L2086F Mutant ROS1-Rearranged NSCLC Resistant to Repotrectinib Responds to Cabozantinib: A Case Report

Autor: Urs Weber, MD, Kurtis D. Davies, PhD, D. Ross Camidge, MD, PhD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JTO Clinical and Research Reports, Vol 5, Iss 7, Pp 100673- (2024)
Druh dokumentu: article
ISSN: 2666-3643
DOI: 10.1016/j.jtocrr.2024.100673
Popis: Repotrectinib, licensed in November 2023, is a novel ROS1 tyrosine kinase inhibitor (TKI) with activity against G2032R, the most common resistance mutation to prior generations of ROS1 TKIs. Here, we report a case of a patient who was heavily pretreated, with advanced L1951R and L2026M mutated ROS1-rearranged NSCLC, who initially responded to repotrectinib but later developed further on-target resistance with the emergence of an L2086F mutation. The disease then responded to cabozantinib, a separate class of ROS1 TKI with preclinical activity against L2086F.
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