Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report

Patients with ALK-rearranged non-small cell lung cancer (NSCLC) who are treated with ALK tyrosine kinase inhibitors (ALK TKIs) have better prognoses. In this case report, we provide evidence of a novel ALK fusion, XPO1-ALK (intergenic), identified by next-generation DNA sequencing in a patient with...

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Main Authors: Yang Zhang, Ke-jie Li, Can Wang, Chang-lin Zou, Meng Su
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1503262/full
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author Yang Zhang
Ke-jie Li
Can Wang
Chang-lin Zou
Meng Su
author_facet Yang Zhang
Ke-jie Li
Can Wang
Chang-lin Zou
Meng Su
author_sort Yang Zhang
collection DOAJ
description Patients with ALK-rearranged non-small cell lung cancer (NSCLC) who are treated with ALK tyrosine kinase inhibitors (ALK TKIs) have better prognoses. In this case report, we provide evidence of a novel ALK fusion, XPO1-ALK (intergenic), identified by next-generation DNA sequencing in a patient with advanced lung cancer. After 5 months of brigatinib targeted therapy, the patient clearly experienced tumor disintegration, and this treatment resulted in partial remission. To date, this patient has experienced 5 months of progression-free survival after brigatinib treatment. In addition to reporting the identification of a novel ALK fusion, XPO1-ALK (intergenic), and the sensitivity and safety of brigatinib treatment for lung cancer, this study increased the list of known ALK fusion partners in ALK-positive NSCLC. This case report has a significant clinical reference.
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institution Kabale University
issn 2234-943X
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publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-52f74c98e59744c99bcaa7e30b89618d2025-01-22T05:19:45ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.15032621503262Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case reportYang ZhangKe-jie LiCan WangChang-lin ZouMeng SuPatients with ALK-rearranged non-small cell lung cancer (NSCLC) who are treated with ALK tyrosine kinase inhibitors (ALK TKIs) have better prognoses. In this case report, we provide evidence of a novel ALK fusion, XPO1-ALK (intergenic), identified by next-generation DNA sequencing in a patient with advanced lung cancer. After 5 months of brigatinib targeted therapy, the patient clearly experienced tumor disintegration, and this treatment resulted in partial remission. To date, this patient has experienced 5 months of progression-free survival after brigatinib treatment. In addition to reporting the identification of a novel ALK fusion, XPO1-ALK (intergenic), and the sensitivity and safety of brigatinib treatment for lung cancer, this study increased the list of known ALK fusion partners in ALK-positive NSCLC. This case report has a significant clinical reference.https://www.frontiersin.org/articles/10.3389/fonc.2024.1503262/fullXPO1-ALKbrigatiniblung adenocarcinomatargeted therapycase report
spellingShingle Yang Zhang
Ke-jie Li
Can Wang
Chang-lin Zou
Meng Su
Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
Frontiers in Oncology
XPO1-ALK
brigatinib
lung adenocarcinoma
targeted therapy
case report
title Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
title_full Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
title_fullStr Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
title_full_unstemmed Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
title_short Brigatinib treatment in a patient with advanced NSCLC with XPO1-ALK fusion: a case report
title_sort brigatinib treatment in a patient with advanced nsclc with xpo1 alk fusion a case report
topic XPO1-ALK
brigatinib
lung adenocarcinoma
targeted therapy
case report
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1503262/full
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AT kejieli brigatinibtreatmentinapatientwithadvancednsclcwithxpo1alkfusionacasereport
AT canwang brigatinibtreatmentinapatientwithadvancednsclcwithxpo1alkfusionacasereport
AT changlinzou brigatinibtreatmentinapatientwithadvancednsclcwithxpo1alkfusionacasereport
AT mengsu brigatinibtreatmentinapatientwithadvancednsclcwithxpo1alkfusionacasereport