Clinical response to FGFR inhibitors in patients with FGFR2-amplified advanced gastric cancer: two case reports - Summary - MDSpire

Clinical response to FGFR inhibitors in patients with FGFR2-amplified advanced gastric cancer: two case reports

  • By

  • Jing-Jing Li

  • Yu- Qian

  • Hui-Ting Xu

  • Yan-Li Nie

  • July 7, 2026

  • 0 min

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Objective:

To present outcomes of FGFR inhibitors in two cases of advanced gastric cancer with FGFR2 amplification.

Approach:
  • Case 1: A 52-year-old female with stage IVB poorly differentiated signet-ring cell carcinoma received pemigatinib as first-line therapy, achieving a progression-free survival (PFS) of 4.4 months and overall survival (OS) of 8.3 months.
  • Case 2: A 61-year-old female with stage IVB poorly differentiated adenocarcinoma received infigratinib in the third-line setting, attaining a PFS of 5.7 months and OS of 18.5 months.
Key Findings:
  • Both patients had FGFR2 amplification and were intolerant to conventional therapies.
  • Pemigatinib and infigratinib showed potential activity in FGFR2-amplified advanced gastric cancer.
  • Both patients experienced manageable adverse events related to FGFR inhibitors, including keratitis, onychotoxicity, and hyperphosphatemia.
Interpretation:

Limitations:
  • The report is based on only two cases, limiting generalizability.
  • Retrospective nature may introduce bias.
Conclusion:

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