Combination of Osimertinib and Olaparib Therapy to Treat Non-Small Cell Lung Cancer and High-Grade Serous Ovarian Carcinoma: A Case Report

Curr Oncol. 2024 Jan 19;31(1):558-565. doi: 10.3390/curroncol31010039.

Abstract

We present the case of a 75-year-old female with simultaneous EGFR-mutated stage IV lung cancer and advanced BRCA2-mutated ovarian cancer, treated with a unique regimen. In this case report, the patient was treated with alternating months of osimertinib and olaparib to control her lung and ovarian cancers, respectively. When both diseases showed progression, the patient underwent a trial of concurrent therapy with both drugs, yet this was discontinued due to patient-reported adverse side effects. Combination targeted drug therapy may be required to treat complex diagnoses such as dual malignancies. However, combination drug therapy consisting of osimertinib and olaparib has not previously been explored. This case report represents the first to demonstrate osimertinib and olaparib combination therapy as a unique treatment regimen for concurrent lung and ovarian cancers. These two drugs can either be given in an alternating way or given together, short-term, with a higher but tolerable toxicity profile.

Keywords: combination drug therapy; non-small cell lung cancer; olaparib; osimertinib; ovarian serous carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Acrylamides*
  • Aged
  • Aniline Compounds*
  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Carcinoma, Non-Small-Cell Lung* / genetics
  • Carcinoma, Ovarian Epithelial
  • Female
  • Humans
  • Indoles*
  • Lung Neoplasms* / drug therapy
  • Lung Neoplasms* / genetics
  • Ovarian Neoplasms* / drug therapy
  • Ovarian Neoplasms* / genetics
  • Ovarian Neoplasms* / pathology
  • Phthalazines*
  • Piperazines*
  • Pyrimidines*

Substances

  • olaparib
  • osimertinib
  • Phthalazines
  • Piperazines
  • Acrylamides
  • Aniline Compounds
  • Indoles
  • Pyrimidines

Grants and funding

This research received no external funding.