A young male never-smoker was diagnosed with lung adenocarcinoma in 5/2010 at the age of 18...Analysis estimated focal RICTOR amplification of 7 copies as the sole tumor-specific genomic alteration among the cancer-related genes examined...Given activation of both mTORC1 and mTORC2 signaling, the index patient was treated on a phase I clinical trial with a dual mTOR1/2 inhibitor, CC223 and had stable disease for 12 months....He was started again with a dual mTOR1/2 inhibitor, MLN0128 on a phase I trial on 2/2015. Restaging imaging with CT chest/abdomen after 6 cycles revealed stable disease and he continues to receive treatment with this agent.