 29 months, without significant symptoms of toxicity. In this case, we report a novel LDLR–ROS1 fusion responding to crizotinib in a patient with lung adenocarcinoma, supporting the use of adjuvant treatment with the ROS1 inhibitor exerting clinical survival benefit in ROS1 fusion-positive resected NSCLC.
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spelling doaj.art-1edd8d77d09b40fdad59a45edff5b6222022-12-21T19:22:36ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-03-011210.3389/fonc.2022.837219837219Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 FusionAn-guo Chen0Dong-sheng Chen1Dong-sheng Chen2Dong-sheng Chen3Si Li4Si Li5Si Li6Le-le Zhao7Le-le Zhao8Le-le Zhao9Ming-zhe Xiao10Ming-zhe Xiao11Ming-zhe Xiao12Department of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, ChinaThe Medical Department, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaNanjing Simcere Medical Laboratory Science Co., Ltd., Nanjing, ChinaThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaThe Medical Department, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaNanjing Simcere Medical Laboratory Science Co., Ltd., Nanjing, ChinaThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaThe Medical Department, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaNanjing Simcere Medical Laboratory Science Co., Ltd., Nanjing, ChinaThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaThe Medical Department, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaNanjing Simcere Medical Laboratory Science Co., Ltd., Nanjing, ChinaThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Jiangsu Simcere Diagnostics Co., Ltd., Nanjing, ChinaNovel adjuvant strategies are needed to optimize outcomes after complete surgical resection in patients with early-stage non-small-cell lung cancer (NSCLC). The adjuvant treatment of ROS Proto-Oncogene 1 (ROS1) fusion-positive resected NSCLC is challenging because there is no curative confirmed randomized controlled trial. Next-generation sequencing (NGS) and immunohistochemistry (IHC) staining were performed on the biopsy sample. In this case, we identified a novel LDLR–ROS1 fusion in a resectable stage IIIA NSCLC patient. The patient received crizotinib as adjuvant treatment and achieved recurrence-free survival (RFS) for 29 months, without significant symptoms of toxicity. In this case, we report a novel LDLR–ROS1 fusion responding to crizotinib in a patient with lung adenocarcinoma, supporting the use of adjuvant treatment with the ROS1 inhibitor exerting clinical survival benefit in ROS1 fusion-positive resected NSCLC.https://www.frontiersin.org/articles/10.3389/fonc.2022.837219/fullROS1 fusioncrizotinibadjuvant treatmentNSCLCcase report
spellingShingle An-guo Chen
Dong-sheng Chen
Dong-sheng Chen
Dong-sheng Chen
Si Li
Si Li
Si Li
Le-le Zhao
Le-le Zhao
Le-le Zhao
Ming-zhe Xiao
Ming-zhe Xiao
Ming-zhe Xiao
Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
Frontiers in Oncology
ROS1 fusion
crizotinib
adjuvant treatment
NSCLC
case report
title Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
title_full Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
title_fullStr Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
title_full_unstemmed Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
title_short Case Report: Adjuvant Crizotinib Therapy Exerted Favorable Survival Benefit in a Resectable Stage IIIA NSCLC Patient With Novel LDLR–ROS1 Fusion
title_sort case report adjuvant crizotinib therapy exerted favorable survival benefit in a resectable stage iiia nsclc patient with novel ldlr ros1 fusion
topic ROS1 fusion
crizotinib
adjuvant treatment
NSCLC
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2022.837219/full
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