PMID- 27480287 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20181202 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 16 DP - 2016 Aug 2 TI - Post-crizotinib management of effective ceritinib therapy in a patient with ALK-positive non-small cell lung cancer. PG - 568 LID - 10.1186/s12885-016-2636-z [doi] LID - 568 AB - BACKGROUND: We report the re-biopsied diagnosis of a patient with anaplastic lymphoma receptor tyrosine kinase (ALK)-positive lung adenocarcinoma successfully treated with ceritinib 450 mg/day taken with food following disease progression and gastrointestinal intolerance to crizotinib. CASE PRESENTATION: A 74-year old female patient initially diagnosed with ALK-negative lung adenocarcinoma responded to initial standard chemotherapy. The patient was subsequently re-tested by next generation sequencing (NGS) and found to have ALK EIF2AK3-ALK fusion, and responded to crizotinib, but ultimately progressed and showed intolerance to this ALK inhibitor. She was then successfully treated with ceritinib 450 mg/day taken with food, has not suffered from any further gastrointestinal side-effects, and remains on ceritinib treatment after 12 months. CONCLUSIONS: Second-line ceritinib treatment, when administered at 450 mg/day with food, is both well tolerated and efficacious in a patient with previously treated lung adenocarcinoma who had discontinued crizotinib due to disease progression and gastrointestinal adverse effects (AEs). FAU - Won, Brian AU - Won B AD - Section of Hematology/Oncology, University of Chicago, 5841 South Maryland Avenue, MC 2115, Chicago, IL, 60637, USA. FAU - Mambetsariev, Isa AU - Mambetsariev I AD - Current address, Department of Medical Oncology and Therapeutics Research, City of Hope, 1500 E Duarte Rd, Duarte, CA, 91010-3000, USA. FAU - Salgia, Ravi AU - Salgia R AUID- ORCID: 0000-0001-9643-7626 AD - Current address, Department of Medical Oncology and Therapeutics Research, City of Hope, 1500 E Duarte Rd, Duarte, CA, 91010-3000, USA. rsalgia@coh.org. LA - eng PT - Case Reports PT - Journal Article DEP - 20160802 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 0 (Pyrimidines) RN - 0 (Sulfones) RN - 53AH36668S (Crizotinib) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.11.1 (EIF2AK3 protein, human) RN - EC 2.7.11.1 (eIF-2 Kinase) RN - K418KG2GET (ceritinib) SB - IM MH - Aged MH - Anaplastic Lymphoma Kinase MH - Carcinoma, Non-Small-Cell Lung/*drug therapy/genetics MH - Crizotinib MH - Female MH - Gene Fusion MH - High-Throughput Nucleotide Sequencing MH - Humans MH - Lung Neoplasms/*drug therapy/genetics MH - Pyrazoles/administration & dosage/therapeutic use MH - Pyridines/administration & dosage/therapeutic use MH - Pyrimidines/*administration & dosage/therapeutic use MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Sulfones/*administration & dosage/therapeutic use MH - Treatment Outcome MH - eIF-2 Kinase/*genetics PMC - PMC4969677 OTO - NOTNLM OT - ALK-positive NSCLC OT - Case report OT - Ceritinib OT - Dose OT - Gastrointestinal tolerance EDAT- 2016/08/03 06:00 MHDA- 2017/09/28 06:00 PMCR- 2016/08/02 CRDT- 2016/08/03 06:00 PHST- 2016/04/04 00:00 [received] PHST- 2016/07/27 00:00 [accepted] PHST- 2016/08/03 06:00 [entrez] PHST- 2016/08/03 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2016/08/02 00:00 [pmc-release] AID - 10.1186/s12885-016-2636-z [pii] AID - 2636 [pii] AID - 10.1186/s12885-016-2636-z [doi] PST - epublish SO - BMC Cancer. 2016 Aug 2;16:568. doi: 10.1186/s12885-016-2636-z.