Gastric cancer patient with c-MET amplification treated with crizotinib after failed multi-line treatment: A case report and literature review

Math Biosci Eng. 2019 Jun 25;16(5):5923-5930. doi: 10.3934/mbe.2019296.

Abstract

Gastric cancer is one of the most common gastrointestinal tumors. Most patients have been in advanced stage at diagnosis and lack effective treatment. Molecular targeted drugs have become new therapeutic strategies. MET is an important driving gene for the development of gastric cancer. MET gene amplification and protein over-expression are closely related to the invasion and metastasis, late stage and poor prognosis of gastric cancer. Crizotinib is a small molecule inhibitor against MET. There are few reports of crizotinib in gastric cancer patients with c-MET amplification. This article reports a case of c-MET gene amplification in advanced gastric cancer with liver metastases. After 2 months of treatment with crizotinib, liver lesions were completely relieved and progression-free survival lasted for up to 20 months.

Keywords: c-MET; crizotinib; gastric cancer.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adenocarcinoma / drug therapy
  • Adenocarcinoma / genetics
  • Adenocarcinoma / pathology
  • Crizotinib / pharmacology*
  • Disease Progression
  • Disease-Free Survival
  • Drug Resistance, Neoplasm
  • Humans
  • Immunohistochemistry
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / genetics
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Neoplasm Metastasis / drug therapy*
  • Neoplasm Metastasis / genetics
  • Prognosis
  • Proto-Oncogene Proteins c-met / genetics*
  • Stomach Neoplasms / drug therapy*
  • Stomach Neoplasms / genetics
  • Stomach Neoplasms / pathology
  • Treatment Failure
  • Treatment Outcome

Substances

  • Crizotinib
  • Proto-Oncogene Proteins c-met