Favorable Response to Chemotherapy with Durvalumab Plus Tremelimumab in Two Cases of KRAS G12C-positive Pulmonary Sarcomatoid Carcinoma.
Takeru Ichikawa, Kenichiro Kudo, Yuki Takigawa et al.
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Case in brief
Two men, aged 69 and 66 years, had metastatic pulmonary sarcomatoid carcinoma with KRAS G12C mutations. Both received chemotherapy combined with durvalumab and tremelimumab using the POSEIDON regimen. Their cancers showed a complete response in one case and a partial response in the other, with sustained clinical benefit reported. The authors suggest this regimen may be a therapeutic option for this patient group.
What made this case unusual
Both cases involved metastatic KRAS G12C-positive pulmonary sarcomatoid carcinoma, and each had a sustained response to chemotherapy combined with durvalumab and tremelimumab.
Diagnostic / clinical pearl
In these two cases, metastatic KRAS G12C-positive pulmonary sarcomatoid carcinoma responded to chemotherapy combined with durvalumab and tremelimumab, with one complete and one partial response.