Crizotinib resistance overcome by ceritinib in an ALK-positive non-small cell lung cancer patient with brain metastases: A case report. Issue 45 (November 2017)

• Record Type: Journal Article
• Authors: Zhu, Zhouyu; Chai, Ying
• Other Names: NA section editor.
• Is Part Of: Medicine. Volume 96:Issue 45(2017)
• Publication Date: 2017-11
• Subjects: anaplastic lymphoma kinase -- brain metastases -- ceritinib -- crizotinib -- non-small cell lung cancer; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000008652
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: The treatment of non-small cell lung cancer (NSCLC) has now changed dramatically in recent years and anaplastic lymphoma receptor tyrosine kinase (ALK) inhibitors are developing rapidly. Patient concerns: Here we reported a 57-year-old ALK-positive NSCLC man with brain metastases. Diagnoses: A case of lung adenocarcinoma with brain metastases. Interventions: Crizotinib was administered orally at a dose of 250mg twice a day until the brain metastases were found. Treatment with orally administered ceritinib at a dose of 450mg/d was initiated after crizotinib treatment. Outcomes: The patient is currently receiving maintenance ceritinib treatment, with no evidence of extracranial or intracranial tumor progression for 25 months. Lessons: Ceritinib may be a good choice for ALK-positive NSCLC patients with brain metastases who acquire resistance to crizotinib.