Successful dabrafenib and trametinib combination therapy in a patient with recurrent BRAF(V600E)-mutant non-small-cell lung cancer and coexisting radiation pneumonitis

达拉非尼和曲美替尼联合治疗成功治愈了一例复发性BRAF(V600E)突变型非小细胞肺癌合并放射性肺炎的患者

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Abstract

There have been several reports of drug-induced lung injury caused by molecular-targeted agents. Additionally, medical history of interstitial lung disease and chest irradiation are established risk factors for the development and progression of drug-induced lung injury. Moreover, the presence of fibrosis on chest computed tomography before treatment is a predictive factor for the appearance of pneumonia induced by anticancer drugs. Accordingly, patients with a history of interstitial lung disease or pneumonitis were excluded from clinical trials of dabrafenib and trametinib combination therapy for patients with previously treated BRAF (V600E)-mutant metastatic non-small-cell lung cancer. This article presents a case of successful dabrafenib and trametinib combination therapy in a patient with BRAF (V600E)-mutant non-small-cell lung cancer who had a history of radiation pneumonitis and developed recurrence after conventional chemoradiotherapy.

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