Intermittent EGFR-TKI therapy is associated with durable response in advanced EGFR-mutant NSCLC: a case report
Madam S, who diagnosed to have stage IV lung adenocarcinoma with exon 21 L858R point mutation (T3N2M1a) was admitted for massive pericardial effusion in April 2016. She was ECOG 4 on admission. Her ECOG improved to 1 after pericardial tapping and initiation of free sample erlotinib 100 mg daily. Rep...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English English |
Published: |
Faculty of Medicine and Health Sciences, University Putra Malaysia
2023
|
Subjects: | |
Online Access: | http://irep.iium.edu.my/108703/7/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response.pdf http://irep.iium.edu.my/108703/8/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response_Scopus.pdf http://irep.iium.edu.my/108703/ https://medic.upm.edu.my/jurnal_kami/volume_19_2023/mjmhs_vol19_no_2_march_2023-72022 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.iium.irep.108703 |
---|---|
record_format |
dspace |
spelling |
my.iium.irep.1087032023-12-28T06:52:18Z http://irep.iium.edu.my/108703/ Intermittent EGFR-TKI therapy is associated with durable response in advanced EGFR-mutant NSCLC: a case report Tan, Sin Nee Ibrahim, Aishah Abdul Razak, Megat Razeem Abdul Azih, Muhammad Naimmuddin How, Soon Hin R Medicine (General) Madam S, who diagnosed to have stage IV lung adenocarcinoma with exon 21 L858R point mutation (T3N2M1a) was admitted for massive pericardial effusion in April 2016. She was ECOG 4 on admission. Her ECOG improved to 1 after pericardial tapping and initiation of free sample erlotinib 100 mg daily. Repeated CT thorax post treatment showed the disease was partial responded. Due to financial constraints, she had never bought any EGFR-TKI. She was given a free sample of erlotinib intermittently for total of 12 months followed by intermittent afatinib supply for 2 years. Due to this limited supply, she took half doses of afatinib by cutting a 40 mg tablet once every few days to sustain the continuation of cancer treatment. No major side effects were observed and she remained ECOG 0 with good weight gain. Up to her last clinic visit in September 2021, her PFS was more than 5 years. Intermittent doses of EGFR-TKI may prolong PFS in patients with advanced EGFRm+ NSCLC who has limited treatment options. Faculty of Medicine and Health Sciences, University Putra Malaysia 2023-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/108703/7/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response.pdf application/pdf en http://irep.iium.edu.my/108703/8/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response_Scopus.pdf Tan, Sin Nee and Ibrahim, Aishah and Abdul Razak, Megat Razeem and Abdul Azih, Muhammad Naimmuddin and How, Soon Hin (2023) Intermittent EGFR-TKI therapy is associated with durable response in advanced EGFR-mutant NSCLC: a case report. Malaysian Journal of Medicine and Health Sciences, 19 (2). pp. 341-343. ISSN 1675-8544 E-ISSN 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_19_2023/mjmhs_vol19_no_2_march_2023-72022 10.47836/mjmhs.19.2.48 |
institution |
Universiti Islam Antarabangsa Malaysia |
building |
IIUM Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
International Islamic University Malaysia |
content_source |
IIUM Repository (IREP) |
url_provider |
http://irep.iium.edu.my/ |
language |
English English |
topic |
R Medicine (General) |
spellingShingle |
R Medicine (General) Tan, Sin Nee Ibrahim, Aishah Abdul Razak, Megat Razeem Abdul Azih, Muhammad Naimmuddin How, Soon Hin Intermittent EGFR-TKI therapy is associated with durable response in advanced EGFR-mutant NSCLC: a case report |
description |
Madam S, who diagnosed to have stage IV lung adenocarcinoma with exon 21 L858R point mutation (T3N2M1a) was admitted for massive pericardial effusion in April 2016. She was ECOG 4 on admission. Her ECOG improved to 1 after pericardial tapping and initiation of free sample erlotinib 100 mg daily. Repeated CT thorax post treatment showed the disease was partial responded. Due to financial constraints, she had never bought any EGFR-TKI. She was given a free sample of erlotinib intermittently for total of 12 months followed by intermittent afatinib supply for 2 years. Due to this limited supply, she took half doses of afatinib by cutting a 40 mg tablet once every few days to sustain the continuation of cancer treatment. No major side effects were observed and she remained ECOG 0 with good weight gain. Up to her last clinic visit in September 2021, her PFS was more than 5 years. Intermittent doses of EGFR-TKI may prolong PFS in patients with advanced EGFRm+ NSCLC who has limited treatment options. |
format |
Article |
author |
Tan, Sin Nee Ibrahim, Aishah Abdul Razak, Megat Razeem Abdul Azih, Muhammad Naimmuddin How, Soon Hin |
author_facet |
Tan, Sin Nee Ibrahim, Aishah Abdul Razak, Megat Razeem Abdul Azih, Muhammad Naimmuddin How, Soon Hin |
author_sort |
Tan, Sin Nee |
title |
Intermittent EGFR-TKI therapy is associated with durable
response in advanced EGFR-mutant NSCLC: a case report |
title_short |
Intermittent EGFR-TKI therapy is associated with durable
response in advanced EGFR-mutant NSCLC: a case report |
title_full |
Intermittent EGFR-TKI therapy is associated with durable
response in advanced EGFR-mutant NSCLC: a case report |
title_fullStr |
Intermittent EGFR-TKI therapy is associated with durable
response in advanced EGFR-mutant NSCLC: a case report |
title_full_unstemmed |
Intermittent EGFR-TKI therapy is associated with durable
response in advanced EGFR-mutant NSCLC: a case report |
title_sort |
intermittent egfr-tki therapy is associated with durable
response in advanced egfr-mutant nsclc: a case report |
publisher |
Faculty of Medicine and Health Sciences, University Putra Malaysia |
publishDate |
2023 |
url |
http://irep.iium.edu.my/108703/7/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response.pdf http://irep.iium.edu.my/108703/8/108703_Intermittent%20EGFR-TKI%20therapy%20is%20associated%20with%20durable%20response_Scopus.pdf http://irep.iium.edu.my/108703/ https://medic.upm.edu.my/jurnal_kami/volume_19_2023/mjmhs_vol19_no_2_march_2023-72022 |
_version_ |
1787131896412504064 |
score |
13.160551 |