J 2017

Predictive value of quantitative HER2, HER3 and p95HER2 levels in HER2-positive advanced breast cancer patients treated with lapatinib following progression on trastuzumab

DUCHNOWSKA, Renata, Jeff SPERINDE, Bogumiła CZARTORYSKA-ARŁUKOWICZ, Paulina MYŚLIWIEC, John WINSLOW et. al.

Základní údaje

Originální název

Predictive value of quantitative HER2, HER3 and p95HER2 levels in HER2-positive advanced breast cancer patients treated with lapatinib following progression on trastuzumab

Autoři

DUCHNOWSKA, Renata, Jeff SPERINDE, Bogumiła CZARTORYSKA-ARŁUKOWICZ, Paulina MYŚLIWIEC, John WINSLOW, Barbara RADECKA, Christos PETROPOULOS, Regina DEMLOVÁ, Marlena ORLIKOWSKA, Anna KOWALCZYK, Istvan LANG, Barbara ZIÓŁKOWSKA, Sylwia DĘBSKA-SZMICH, Monika MENDALSKA, Aleksandra GRELA- WOJEWODA, Anton ŻAWROCKI, Wojciech BIERNAT, Weidong HUANG a Jacek JASSEM

Vydání

Oncotarget, New York, Impact Journals, 2017, 1949-2553

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.168 v roce 2016

Organizační jednotka

Lékařská fakulta

UT WoS

000419562500111

Klíčová slova anglicky

Breast cancer; HER2; Lapatinib; P95HER2; Trastuzumab

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 19. 3. 2021 13:04, Mgr. Tereza Miškechová

Anotace

V originále

Lapatinib is a HER1 and HER2 tyrosine kinase inhibitor (TKI) approved in second line treatment of advanced or metastatic breast cancer following progression on trastuzumab-containing therapy. Biomarkers for activity of lapatinib and other TKIs are lacking. Formalin-fixed, paraffin-embedded primary tumor samples were obtained from 189 HER2-positive patients treated with lapatinib plus capecitabine following progression on trastuzumab. The HERmark® Breast Cancer Assay was used to quantify HER2 protein expression. HER3 and p95HER2 protein expression was quantified using the VeraTag® technology. Overall survival (OS) was inversely correlated with HER2 (HR = 1.9/log; P = 0.009) for patients with tumors above the cut-off positivity level by the HERmark assay. OS was significantly shorter for those with above median HER2 levels (HR = 1.7; P = 0.015) and trended shorter for those below the cut-off level of positivity by the HERmark assay (HR = 1.7; P = 0.057) compared to cases with moderate HER2 overexpression. The relationship between HER2 protein expression and OS was best captured with a U-shaped parabolic function (P = 0.004), with the best prognosis at moderate levels of HER2 protein overexpression. In a multivariate model including HER2, increasing p95HER2 expression was associated with longer OS (HR = 0.35/ log; P = 0.027). Continuous HER3 did not significantly correlate with OS. Patients with moderately overexpressed HER2 levels and high p95HER2 expression may have best outcomes while receiving lapatinib following progression on trastuzumab. Further study is warranted to explore the predictive utility of quantitative HER2 and p95HER2 in guiding HER2-directed therapies.

Návaznosti

LM2015090, projekt VaV
Název: Český národní uzel Evropské sítě infrastruktur klinického výzkumu (Akronym: CZECRIN)
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, CZECRIN - Český národní uzel Evropské sítě infrastruktur klinického výzkumu