Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report

Third-generation tyrosine kinase inhibitors are effective treatment of EGFR-mutated NSCLC. After an initial response, patients on this therapy ultimately develop resistance leading to disease progression. One of the resistance mechanisms is histological transformation to SCLC. There is no standard o...

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Main Authors: Aditi Singh, MBBS, MPH, Arthi Sridhar, MBBS, Aastha Poddar, MBBS, Anastasios Dimou, MD, Kaushal Parikh, MBBS, Mohamed Shanshal, MD, Anna Schwecke, APRN, CNP, MS, Nicole Moffett, APRN, CNP, MSN, Manish R. Patel, DO, Aaron S. Mansfield, MD, Konstantinos Leventakos, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:JTO Clinical and Research Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666364325000232
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author Aditi Singh, MBBS, MPH
Arthi Sridhar, MBBS
Aastha Poddar, MBBS
Anastasios Dimou, MD
Kaushal Parikh, MBBS
Mohamed Shanshal, MD
Anna Schwecke, APRN, CNP, MS
Nicole Moffett, APRN, CNP, MSN
Manish R. Patel, DO
Aaron S. Mansfield, MD
Konstantinos Leventakos, MD, PhD
author_facet Aditi Singh, MBBS, MPH
Arthi Sridhar, MBBS
Aastha Poddar, MBBS
Anastasios Dimou, MD
Kaushal Parikh, MBBS
Mohamed Shanshal, MD
Anna Schwecke, APRN, CNP, MS
Nicole Moffett, APRN, CNP, MSN
Manish R. Patel, DO
Aaron S. Mansfield, MD
Konstantinos Leventakos, MD, PhD
author_sort Aditi Singh, MBBS, MPH
collection DOAJ
description Third-generation tyrosine kinase inhibitors are effective treatment of EGFR-mutated NSCLC. After an initial response, patients on this therapy ultimately develop resistance leading to disease progression. One of the resistance mechanisms is histological transformation to SCLC. There is no standard of care for the management of transformed SCLC. Given the rarity of transformed SCLC, it is important to study treatment options that are safe and effective for this disease. In this case series, three patients received treatment with lurbinectedin plus osimertinib after transformation to SCLC. In our limited experience, the combination was found to be safe.
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issn 2666-3643
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publishDate 2025-06-01
publisher Elsevier
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spelling doaj-art-b19a2235edb043bca0ae5ba14dddc8f62025-08-20T03:07:51ZengElsevierJTO Clinical and Research Reports2666-36432025-06-016610080710.1016/j.jtocrr.2025.100807Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief ReportAditi Singh, MBBS, MPH0Arthi Sridhar, MBBS1Aastha Poddar, MBBS2Anastasios Dimou, MD3Kaushal Parikh, MBBS4Mohamed Shanshal, MD5Anna Schwecke, APRN, CNP, MS6Nicole Moffett, APRN, CNP, MSN7Manish R. Patel, DO8Aaron S. Mansfield, MD9Konstantinos Leventakos, MD, PhD10Department of Medical Oncology, Mayo Clinic, Rochester, Minnesota; Corresponding author. Address for correspondence: Aditi Singh, MBBS, MPH, Department of Hematology Oncology, 1 Veterans Drive, Minneapolis, Minnesota.Department of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Health Sciences Research, Mayo Clinic, College of Medicine, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDivision of Hematology, Oncology, and Transplantation, University of Minnesota Medical School, Minneapolis, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaDepartment of Medical Oncology, Mayo Clinic, Rochester, MinnesotaThird-generation tyrosine kinase inhibitors are effective treatment of EGFR-mutated NSCLC. After an initial response, patients on this therapy ultimately develop resistance leading to disease progression. One of the resistance mechanisms is histological transformation to SCLC. There is no standard of care for the management of transformed SCLC. Given the rarity of transformed SCLC, it is important to study treatment options that are safe and effective for this disease. In this case series, three patients received treatment with lurbinectedin plus osimertinib after transformation to SCLC. In our limited experience, the combination was found to be safe.http://www.sciencedirect.com/science/article/pii/S2666364325000232NSCLCSCLCEGFROsimertinibLurbinectedinTranformed SCLC
spellingShingle Aditi Singh, MBBS, MPH
Arthi Sridhar, MBBS
Aastha Poddar, MBBS
Anastasios Dimou, MD
Kaushal Parikh, MBBS
Mohamed Shanshal, MD
Anna Schwecke, APRN, CNP, MS
Nicole Moffett, APRN, CNP, MSN
Manish R. Patel, DO
Aaron S. Mansfield, MD
Konstantinos Leventakos, MD, PhD
Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
JTO Clinical and Research Reports
NSCLC
SCLC
EGFR
Osimertinib
Lurbinectedin
Tranformed SCLC
title Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
title_full Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
title_fullStr Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
title_full_unstemmed Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
title_short Combination of Lurbinectedin and Osimertinib for Treatment of EGFR-Mutated Transformed SCLC: A Brief Report
title_sort combination of lurbinectedin and osimertinib for treatment of egfr mutated transformed sclc a brief report
topic NSCLC
SCLC
EGFR
Osimertinib
Lurbinectedin
Tranformed SCLC
url http://www.sciencedirect.com/science/article/pii/S2666364325000232
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