Table 2.
Patient | Tumor type | CBL mutation | EGFR/MET/KRAS mutation | Chemo/Clinical Trial | Outcome |
---|---|---|---|---|---|
1 | Lung AD | H37_H38insHH | EGFR E746_A750del, T790M | Erlotinib | Was effective for a time but progressive disease |
AP26113 | 1. Interval progression of disease with interval increase in the size of the left lung mass, hepatic metastases, also as metastases and left adrenal metastatic disease. | ||||
2. Interval development of right-sided pulmonary static disease. | |||||
2 | Lung AD | A848T | EGFR E746_A750del, amplification | Carboplatin | Unknown. Tolerated Well |
Paclitaxel | Unknown. Tolerated Well | ||||
Erlotinib | Good response but discontinued due to poor performance status | ||||
3 | Lung AD | T810S, amplification | EGFR R429S | Carboplatin | 1. No new suspicious pulmonary nodules or masses. |
2. Stable upper mediastinal right paratracheal soft tissue mass at the site of prior resection. | |||||
Paclitaxel | 1. No new suspicious pulmonary nodules or masses. | ||||
2. Stable upper mediastinal right paratracheal soft tissue mass at the site of prior resection. | |||||
4 | NSCLC (NOS) | S80G | Carboplatin | Unknown | |
Gemcitabine | Unknown | ||||
5 | Lung AD | A848T, E886K | EGFR R1068*, P518L; KRAS G10R, K169N | Carboplatin | 1. No significant interval change in the large necrotic right anterior mediastinal mass with extension into the right hilum and right chest wall and sternal/pericardial/SVC invasion. |
2. Mild interval improvement in number of pulmonary nodules, specifically in the right upper lobe. | |||||
3. Stable retroperitoneal lymphadenopathy. | |||||
4. Nonspecific sclerotic focus in vertebral body of T3. | |||||
Paclitaxel | 1. No significant interval change in the large necrotic right anterior mediastinal mass with extension into the right hilum and right chest wall and sternal/pericardial/SVC invasion. | ||||
2. Mild interval improvement in number of pulmonary nodules, specifically in the right upper lobe. | |||||
3. Stable retroperitoneal lymphadenopathy. 4. Nonspecific sclerotic focus in vertebral body of T3. | |||||
6 | Lung AD | E366* | CALGB 30303, Phase II IRB 13724 A trial of Docetaxel and Cisplatin | Unknown | |
Carboplatin | Marked improvement of disease. | ||||
7 | Lung AD | R420Q | KRAS G12C | No Chemotherapy/Trial | |
8 | NSCLC (NOS) | K54E | Carboplatin | 1. Good response. | |
2. Interval decrease in size of left upper lobe mass and left hilar/subsegmental lymph node. | |||||
3. Left upper lobe mass is now mostly cavitary. | |||||
Paclitaxel | 1. Good response. | ||||
2. Interval decrease in size of left upper lobe mass and left hilar/subsegmental lymph node. | |||||
3. Left upper lobe mass is now mostly cavitary. | |||||
9 | NSCLC (NOS) | A757T | KRAS amplification, G12V | Cisplatin | Clinically no evidence of disease |
Docetaxel | Clinically no evidence of disease | ||||
Carboplatin | Response in some areas, but progression in right kidney (mixed response?) | ||||
Gemcitabine | Response in some areas, but progression in right kidney (mixed response?) | ||||
10 | Lung AD | Amplification | EGFR L858R | Carboplatin | 1. No evidence of acute pulmonary embolus. |
2. New geographic areas of groundglass opacities in the right lung. | |||||
3. Differential diagnosis includes drug toxicity, atypical infection, and hemorrhage. | |||||
4. Stable left lingular mass, sclerotic osseous foci, and metastatic hepatic lesions. | |||||
Paclitaxel | 1. No evidence of acute pulmonary embolus. | ||||
2. New geographic areas of groundglass opacities in the right lung. | |||||
3. Differential diagnosis includes drug toxicity, atypical infection, and hemorrhage. | |||||
4. Stable left lingular mass, sclerotic osseous foci, and metastatic hepatic lesions. | |||||
Erlotinib | Good response but discontinued due to poor performance status |
AD: adenocarcinoma; NOS: not otherwise specified.