Neoadjuvant ceritinib treatment achieved pathological complete response in patients with anaplastic lymphoma kinase positive stage IIIA-N2 non-small cell lung cancer.

Chin Med J (Engl)

Department of Respiratory Disease, Thoracic Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China.

Published: April 2023

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10150867PMC
http://dx.doi.org/10.1097/CM9.0000000000002403DOI Listing

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Here, we first report a case of neoadjuvant ceritinib for locally advanced lung adenosquamous carcinoma. In this study, a locally advanced adenosquamous carcinoma (ASC) patient with EML4-ALK fusion who achieved a partial response with neoadjuvant ceritinib treatment after a cycle of neoadjuvant chemotherapy did not show significant efficacy. A complete surgical resection was performed with mild adhesions and a small amount of bleeding intraoperatively.

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The treatment of stage IIIB non-small cell lung cancer (NSCLC) is complicated, the best strategy is chosen individually and surgery is usually not recommended. A 50-year-old female was diagnosed with locally advanced lung adenocarcinoma (stage IIIB, T2bN3M0). Fluorescence in situ hybridization (FISH) analysis revealed an ALK rearrangement.

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Article Synopsis
  • - The study evaluated the effectiveness and safety of ceritinib compared to standard platinum-based chemotherapy in patients with untreated ALK-rearranged non-small-cell lung cancer (NSCLC).
  • - Conducted across 134 centers in 28 countries, the trial randomly assigned 376 patients to receive either ceritinib 750 mg/day or chemotherapy, assessing primary outcomes like progression-free survival.
  • - Results showed that the ceritinib group had a median progression-free survival of 16.6 months compared to 8.1 months for the chemotherapy group, with common side effects including diarrhea, nausea, and vomiting.
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