Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets

Small-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-...

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Main Authors: Corey A. Carter, Bryan Oronsky, Scott Caroen, Jan Scicinski, Aiste Degesys, Pedro Cabrales, Tony R. Reid, Christina Brzezniak
Format: Article
Language:English
Published: Karger Publishers 2016-05-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/446209
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spelling doaj-c53dfe35928f46b0a955e22b98939a7c2020-11-24T21:27:17ZengKarger PublishersCase Reports in Oncology1662-65752016-05-019228528910.1159/000446209446209Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum DoubletsCorey A. CarterBryan OronskyScott CaroenJan ScicinskiAiste DegesysPedro CabralesTony R. ReidChristina BrzezniakSmall-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-year-old Caucasian male with extensive-stage refractory SCLC who was restarted on platinum doublets as part of a clinical trial called TRIPLE THREAT (NCT02489903) involving pretreatment with the epi-immunotherapeutic agent RRx-001, and who achieved a partial response after only 4 cycles. The patient had received a platinum drug twice before, in 2009 for a diagnosis of non-small-cell lung cancer (squamous cell carcinoma) and in 2015 for SCLC, suggesting that RRx-001 pretreatment may sensitize or resensitize refractory SCLC patients to first-line chemotherapy.http://www.karger.com/Article/FullText/446209Partial responseRRx-001Refractory small-cell lung cancerPlatinum doublets
collection DOAJ
language English
format Article
sources DOAJ
author Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
spellingShingle Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
Case Reports in Oncology
Partial response
RRx-001
Refractory small-cell lung cancer
Platinum doublets
author_facet Corey A. Carter
Bryan Oronsky
Scott Caroen
Jan Scicinski
Aiste Degesys
Pedro Cabrales
Tony R. Reid
Christina Brzezniak
author_sort Corey A. Carter
title Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_short Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_full Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_fullStr Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_full_unstemmed Partial Response in an RRx-001-Primed Patient with Refractory Small-Cell Lung Cancer after a Third Introduction of Platinum Doublets
title_sort partial response in an rrx-001-primed patient with refractory small-cell lung cancer after a third introduction of platinum doublets
publisher Karger Publishers
series Case Reports in Oncology
issn 1662-6575
publishDate 2016-05-01
description Small-cell lung cancer (SCLC), initially exquisitely sensitive to first-line cisplatin/etoposide, invariably relapses and acquires a multidrug chemoresistant phenotype that generally renders retreatment with first-line therapy both futile and counterproductive. This report presents the case of a 77-year-old Caucasian male with extensive-stage refractory SCLC who was restarted on platinum doublets as part of a clinical trial called TRIPLE THREAT (NCT02489903) involving pretreatment with the epi-immunotherapeutic agent RRx-001, and who achieved a partial response after only 4 cycles. The patient had received a platinum drug twice before, in 2009 for a diagnosis of non-small-cell lung cancer (squamous cell carcinoma) and in 2015 for SCLC, suggesting that RRx-001 pretreatment may sensitize or resensitize refractory SCLC patients to first-line chemotherapy.
topic Partial response
RRx-001
Refractory small-cell lung cancer
Platinum doublets
url http://www.karger.com/Article/FullText/446209
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