Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report

Antibody-drug conjugates (ADCs) are a potent class of antineoplastic drugs that deliver cytotoxic agents via targeting with monoclonal antibodies; however, ADCs are associated with high rates of lung toxicities, limiting the therapeutic potential in many patients. We report a case of a patient with...

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Main Authors: Daniel A. Fox, Christine Tran, Vincent Blot, David S. Hong
Format: Article
Language:English
Published: Innovative Healthcare Institute 2025-02-01
Series:Journal of Immunotherapy and Precision Oncology
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Online Access:https://jipo.org/doi/pdf/10.36401/JIPO-24-29
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author Daniel A. Fox
Christine Tran
Vincent Blot
David S. Hong
author_facet Daniel A. Fox
Christine Tran
Vincent Blot
David S. Hong
author_sort Daniel A. Fox
collection DOAJ
description Antibody-drug conjugates (ADCs) are a potent class of antineoplastic drugs that deliver cytotoxic agents via targeting with monoclonal antibodies; however, ADCs are associated with high rates of lung toxicities, limiting the therapeutic potential in many patients. We report a case of a patient with metastatic non–small cell lung cancer taking the ADC telisotuzumab vedotin (Teliso V) plus osimtertinib who developed ADC-induced pneumonitis despite clinical benefit. This patient was able to tolerate treatment for a prolonged period on a novel steroid regimen, using steroids when pneumonitis was asymptomatic but radiologically evident and as a daily suppressant. This treatment strategy may have implications in the broader management of ADC–interstitial lung disease/pneumonitis and underscores its potential mechanisms.
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publisher Innovative Healthcare Institute
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series Journal of Immunotherapy and Precision Oncology
spelling doaj-art-8a9fb25e01044c2eb5a4b2b29136ad982025-08-20T02:03:07ZengInnovative Healthcare InstituteJournal of Immunotherapy and Precision Oncology2666-23452590-017X2025-02-018210811210.36401/JIPO-24-29i2590-017X-8-2-108Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case ReportDaniel A. Fox0https://orcid.org/0000-0001-7363-5750Christine Tran1Vincent Blot2David S. Hong31 The Margaret M. and Albert B. Alkek Department of Medicine, Baylor College of Medicine, Houston, TX, USA2 Department of Investigational Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA3 Oncology Clinical Development, Abbvie, Seattle, WA, USA2 Department of Investigational Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USAAntibody-drug conjugates (ADCs) are a potent class of antineoplastic drugs that deliver cytotoxic agents via targeting with monoclonal antibodies; however, ADCs are associated with high rates of lung toxicities, limiting the therapeutic potential in many patients. We report a case of a patient with metastatic non–small cell lung cancer taking the ADC telisotuzumab vedotin (Teliso V) plus osimtertinib who developed ADC-induced pneumonitis despite clinical benefit. This patient was able to tolerate treatment for a prolonged period on a novel steroid regimen, using steroids when pneumonitis was asymptomatic but radiologically evident and as a daily suppressant. This treatment strategy may have implications in the broader management of ADC–interstitial lung disease/pneumonitis and underscores its potential mechanisms.https://jipo.org/doi/pdf/10.36401/JIPO-24-29adcteliso vadc-pneumonitisnsclc
spellingShingle Daniel A. Fox
Christine Tran
Vincent Blot
David S. Hong
Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
Journal of Immunotherapy and Precision Oncology
adc
teliso v
adc-pneumonitis
nsclc
title Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
title_full Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
title_fullStr Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
title_full_unstemmed Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
title_short Treatment of c-MET Antibody-Drug Conjugate Asymptomatic Pneumonitis with a Novel Steroid Regimen in Non–Small Cell Lung Cancer: A Case Report
title_sort treatment of c met antibody drug conjugate asymptomatic pneumonitis with a novel steroid regimen in non small cell lung cancer a case report
topic adc
teliso v
adc-pneumonitis
nsclc
url https://jipo.org/doi/pdf/10.36401/JIPO-24-29
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AT vincentblot treatmentofcmetantibodydrugconjugateasymptomaticpneumonitiswithanovelsteroidregimeninnonsmallcelllungcanceracasereport
AT davidshong treatmentofcmetantibodydrugconjugateasymptomaticpneumonitiswithanovelsteroidregimeninnonsmallcelllungcanceracasereport