2013
Prespecified Candidate Biomarkers Identify Follicular Lymphoma Patients Who Achieved Longer Progression-Free Survival with Bortezomib-Rituximab Versus Rituximab
COIFFIER, Bertrand; Weimin LI; Erin D. HENITZ; Jayaprakash D. KARKERA; Reyna FAVIS et al.Základní údaje
Originální název
Prespecified Candidate Biomarkers Identify Follicular Lymphoma Patients Who Achieved Longer Progression-Free Survival with Bortezomib-Rituximab Versus Rituximab
Autoři
COIFFIER, Bertrand; Weimin LI; Erin D. HENITZ; Jayaprakash D. KARKERA; Reyna FAVIS; Dana GAFFNEY; Alice SHAPIRO; Panteli THEOCHAROUS; Yusri A. ELSAYED; Helgi van de VELDE; Michael E. SCHAFFER; Evgenii A. OSMANOV; Xiaonan HONG; Adriana SCHELIGA; Jiří MAYER; Fritz OFFNER; Simon RULE; Adriana TEIXEIRA; Joanna ROMEJKO-JAROSINSKA; Sven de VOS; Michael CRUMP; Ofer SHPILBERG; Pier Luigi ZINZANI; Andrew CAKANA; Dixie-Lee ESSELTINE; George MULLIGAN a Deborah RICCI
Vydání
Clinical Cancer Research, PHILADELPHIA, American Association for Cancer Research, 2013, 1078-0432
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 8.193
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/13:00070606
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
INTERNATIONAL PROGNOSTIC INDEX; NON-HODGKIN-LYMPHOMA; INDOLENT LYMPHOMA; MULTIPLE-MYELOMA; LEUKEMIA-CELLS; KAPPA-B; R-CHOP; PROTEASOME; GENE; PHASE-2
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 8. 1. 2014 09:45, Soňa Böhmová
Anotace
V originále
Purpose: Identify subgroups of patients with relapsed/refractory follicular lymphoma deriving substantial progression-free survival (PFS) benefit with bortezomib-rituximab versus rituximab in the phase III LYM-3001 study. Experimental Design: A total of 676 patients were randomized to five 5-week cycles of bortezomib-rituximab or rituximab. The primary end point was PFS; this prespecified analysis of candidate protein biomarkers and genes was an exploratory objective. Archived tumor tissue and whole blood samples were collected at baseline. Immunohistochemistry and genetic analyses were completed for 4 proteins and 8 genes. Results: In initial pairwise analyses, using individual single-nucleotide polymorphism genotypes, one biomarker pair (PSMB1 P11A C/G heterozygote, low CD68 expression) was associated with a significant PFS benefit with bortezomib-rituximab versus rituximab, controlling for multiple comparison corrections. The pair was analyzed under dominant, recessive, and additive genetic models, with significant association with PFS seen under the dominant model (G/G+C/G). In patients carrying this biomarker pair [PSMB1 P11AGallele, low CD68 expression (<= 50 CD68-positive cells), population frequency: 43.6%], median PFS was 14.2 months with bortezomib-rituximab versus 9.1 months with rituximab (HR 0.47, P < 0.0001), and there was a significant overall survival benefit (HR 0.49, P = 0.0461). Response rates were higher and time to next antilymphoma therapy was longer in the bortezomib-rituximab group. In biomarker-negative patients, no significant efficacy differences were seen between treatment groups. Similar proportions of patients had high-risk features in the biomarker-positive and biomarker-negative subsets. Conclusions: Patients with PSMB1 P11A (G allele) and low CD68 expression seemed to have significantly longer PFS and greater clinical benefit with bortezomib-rituximab versus rituximab.