Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases

Due to the low incidence of rare EGFR mutation, its response to EGFR-TKI has not been fully investigated. L747P is a rare EGFR mutation in EGFR exon 19. Previous case reports showed that patients with EGFR L747P mutation responded to afatinib treatment. However, we encountered a patient with EGFR L7...

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Main Authors: Yibin Li, Weixi Guo, Bin Jiang, Chengkun Han, Feng Ye, Jingxun Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.863771/full
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author Yibin Li
Weixi Guo
Bin Jiang
Chengkun Han
Feng Ye
Jingxun Wu
author_facet Yibin Li
Weixi Guo
Bin Jiang
Chengkun Han
Feng Ye
Jingxun Wu
author_sort Yibin Li
collection DOAJ
description Due to the low incidence of rare EGFR mutation, its response to EGFR-TKI has not been fully investigated. L747P is a rare EGFR mutation in EGFR exon 19. Previous case reports showed that patients with EGFR L747P mutation responded to afatinib treatment. However, we encountered a patient with EGFR L747P who was resistant to afatinib but responded to dacomitinib. It is the first case report of the effective application of dacomitinib in a patient with L747P mutation and BMS, and the efficacy of BMS achieved PR.
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spelling doaj.art-e2e48286ba914a7c8dfd2ede280de3cb2022-12-22T02:32:18ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-08-011210.3389/fonc.2022.863771863771Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastasesYibin Li0Weixi Guo1Bin Jiang2Chengkun Han3Feng Ye4Jingxun Wu5Department of Medical Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Neurology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Radiology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Medical Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Medical Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDue to the low incidence of rare EGFR mutation, its response to EGFR-TKI has not been fully investigated. L747P is a rare EGFR mutation in EGFR exon 19. Previous case reports showed that patients with EGFR L747P mutation responded to afatinib treatment. However, we encountered a patient with EGFR L747P who was resistant to afatinib but responded to dacomitinib. It is the first case report of the effective application of dacomitinib in a patient with L747P mutation and BMS, and the efficacy of BMS achieved PR.https://www.frontiersin.org/articles/10.3389/fonc.2022.863771/fullDacomitinib (PubMed CID: 11511120)lung cancerbrain metastasisEGFRL747P mutation
spellingShingle Yibin Li
Weixi Guo
Bin Jiang
Chengkun Han
Feng Ye
Jingxun Wu
Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
Frontiers in Oncology
Dacomitinib (PubMed CID: 11511120)
lung cancer
brain metastasis
EGFR
L747P mutation
title Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
title_full Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
title_fullStr Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
title_full_unstemmed Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
title_short Case Report: Dacomitinib is effective in lung adenocarcinoma with rare EGFR mutation L747P and brain metastases
title_sort case report dacomitinib is effective in lung adenocarcinoma with rare egfr mutation l747p and brain metastases
topic Dacomitinib (PubMed CID: 11511120)
lung cancer
brain metastasis
EGFR
L747P mutation
url https://www.frontiersin.org/articles/10.3389/fonc.2022.863771/full
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