Coexistence of a novel SV2B-ALK, EML4-ALK double-fusion in a lung poorly differentiated adenocarcinoma patient and response to alectinib: a case report and literature review
2024

Double Fusion of SV2B-ALK and EML4-ALK in Lung Cancer

Sample size: 1 publication Evidence: low

Author Information

Author(s): Chen Huang, Zhang Menglan, Bai Liyan, Niu Yun, Wang Xiaowei, Jiang Ruiying, Wang Ye, Feng Qianqian, Wang Bei, Dai Tingli, Yuan Mingming, Chen Rongrong, Qi Yujuan, Zhong Dingrong

Primary Institution: China-Japan Friendship Hospital, Beijing, China

Hypothesis

Can a patient with both SV2B-ALK and EML4-ALK fusions respond to alectinib treatment?

Conclusion

The patient with a novel SV2B-ALK and EML4-ALK double-fusion showed a significant response to alectinib treatment.

Supporting Evidence

  • The patient had a progression-free survival of over 14 months after starting alectinib.
  • Two ALK rearrangements were identified in the patient's tumor tissue.
  • The patient had multiple metastases, including to the brain.

Takeaway

A man with lung cancer had two special gene changes and got better after taking a medicine called alectinib.

Methodology

The patient's tumor was analyzed using DNA-based next-generation sequencing to identify gene fusions.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

47-year-old Chinese male with a 30 pack-year smoking history.

Digital Object Identifier (DOI)

10.3389/fonc.2024.1453259

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication