PMID- 32553554 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20220531 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 146 DP - 2020 Aug TI - Complete and prolonged response to anti-PD1 therapy in an ALK rearranged lung adenocarcinoma. PG - 366-369 LID - S0169-5002(20)30427-X [pii] LID - 10.1016/j.lungcan.2020.05.008 [doi] AB - OBJECTIVE: Immune checkpoint inhibitors (ICI) have become a major treatment in advanced non small cell lung cancer (NSCLC). However, some patients do not benefit from ICI, especially those harboring an ALK rearrangement. Here, we report a case of prolonged complete tumor response to immunotherapy in an ALK-rearranged NSCLC patient. MATERIALS AND METHODS: We verify ALK expression and rearrangement on formalin-fixed paraffin-embedded tumor samples of the patient by Immunohistochemistry and Fluorescence In Situ Hybridization analysis. The patient provided written informed consent authorizing publication of clinical case. RESULTS: We report the case of 48 years old man with a ALK-rearranged NSCLC. This patient displayed a complete response for 16 months under nivolumab therapy in third line setting after ceritinib and platin based chemotherapy. CONCLUSION: This is the first case of complete and prolonged response to ICI in ALK rearranged NSCLC. This case supports the idea that some ALK rearranged NSCLC could durably benefit from immunotherapy. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Baldacci, Simon AU - Baldacci S AD - Univ Lille, Department of Thoracic Oncology, CHU Lille, F-59000, Lille, France. FAU - Gregoire, Valerie AU - Gregoire V AD - Univ Lille, Department of Pathology, CHU Lille, F-59000, Lille, France. FAU - Patrucco, Enrico AU - Patrucco E AD - Department of Molecular Biotechnology and Health Sciences, University of Torino, Italy. FAU - Chiarle, Roberto AU - Chiarle R AD - Department of Molecular Biotechnology and Health Sciences, University of Torino, Italy; Department of Pathology, Boston Children Hospital and Harvard Medical School, Boston, USA. FAU - Jamme, Philippe AU - Jamme P AD - Univ Lille, Department of Thoracic Oncology, CHU Lille, F-59000, Lille, France. FAU - Wasielewski, Eric AU - Wasielewski E AD - Univ Lille, Department of Thoracic Oncology, CHU Lille, F-59000, Lille, France. FAU - Descarpentries, Clotilde AU - Descarpentries C AD - Univ Lille, Department of Molecular Oncology, CHU Lille, F-59000, Lille, France. FAU - Copin, Marie-Christine AU - Copin MC AD - Univ Lille, Department of Pathology, CHU Lille, F-59000, Lille, France. FAU - Awad, Mark M AU - Awad MM AD - Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Cortot, Alexis B AU - Cortot AB AD - Univ Lille, Department of Thoracic Oncology, CHU Lille, F-59000, Lille, France. Electronic address: alexis.cortot@chru-lille.fr. LA - eng PT - Case Reports DEP - 20200527 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (Protein Kinase Inhibitors) 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) SB - IM MH - *Adenocarcinoma of Lung/diagnosis/drug therapy/genetics MH - Anaplastic Lymphoma Kinase/genetics MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics MH - Gene Rearrangement MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Lung Neoplasms/drug therapy/genetics MH - Male MH - Middle Aged MH - Protein Kinase Inhibitors MH - Receptor Protein-Tyrosine Kinases/genetics OTO - NOTNLM OT - ALK rearrangement OT - Immunotherapy OT - Non small cell lung cancer OT - Tyrosine kinase inhibitor EDAT- 2020/06/20 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/06/20 06:00 PHST- 2020/03/07 00:00 [received] PHST- 2020/05/06 00:00 [revised] PHST- 2020/05/08 00:00 [accepted] PHST- 2020/06/20 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/06/20 06:00 [entrez] AID - S0169-5002(20)30427-X [pii] AID - 10.1016/j.lungcan.2020.05.008 [doi] PST - ppublish SO - Lung Cancer. 2020 Aug;146:366-369. doi: 10.1016/j.lungcan.2020.05.008. Epub 2020 May 27.