High MET amplification level as a resistance mechanism to osimertinib (AZD9291) in a patient that symptomatically responded to crizotinib treatment post-osimertinib progression
Abstract
Third-generation EGFR TKI has been approved in the US and EU for the treatment of EGFR mutant T790M+ NSCLC patients that are resistant to first- or second generation EGFR TKIs. Here we report a patient who developed resistance to osimertinib after a confirmed partial response for 9 months. Pre-osimertinib and post-osimertinib tumor biopsy revealed the emergence of high level of MET amplification (30 copies) post osimertinib treatment. Patient was treated with single agent crizotinib, a known MET inhibitor, with transient symptomatic benefit. MET amplification is one potential resistance mechanism to osimertinib and combination of osimertinib and a MET inhibitor should be investigated post-osimertinib progression in EGFR mutant T790M+ NSCLC patients whose harbored acquired MET amplification.
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MET amplification has been reported as a resistance mechanism to gefitinib and osimertinib.
“MET amplification has been reported as a mechanism of resistance to gefitinib[8] and osimertinib[23].”
From Landscape of EGFR-Dependent and -Independent Resistance Mechanisms to Osimertinib and Continuation Therapy Beyond Progression in <i>EGFR</i> -Mutant NSCLC (2018) · cites this paper as [23]
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- Authors
- Ou, S.-H. I., Agarwal, N., & Ali, S. M.
- Affiliations
- University of California, Irvine (US)
- Foundation Medicine (United States) (US)
- Corresponding author
- Ou, Sai-Hong Ignatius
- Venue
- Lung Cancer
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 98
- Pages
- 59-61
- ISSN
- 0169-5002 (ISSN-L)
- OpenAlex
- W2462969936
- Cited by
- 149
- References
- 14
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 26 · 2020: 17 · 2019: 15 · 2018: 35 · 2017: 22 · 2016: 7
- FWCI
- 23.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lung Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- MET amplification, osimertinib resistance, crizotinib, T790M mutation, non-small cell lung cancer, third-generation EGFR tyrosine kinase inhibitors, acquired resistance mechanisms
- MeSH terms
- Crizotinib, Acrylamides, Aged, Aniline Compounds, Female, Gene Amplification, Humans, Indoles, Lung Neoplasms, Pyrazoles, Pyridines, Pyrimidines, Tomography, X-Ray Computed, Fatal Outcome, Disease Progression, Drug Resistance, Neoplasm, Retreatment, Proto-Oncogene Proteins c-met, Protein Kinase Inhibitors, Drug Substitution
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