Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets

Small-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-...

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Main Authors: Corey A. Carter, Bryan Oronsky, Scott Caroen, Jan Scicinski, Aiste Degesys, Pedro Cabrales, Tony R. Reid, Christina Brzezniak
Format: Article
Language:English
Published: Karger Publishers 2016-05-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/446209
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author Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
author_facet Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
author_sort Corey A. Carter
collection DOAJ
description Small-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-year-old Caucasian male with extensive-stage refractory SCLC who was restarted on platinum doublets as part of a clinical trial called TRIPLE THREAT (NCT02489903) involving pretreatment with the epi-immunotherapeutic agent RRx-001, and who achieved a partial response after only 4 cycles. The patient had received a platinum drug twice before, in 2009 for a diagnosis of non-small-cell lung cancer (squamous cell carcinoma) and in 2015 for SCLC, suggesting that RRx-001 pretreatment may sensitize or resensitize refractory SCLC patients to first-line chemotherapy.
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spelling doaj.art-c53dfe35928f46b0a955e22b98939a7c2022-12-21T22:58:04ZengKarger PublishersCase Reports in Oncology1662-65752016-05-019228528910.1159/000446209446209Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum DoubletsCorey A. CarterBryan OronskyScott CaroenJan ScicinskiAiste DegesysPedro CabralesTony R. ReidChristina BrzezniakSmall-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-year-old Caucasian male with extensive-stage refractory SCLC who was restarted on platinum doublets as part of a clinical trial called TRIPLE THREAT (NCT02489903) involving pretreatment with the epi-immunotherapeutic agent RRx-001, and who achieved a partial response after only 4 cycles. The patient had received a platinum drug twice before, in 2009 for a diagnosis of non-small-cell lung cancer (squamous cell carcinoma) and in 2015 for SCLC, suggesting that RRx-001 pretreatment may sensitize or resensitize refractory SCLC patients to first-line chemotherapy.http://www.karger.com/Article/FullText/446209Partial responseRRx-001Refractory small-cell lung cancerPlatinum doublets
spellingShingle Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
Case Reports in Oncology
Partial response
RRx-001
Refractory small-cell lung cancer
Platinum doublets
title Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_full Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_fullStr Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_full_unstemmed Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_short Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_sort partial response in an rrx 001 primed patient with refractory small cell lung cancer after a third introduction of platinum doublets
topic Partial response
RRx-001
Refractory small-cell lung cancer
Platinum doublets
url http://www.karger.com/Article/FullText/446209
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