PMID- 38155713 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231230 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 14 DP - 2023 TI - First case report of a novel KIF13A-ALK fusion in a lung adenocarcinoma patient and response to alectinib with a 4-year follow-up. PG - 1289346 LID - 10.3389/fgene.2023.1289346 [doi] LID - 1289346 AB - The prevalence of Anaplastic Lymphoma Kinase gene (ALK) fusion is about 5% among patients with lung adenocarcinoma, underscoring the importance of pinpointing distinct fusion variants for optimizing treatment approaches. This is the first reported case of a 74-year-old female with stage IV lung adenocarcinoma, featuring a novel Kinesin Family Member 13A (KIF13A)-ALK fusion, identified via next-generation sequencing (NGS) and confirmed with fluorescence in situ hybridization (FISH). Initially undergoing chemotherapy and then crizotinib, she achieved a partial response (PR) before progressing with multiple bone metastases. However, subsequent treatment with alectinib as a third-line option yielded positive results. A stable disease state persisted for an impressive 31 months of progression-free survival (PFS), accompanied by minimal toxicity symptoms. Up until now, a remarkable near 4-year span of overall survival (OS) has been consistently observed and monitored. This report of a KIF13A-ALK fusion case benefit significantly from alectinib with extensive follow-up. The case diversifies the array of ALK fusion partners and holds clinical relevance in refining therapeutic choices for KIF13A-ALK fusion-associated lung cancer. CI - Copyright (c) 2023 Mo, Cai, Yao, Zhao, Zhang, Liu and Mu. FAU - Mo, Zheng AU - Mo Z AD - Department of Oncology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Cai, Cunliang AU - Cai C AD - Department of Respiratory and Critical Care Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Yao, Jingjing AU - Yao J AD - Department of Pathology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Zhao, Jingquan AU - Zhao J AD - Department of Respiratory and Critical Care Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Zhang, Mingqiang AU - Zhang M AD - Department of Respiratory and Critical Care Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Liu, Hao AU - Liu H AD - Department of Pathology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Mu, Xiangdong AU - Mu X AD - Department of Respiratory and Critical Care Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. LA - eng PT - Journal Article DEP - 20231213 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC10753796 OTO - NOTNLM OT - alectinib OT - anaplastic lymphoma kinase (ALK fusion) OT - case report OT - kinesin family member 13A (KIF13A) OT - lung adenocarcinoma COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2024/01/02 10:02 MHDA- 2024/01/02 10:03 PMCR- 2023/12/13 CRDT- 2023/12/29 03:36 PHST- 2023/09/05 00:00 [received] PHST- 2023/12/01 00:00 [accepted] PHST- 2024/01/02 10:03 [medline] PHST- 2024/01/02 10:02 [pubmed] PHST- 2023/12/29 03:36 [entrez] PHST- 2023/12/13 00:00 [pmc-release] AID - 1289346 [pii] AID - 10.3389/fgene.2023.1289346 [doi] PST - epublish SO - Front Genet. 2023 Dec 13;14:1289346. doi: 10.3389/fgene.2023.1289346. eCollection 2023.