Stage 4 pancreatic adenocarcinoma harbouring an FGFR2-TACC2 fusion mutation with complete response to erdafitinib a pan-fibroblastic growth factor receptor inhibitor

BMJ Case Rep. 2021 Sep 12;14(9):e244271. doi: 10.1136/bcr-2021-244271.

Abstract

We report a case of a frail 68-year-old woman with stage 4 pancreatic carcinoma harbouring a fibroblastic growth factor receptor 2 (FGFR2) fusion who achieved a durable complete response after treatment with erdafitinib a pan-FGFR inhibitor. The FGFR2-TACC2 fusion was detected on comprehensive tumour somatic mutation profiling. There is ongoing complete response at 10 months after initiation of erdafitinib. Transient central serous retinopathy, grade 2 hyperphosphataemia and diarrhoea were the adverse events encountered.

Keywords: genetics; malignant disease and immunosuppression; pancreatic cancer.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma* / drug therapy
  • Adenocarcinoma* / genetics
  • Aged
  • Carrier Proteins
  • Female
  • Humans
  • Mutation
  • Pancreatic Neoplasms* / drug therapy
  • Pancreatic Neoplasms* / genetics
  • Pyrazoles
  • Quinoxalines
  • Receptor, Fibroblast Growth Factor, Type 2 / genetics
  • Tumor Suppressor Proteins

Substances

  • Carrier Proteins
  • Pyrazoles
  • Quinoxalines
  • TACC2 protein, human
  • Tumor Suppressor Proteins
  • erdafitinib
  • FGFR2 protein, human
  • Receptor, Fibroblast Growth Factor, Type 2