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Peer-reviewedCC BY-NC-NDInternal Medicine

Favorable Response to Chemotherapy with Durvalumab Plus Tremelimumab in Two Cases of KRAS G12C-positive Pulmonary Sarcomatoid Carcinoma

Abstract

Pulmonary sarcomatoid carcinoma (PSC) and Kirsten rat sarcoma viral oncogene homologue (KRAS) mutations are poor prognostic factors in non-small cell lung cancer. We report two cases of metastatic KRAS G12C-positive PSC in men (aged 69 and 66 years). Both patients were treated with chemotherapy combined with durvalumab and tremelimumab (POSEIDON regimen). They thereafter achieved excellent clinical outcomes, including complete and partial responses, with sustained benefits. The POSEIDON regimen may represent a potent therapeutic option for this rare patient population with multiple negative prognostic factors.

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BibTeX
@article{ichikawa2026favorable,
  title = {{Favorable Response to Chemotherapy with Durvalumab Plus Tremelimumab in Two Cases of KRAS G12C-positive Pulmonary Sarcomatoid Carcinoma}},
  author = {Takeru Ichikawa and Kenichiro Kudo and Yuki Takigawa and Tomoya Osedo and Yuto Sasano and Toki Kitano and Jun Nishimura and Hiromi Watanabe and Ken Sato and Keiichi Fujiwara},
  journal = {Internal Medicine},
  year = {2026},
  month = oct,
  doi = {10.2169/internalmedicine.6660-25},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/20/65_6660-25/_article},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Favorable Response to Chemotherapy with Durvalumab Plus Tremelimumab in Two Cases of KRAS G12C-positive Pulmonary Sarcomatoid Carcinoma
AU  - Takeru Ichikawa
AU  - Kenichiro Kudo
AU  - Yuki Takigawa
AU  - Tomoya Osedo
AU  - Yuto Sasano
AU  - Toki Kitano
AU  - Jun Nishimura
AU  - Hiromi Watanabe
AU  - Ken Sato
AU  - Keiichi Fujiwara
PY  - 2026
DA  - 2026/10/15
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.6660-25
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/65/20/65_6660-25/_article
AB  - Pulmonary sarcomatoid carcinoma (PSC) and Kirsten rat sarcoma viral oncogene homologue (KRAS) mutations are poor prognostic factors in non-small cell lung cancer. We report two cases of metastatic KRAS G12C-positive PSC in men (aged 69 and 66 years). Both patients were treated with chemotherapy combined with durvalumab and tremelimumab (POSEIDON regimen). They thereafter achieved excellent clinical outcomes, including complete and partial responses, with sustained benefits. The POSEIDON regimen may represent a potent therapeutic option for this rare patient population with multiple negative prognostic factors.
SN  - 1349-7235
SN  - 0918-2918
ER  -