Respiratory Medicine Case Reports (Jan 2018)

Successful osimertinib rechallenge after osimertinib-induced pneumonitis in a patient with lung adenocarcinoma

  • Shingo Satoh,
  • Takayuki Shiroyama,
  • Motohiro Tamiya,
  • Shingo Nasu,
  • Ayako Tanaka,
  • Satomu Morita,
  • Naoko Morishita,
  • Hidekazu Suzuki,
  • Norio Okamoto,
  • Tomonori Hirashima

Journal volume & issue
Vol. 23
pp. 68 – 70

Abstract

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Pneumonitis is a serious adverse event of EGFR-TKI treatment. Although several cases of EGFR-TKI rechallenge after EGFR-TKI-induced pneumonitis have been reported, little is known about post-pneumonitis osimertinib rechallenge. We describe a 69-year-old never-smoking Japanese woman with postoperative recurrent lung adenocarcinoma retreated with osimertinib after osimertinib-induced pneumonitis. Although osimertinib rechallenge must be carefully chosen based on risk/benefit analysis, osimertinib rechallenge after osimertinib-induced pneumonitis may be an option, with limited alternative therapeutic options. Keywords: Osimertinib, Pneumonitis, Rechallenge, Corticosteroid