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Ref Type Journal Article
PMID (39909915)
Authors Wang M, Liu H, Zhang R, Li R, Qin X, Ning F, Tian L
Title Small cell lung cancer with EML4-ALK fusion: report of a case responding to ALK TKI and literature review.
URL
Abstract Text With the continuous development and progress of next-generation gene sequencing technology, many types of anaplastic lymphoma kinase (ALK) rearrangement have been discovered. However, in small cell lung cancer (SCLC), ALK rearrangement is extremely rare and there is no standard treatment protocol. By reviewing the literature, we summarized the previously reported cases of ALK-positive SCLC, and discussed the significance of molecular detection.We report a rare patient with EML4-ALK fusion gene SCLC, a 41-year-old woman with no history of smoking or drinking, who was admitted to the hospital with chest tightness, dyspnea, and cough and sputum. Extensive SCLC (cT4N0M1) was diagnosed after relevant examination and pathological examination. The patient relapsed again six months after receiving first-line chemoradiotherapy. And the patient still developed disease progression (PD) after continued multi-line treatment including chemotherapy, immunotherapy, and anti-vascular therapy. ALK inhibitor is currently being taken orally, and significant clinical response has been achieved. Progression-free survival (PFS) was more than 8 months.ALK rearrangement of SCLC is rare. The stage IV patient with ALK rearrangement benefit from ALK inhibitors after multiline therapy.For patients with ALK-positive SCLC, ALK inhibitors may be a reliable treatment option.

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Molecular Profile Treatment Approach
Gene Name Source Synonyms Protein Domains Gene Description Gene Role
Therapy Name Drugs Efficacy Evidence Clinical Trials
Drug Name Trade Name Synonyms Drug Classes Drug Description
Gene Variant Impact Protein Effect Variant Description Associated with drug Resistance
Molecular Profile Indication/Tumor Type Response Type Therapy Name Approval Status Evidence Type Efficacy Evidence References
EML4 - ALK lung small cell carcinoma predicted - sensitive Iruplinalkib Case Reports/Case Series Actionable In a clinical case study, Iruplinalkib (WX-0593) treatment resulted in a partial response with a progression-free survival ongoing at 8 months in a patient with metastatic small cell lung cancer harboring EML4-ALK (PMID: 39909915). 39909915