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@article{1366019, author = {Fuchs, Charles S. and Tabernero, Josep and Tomášek, Jiří and Chau, Ian and Melichar, Bohuslav and Safran, Howard and Tehfe, Mustapha A. and Filip, Dumitru and Topuzov, Eldar and Schlittler, Luis and Udrea, Anghel Adrian and Campbell, William and Brincat, Stephen and Emig, Michael and Melemed, Symantha A. and Hozak, Rebecca R. and Ferry, David and Caldwell, C. William and Ajani, Jaffer A.}, article_location = {London}, article_number = {8}, doi = {http://dx.doi.org/10.1038/bjc.2016.293}, keywords = {ramucirumab; gastric carcinoma; gastroesophageal carcinoma; biomarkers; VEGFR2; antibody; angiogenesis; REGARD}, language = {eng}, issn = {0007-0920}, journal = {British Journal of Cancer}, title = {Biomarker analyses in REGARD gastric/GEJ carcinoma patients treated with VEGFR2-targeted antibody ramucirumab}, url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061911/pdf/bjc2016293a.pdf}, volume = {115}, year = {2016} }
TY - JOUR ID - 1366019 AU - Fuchs, Charles S. - Tabernero, Josep - Tomášek, Jiří - Chau, Ian - Melichar, Bohuslav - Safran, Howard - Tehfe, Mustapha A. - Filip, Dumitru - Topuzov, Eldar - Schlittler, Luis - Udrea, Anghel Adrian - Campbell, William - Brincat, Stephen - Emig, Michael - Melemed, Symantha A. - Hozak, Rebecca R. - Ferry, David - Caldwell, C. William - Ajani, Jaffer A. PY - 2016 TI - Biomarker analyses in REGARD gastric/GEJ carcinoma patients treated with VEGFR2-targeted antibody ramucirumab JF - British Journal of Cancer VL - 115 IS - 8 SP - 974-982 EP - 974-982 PB - Nature Publishing Group SN - 00070920 KW - ramucirumab KW - gastric carcinoma KW - gastroesophageal carcinoma KW - biomarkers KW - VEGFR2 KW - antibody KW - angiogenesis KW - REGARD UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061911/pdf/bjc2016293a.pdf N2 - Background: Angiogenesis inhibition is an important strategy for cancer treatment. Ramucirumab, a human IgG1 monoclonal antibody that targets VEGF receptor 2 (VEGFR2), inhibits VEGF-A, -C, -D binding and endothelial cell proliferation. To attempt to identify prognostic and predictive biomarkers, retrospective analyses were used to assess tumour (HER2, VEGFR2) and serum (VEGF-C and -D, and soluble (s) VEGFR1 and 3) biomarkers in phase 3 REGARD patients with metastatic gastric/gastroesophageal junction carcinoma. Methods: A total of 152 out of 355 (43%) patients randomised to ramucirumab or placebo had >= 1 evaluable biomarker result using VEGFR2 immunohistochemistry or HER2, immunohistochemistry or FISH, of blinded baseline tumour tissue samples. Serum samples (32 patients, 9%) were assayed for VEGF-C and -D, and sVEGFR1 and 3. Results: None of the biomarkers tested were associated with ramucirumab efficacy at a level of statistical significance. High VEGFR2 endothelial expression was associated with a non-significant prognostic trend toward shorter progression-free survival (high vs low HR=1.65, 95% CI = 0.84,3.23). Treatment with ramucirumab was associated with a trend toward improved survival in both high (HR=0.69, 95% CI = 0.38, 1.22) and low (HR = 0.73, 95% CI = 0.42, 1.26) VEGFR2 subgroups. The benefit associated with ramucirumab did not appear to differ by tumoural HER2 expression. Conclusions: REGARD exploratory analyses did not identify a strong potentially predictive biomarker of ramucirumab efficacy; however, statistical power was limited. ER -
FUCHS, Charles S., Josep TABERNERO, Jiří TOMÁŠEK, Ian CHAU, Bohuslav MELICHAR, Howard SAFRAN, Mustapha A. TEHFE, Dumitru FILIP, Eldar TOPUZOV, Luis SCHLITTLER, Anghel Adrian UDREA, William CAMPBELL, Stephen BRINCAT, Michael EMIG, Symantha A. MELEMED, Rebecca R. HOZAK, David FERRY, C. William CALDWELL a Jaffer A. AJANI. Biomarker analyses in REGARD gastric/GEJ carcinoma patients treated with VEGFR2-targeted antibody ramucirumab. \textit{British Journal of Cancer}. London: Nature Publishing Group, 2016, roč.~115, č.~8, s.~974-982. ISSN~0007-0920. Dostupné z: https://dx.doi.org/10.1038/bjc.2016.293.
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