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Successful Crizotinib-Targeted Therapy of Pediatric Unresectable ERC1::ALK Fusion Sarcoma

  • Megan L. Wood
  • , Julie C. Fanburg-Smith
  • , James M. Brian
  • , Jason C. White
  • , Jonathan L. Powell
  • , Andrew S. Freiberg
  • Stony Brook University
  • Pennsylvania State University
  • St. Christophers Hospital for Children

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Anaplastic lymphoma kinase (ALK)-fusion sarcomas are rare part of the emerging theoretically targetable tyrosine kinase RAS::MAPK pathway fusion myopericytic-ovoid sarcomas. We report our clinicopathologic and treatment experience with an ALK fusion sarcoma. A novel ELKS/RAB6-interacting/CAST family member 1-unaligned ALK fusion infiltrative nonmetastatic low-grade sarcoma of the right hand of a 15-month-old male was treated with crizotinib, an ALK tyrosine kinase inhibitor as oral monotherapy, inducing complete radiographic and clinical resolution by 10 months and sustained response now over 12 months after elective discontinuation. Crizotinib can successfully be used to treat unresectable novel ALK fusion sarcomas.

Original languageEnglish
Pages (from-to)E184-E187
JournalJournal of Pediatric Hematology/Oncology
Volume46
Issue number2
DOIs
StatePublished - 1 Mar 2024

Keywords

  • Anaplastic Lymphoma Kinase/genetics
  • Child
  • Crizotinib/therapeutic use
  • Humans
  • Infant
  • Lung Neoplasms/pathology
  • Male
  • Protein Kinase Inhibitors/therapeutic use
  • Protein-Tyrosine Kinases/therapeutic use
  • Sarcoma/drug therapy
  • Soft Tissue Neoplasms/drug therapy

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