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Association details:
Evidence:
Evidence Level:
Sensitive: C4 – Case Studies
Title:

Next-Generation Sequencing to Dynamically Detect Mechanisms of Resistance to ALK Inhibitors in ALK-positive SCLC Patient: A Case Report

Published date:
07/12/2022
Excerpt:
We present the case of a 26-year-old man who was diagnosed with ALK-positive extensive-stage SCLC...After 2 cycles of Alectinib, the CT scan showed a partial response. However, after 9 cycles of treatment, a metastatic lesion enlarged and a new brain lesion appeared....NGS analysis of a series of liquid biopsies revealed a new mutation, ALK p.G1202R, which resulted in resistance to Alectinib... The patient is currently receiving Anlotinib in combination with CPT-11 and is stable with an OS of more than 18 months.
Secondary therapy:
irinotecan