Riedel, Richard, Michels, Sebastian, Heydt, Carina, Siemanowski, Janna, Kobe, Carsten, Bunck, Anne, Schaefer, Stephan, Fischer, Rieke N., Scheffler, Matthias, Abdulla, Diana S. Y., Nogova, Lucia, Koleczko, Sophia, Merkelbach-Bruse, Sabine, Buettner, Reinhard and Wolf, Juergen (2019). Acquired KRAS mutation and loss of low-level MET amplification after durable response to crizotinib in a patient with lung adenocarcinoma. Lung Cancer, 133. S. 20 - 23. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-8332

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Abstract

Objectives: Resistance to tyrosine kinase inhibitor (TKI) therapy occurs inevitably in lung cancer patients with targetable genetic alterations. MET amplification has found to be an oncogenic driver in lung cancer with several reports showing response to MET TKI especially in cases with high-level amplification. Materials and methods: We report the case of a patient with lung adenocarcinoma harbouring low-level MET amplification and strong MET expression who was treated with crizotinib. Results: The patient developed a durable response to crizotinib. A KRAS mutation and loss of MET amplification was found in a new lesion at time of progression as a potential mechanism of acquired resistance. Conclusion: MET amplification is a continuous biomarker with responses to MET TM observed even in patients with low-level amplification. KRAS mutations may act as a resistance mechanism to MET inhibition in MET dependent lung cancer.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Riedel, RichardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michels, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heydt, CarinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siemanowski, JannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kobe, CarstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bunck, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaefer, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fischer, Rieke N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scheffler, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Abdulla, Diana S. Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nogova, LuciaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koleczko, SophiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Merkelbach-Bruse, SabineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buettner, ReinhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolf, JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-136480
DOI: 10.1016/j.lungcan.2019.05.006
Journal or Publication Title: Lung Cancer
Volume: 133
Page Range: S. 20 - 23
Date: 2019
Publisher: ELSEVIER IRELAND LTD
Place of Publication: CLARE
ISSN: 1872-8332
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RESISTANCE; INHIBITORMultiple languages
Oncology; Respiratory SystemMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13648

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