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 and Jacek JASSEM. Predictive value of quantitative HER2, HER3 and p95HER2 levels in HER2-positive advanced breast cancer patients treated with lapatinib following progression on trastuzumab. Oncotarget. New York: Impact Journals, 2017, vol. 8, No 61, p. 104149-104159. ISSN 1949-2553. Available from: https://dx.doi.org/10.18632/oncotarget.22027.
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Basic information
Original name Predictive value of quantitative HER2, HER3 and p95HER2 levels in HER2-positive advanced breast cancer patients treated with lapatinib following progression on trastuzumab
Authors 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 and Jacek JASSEM.
Edition Oncotarget, New York, Impact Journals, 2017, 1949-2553.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 5.168 in 2016
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.18632/oncotarget.22027
UT WoS 000419562500111
Keywords in English Breast cancer; HER2; Lapatinib; P95HER2; Trastuzumab
Tags EL OK, Excelence Science, MOÚ, MU, RIV, user
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 19/3/2021 13:04.
Abstract
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.
Links
LM2015090, research and development projectName: Český národní uzel Evropské sítě infrastruktur klinického výzkumu (Acronym: CZECRIN)
Investor: Ministry of Education, Youth and Sports of the CR
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