Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy

We report on the clinical history of a 49-year-old female with metastatic pancreatic cancer. She was initially treated with standard chemotherapy as per current guidelines. She was found to have both a BRAF and P53 mutation, and received dabrafenib and trametinib with deep responses, both radiograph...

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Main Authors: Shenthol Sasankan, Lorraine Rebuck, Gloria Darrah, Moises Harari Turquie, Ian Rabinowitz
Format: Article
Language:English
Published: Karger Publishers 2020-10-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/510096
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author Shenthol Sasankan
Lorraine Rebuck
Gloria Darrah
Moises Harari Turquie
Ian Rabinowitz
author_facet Shenthol Sasankan
Lorraine Rebuck
Gloria Darrah
Moises Harari Turquie
Ian Rabinowitz
author_sort Shenthol Sasankan
collection DOAJ
description We report on the clinical history of a 49-year-old female with metastatic pancreatic cancer. She was initially treated with standard chemotherapy as per current guidelines. She was found to have both a BRAF and P53 mutation, and received dabrafenib and trametinib with deep responses, both radiographically and biochemically (CA19-9). Her response has been more clinically relevant than responses in previous case reports of patients with BRAF-positive pancreatic cancer treated with targeted therapy. To the best of our knowledge, this is the first case report showing a dramatic therapeutic response to combination therapy with dabrafenib and trametinib in metastatic pancreatic cancer.
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spelling doaj.art-64f08a7e689d47d2902d3944f3acc21e2022-12-21T23:39:28ZengKarger PublishersCase Reports in Oncology1662-65752020-10-011331239124310.1159/000510096510096Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted TherapyShenthol SasankanLorraine RebuckGloria DarrahMoises Harari TurquieIan RabinowitzWe report on the clinical history of a 49-year-old female with metastatic pancreatic cancer. She was initially treated with standard chemotherapy as per current guidelines. She was found to have both a BRAF and P53 mutation, and received dabrafenib and trametinib with deep responses, both radiographically and biochemically (CA19-9). Her response has been more clinically relevant than responses in previous case reports of patients with BRAF-positive pancreatic cancer treated with targeted therapy. To the best of our knowledge, this is the first case report showing a dramatic therapeutic response to combination therapy with dabrafenib and trametinib in metastatic pancreatic cancer.https://www.karger.com/Article/FullText/510096braf mutationcancer biologygastrointestinal oncologypancreatic cancertargeted therapy
spellingShingle Shenthol Sasankan
Lorraine Rebuck
Gloria Darrah
Moises Harari Turquie
Ian Rabinowitz
Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
Case Reports in Oncology
braf mutation
cancer biology
gastrointestinal oncology
pancreatic cancer
targeted therapy
title Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
title_full Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
title_fullStr Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
title_full_unstemmed Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
title_short Metastatic Pancreatic Cancer with BRAF and P53 Mutations: Case Report of Therapeutic Response to Doublet Targeted Therapy
title_sort metastatic pancreatic cancer with braf and p53 mutations case report of therapeutic response to doublet targeted therapy
topic braf mutation
cancer biology
gastrointestinal oncology
pancreatic cancer
targeted therapy
url https://www.karger.com/Article/FullText/510096
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