Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma

NUT carcinomas (NCs) are a group of rare tumors that can occur anywhere in the body and are defined by the fusion of the nuclear protein in testis (NUTM1) resulting in increased transcription of proto-oncogenes. NCs have a poor prognosis that varies according to the site of origin with an urgent nee...

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Main Authors: Harriet Herbison, Sidney Davis, David Nickless, Andrew Haydon, Malaka Ameratunga
Format: Article
Language:English
Published: Innovative Healthcare Institute 2024-02-01
Series:Journal of Immunotherapy and Precision Oncology
Subjects:
Online Access:https://jipo.org/doi/pdf/10.36401/JIPO-23-19
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author Harriet Herbison
Sidney Davis
David Nickless
Andrew Haydon
Malaka Ameratunga
author_facet Harriet Herbison
Sidney Davis
David Nickless
Andrew Haydon
Malaka Ameratunga
author_sort Harriet Herbison
collection DOAJ
description NUT carcinomas (NCs) are a group of rare tumors that can occur anywhere in the body and are defined by the fusion of the nuclear protein in testis (NUTM1) resulting in increased transcription of proto-oncogenes. NCs have a poor prognosis that varies according to the site of origin with an urgent need to develop new treatment strategies. Case reports on immunotherapy in pulmonary NC have been published, and bromodomain and extraterminal (BET) inhibitors have shown activity in NC in phase I/II trials. We present the case of a 27-year-old woman with an unresectable sinonasal NC who had a sustained clinical response to both immunotherapy and BET inhibitor therapy. This is the first reported case of immunotherapy in sinonasal NC, and it highlights the different responses to a range of treatments including BET inhibitor therapy. This case supports the theory that NCs arising from different primary sites have differing prognoses.
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spelling doaj.art-3cb038dcb4134b309adfab6871b4ee9e2024-02-12T16:45:28ZengInnovative Healthcare InstituteJournal of Immunotherapy and Precision Oncology2666-23452590-017X2024-02-0171677210.36401/JIPO-23-19i2590-017X-7-1-67Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT CarcinomaHarriet Herbison0Sidney Davis1David Nickless2Andrew Haydon3Malaka Ameratunga41 Department of Medical Oncology, Monash Health, Clayton, Victoria, Australia2 Department of Radiation Oncology, The Alfred Hospital, Melbourne, Victoria, Australia3 Department of Anatomical Pathology, Cabrini Pathology, Melbourne, Victoria, Australia4 Department of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, Australia4 Department of Medical Oncology, The Alfred Hospital, Melbourne, Victoria, AustraliaNUT carcinomas (NCs) are a group of rare tumors that can occur anywhere in the body and are defined by the fusion of the nuclear protein in testis (NUTM1) resulting in increased transcription of proto-oncogenes. NCs have a poor prognosis that varies according to the site of origin with an urgent need to develop new treatment strategies. Case reports on immunotherapy in pulmonary NC have been published, and bromodomain and extraterminal (BET) inhibitors have shown activity in NC in phase I/II trials. We present the case of a 27-year-old woman with an unresectable sinonasal NC who had a sustained clinical response to both immunotherapy and BET inhibitor therapy. This is the first reported case of immunotherapy in sinonasal NC, and it highlights the different responses to a range of treatments including BET inhibitor therapy. This case supports the theory that NCs arising from different primary sites have differing prognoses.https://jipo.org/doi/pdf/10.36401/JIPO-23-19nut carcinomabet inhibitorradiationimmunotherapy
spellingShingle Harriet Herbison
Sidney Davis
David Nickless
Andrew Haydon
Malaka Ameratunga
Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
Journal of Immunotherapy and Precision Oncology
nut carcinoma
bet inhibitor
radiation
immunotherapy
title Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
title_full Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
title_fullStr Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
title_full_unstemmed Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
title_short Sustained Clinical Response to Immunotherapy Followed by BET Inhibitor in a Patient with Unresectable Sinonasal NUT Carcinoma
title_sort sustained clinical response to immunotherapy followed by bet inhibitor in a patient with unresectable sinonasal nut carcinoma
topic nut carcinoma
bet inhibitor
radiation
immunotherapy
url https://jipo.org/doi/pdf/10.36401/JIPO-23-19
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AT sidneydavis sustainedclinicalresponsetoimmunotherapyfollowedbybetinhibitorinapatientwithunresectablesinonasalnutcarcinoma
AT davidnickless sustainedclinicalresponsetoimmunotherapyfollowedbybetinhibitorinapatientwithunresectablesinonasalnutcarcinoma
AT andrewhaydon sustainedclinicalresponsetoimmunotherapyfollowedbybetinhibitorinapatientwithunresectablesinonasalnutcarcinoma
AT malakaameratunga sustainedclinicalresponsetoimmunotherapyfollowedbybetinhibitorinapatientwithunresectablesinonasalnutcarcinoma