AI Article Synopsis

  • * Immune checkpoint inhibitors (ICIs), like pembrolizumab, typically have limited responses in these cases but can be beneficial after osimertinib fails.
  • * A reported patient showed a lasting positive response to pembrolizumab after initially progressing on osimertinib, indicating that ICIs could be a valuable treatment option for early progressors.

Article Abstract

Osimertinib, a third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI), is the standard first-line treatment for EGFR mutation-positive non-small-cell lung cancer (NSCLC) and demonstrates favorable disease control. Conversely, immune checkpoint inhibitors (ICIs) that target programmed cell death-1/programmed cell death ligands demonstrate a restrictive tumor response. We herein report a patient who achieved a durable response to pembrolizumab following early progression within two months of osimertinib administration for EGFR mutation-positive lung adenocarcinoma. Our findings suggest that treatment with ICIs for patients with EGFR mutation-positive NSCLC experiencing early progression to osimertinib as first-line treatment might represent a viable approach.

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http://dx.doi.org/10.2169/internalmedicine.3784-24DOI Listing

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