Frontiers in Immunology (Dec 2024)

Case report: Therapeutic response of front-line cadonilimab plus chemotherapy on patient with advanced lung adenocarcinoma harboring STK11 genetic aberration

  • Du Feng,
  • Du Feng,
  • Huixin Jiang,
  • Gengjia Chen,
  • Gengjia Chen,
  • Wenhui Guan,
  • Lin Yi,
  • Yue Zhu,
  • Yijia Li,
  • Gengda Huang,
  • Bin He,
  • Junlong Tang,
  • Yujie Tang,
  • Jiyuan Zeng,
  • Wensheng Zhou,
  • Jiayu Shi,
  • Zhanhong Xie,
  • Ming Liu,
  • Xiaohong Xie,
  • Xinqing Lin,
  • Chengzhi Zhou

DOI
https://doi.org/10.3389/fimmu.2024.1485358
Journal volume & issue
Vol. 15

Abstract

Read online

The STK11 gene mutation is a common genetic alteration in non-small cell lung cancer (NSCLC) and is significantly associated with poor responses to current immunotherapy regimens. Despite its prevalence, there is currently no established standard for front-line treatment in this subtype of NSCLC, underscoring the increasing need for personalized therapeutic strategies. In this report, we present a case of a patient with STK11-mutant NSCLC who was treated with first-line cadonilimab (10mg/kg) in combination with pemetrexed (500mg/m^2) plus carboplatin (AUC=5), resulting in a notable extension of progression-free survival (PFS). This case highlights the potential efficacy and feasibility of combining immunotherapy with chemotherapy in patients with STK11-mutant NSCLC. Additionally, we provide a review of recent advancements in research related to STK11 mutations in lung cancer as reported in the literature.

Keywords