Abstract
Dabrafenib plus trametinib is active against metastatic lung cancer with the BRAF V600E mutation. However, the feasibility of dabrafenib plus trametinib for patients with a poor performance status (PS) has not been reported. We report the case of an 80-year-old woman was diagnosed with metastatic large-cell lung carcinoma. Her general statuses worsened due to cancer, resulting in a PS of 4. Genotype testing revealed a BRAF V600E mutation. The patient received dabrafenib plus trametinib without significant adverse effects. This report is the first to describe dabrafenib plus trametinib administration for large-cell lung carcinoma in a patient with a poor PS.
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References
Bray F et al (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424
Planchard D et al (2016) Dabrafenib plus trametinib in patients with previously treated BRAF(V600E)-mutant metastatic non-small cell lung cancer: an open-label, multicentre phase 2 trial. Lancet Oncol 17(7):984–993
Planchard D et al (2017) Dabrafenib plus trametinib in patients with previously untreated BRAF(V600E)-mutant metastatic non-small-cell lung cancer: an open-label, phase 2 trial. Lancet Oncol 18(10):1307–1316
Inoue A et al (2009) First-line gefitinib for patients with advanced non-small-cell lung cancer harboring epidermal growth factor receptor mutations without indication for chemotherapy. J Clin Oncol 27(9):1394–1400
Iwama E et al (2017) Alectinib for patients with alk rearrangement-positive non-small cell lung cancer and a poor performance status (lung oncology group in Kyushu 1401). J Thorac Oncol 12(7):1161–1166
Nakashima K et al (2020) Osimertinib for patients with poor performance status and EGFR T790M mutation-positive advanced non-small cell lung cancer: a phase II clinical trial. Invest New Drugs 38(6):1854–1861
Paik PK et al (2011) Clinical characteristics of patients with lung adenocarcinomas harboring BRAF mutations. J Clin Oncol 29(15):2046–2051
Board, P.D.Q.A.T.E. (2002) Non-small cell lung cancer treatment (PDQ®): health professional version. In: PDQ cancer information summaries. National Cancer Institute (US), Bethesda
Flaherty KT et al (2012) Improved survival with MEK inhibition in BRAF-mutated melanoma. N Engl J Med 367(2):107–114
Society, T.J.L.C. (2021) Guidelines for diagnosis and treatment of the lung cancer/malignant pleural mesothelioma/thymic tumors 2020. Kanehara
Ettinger DS, W D, Aisner DL, et al (2021) NCCN clinical practice guidelines in oncology: non-small cell lung cancer. Version 6.2021. Accessed Sept 30
Hesketh PJ et al (2008) Southwest oncology group phase ii trial (S0341) of erlotinib (OSI-774) in patients with advanced non-small cell lung cancer and a performance status of 2. J Thorac Oncol 3(9):1026–1031
Nakamura Y et al (2020) Clinical utility of circulating tumor DNA sequencing in advanced gastrointestinal cancer: SCRUM-Japan GI-SCREEN and GOZILA studies. Nat Med 26(12):1859–1864
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Nakajima, Y., Nishijima, Y., Niida, A. et al. Dabrafenib plus trametinib treatment for a patient with BRAF V600E-mutated large-cell lung carcinoma and a poor performance status. Int Canc Conf J 11, 266–269 (2022). https://doi.org/10.1007/s13691-022-00556-9
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DOI: https://doi.org/10.1007/s13691-022-00556-9