scholarly journals A Long Noncoding RNA Signature That Predicts Pathological Complete Remission Rate Sensitively in Neoadjuvant Treatment of Breast Cancer

2017 ◽  
Vol 10 (6) ◽  
pp. 988-997 ◽  
Author(s):  
Gen Wang ◽  
Xiaosong Chen ◽  
Yue Liang ◽  
Wei Wang ◽  
Kunwei Shen





2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 10583-10583
Author(s):  
R. S. Mehta ◽  
T. Schubbert ◽  
K. Kong

10583 Background: A pathological complete remission (pCR) predicts improved survival in breast cancer (BC). Treatment with AC followed by concurrent TCH improved pCR rates to 87.5% in Her2 positive 8-patient pilot study (SABCS 2004, abs #1110), confirmed by a subsequent phase II study. We hypothesized that response adjusted AC (2–4 cycles), TCH (3–4 cycles) sequence targets topoisomerase II alpha amplified and deleted clone, respectively (SABCS 2005, abs # 5056). We report here the combined analysis of the Her2 positive (fluorescence in situ hybridization + or immunohistochemistry 3+) subset of these studies. Material and Methods: Thirty-one patients with stage IIB-IV BC were accrued. Twenty-eight of 31 patients received AC in a dose dense manner with GM-CSF support. Patients received carboplatin calculated at AUC of 2 and paclitaxel at 80 mg/m2 for 3 weeks followed by 1 week of rest (1 cycle) for a maximum of 4 cycles. Concurrent trastuzumab 4 mg/kg loading dose, then 2 mg/kg/wk was administered for 12–16 weeks. Results: Twenty-nine of 31(94%, CI, 0.79–1) patients showed a clinical complete or partial response (cCR, or cPR). Nineteen of 27 patients (70%, CI, 0.50–0.86) achieved a pCR at surgery; two additional patients had ≤3 mm residual invasive cancer; and lymph node negativity rate was 73%. Of the 3 additional patients with cCR, 1died (underlying cirrhosis), 1 refused surgery, and 1 awaits surgery. A fourth patient with cPR awaits surgery. Ninety percent of the patients (28/31, CI, 0.74–0.98) are alive, and 77% (24/31, CI, 0.59–0. 90) are progression free at median follow up of 19 months (range 6–35 months). Median ejection fraction by echocardiogram was 60% (range 50–74); no patient had clinical cardiac dysfunction. One patient each on GM-CSF and peg-GCSF developed neutropenic fever. Conclusion: Short course of TCH following response adjusted 2–4 cycles of AC will have an improved therapeutic ratio with minimum cardiac toxicity and maximal response. [Table: see text] [Table: see text]



2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Wenna Guo ◽  
Qiang Wang ◽  
Yueping Zhan ◽  
Xijia Chen ◽  
Qi Yu ◽  
...  




2007 ◽  
Vol 61 (6) ◽  
pp. 965-971 ◽  
Author(s):  
Andrea Rocca ◽  
Giuseppe Viale ◽  
Richard D. Gelber ◽  
Luca Bottiglieri ◽  
Shari Gelber ◽  
...  


2018 ◽  
Vol 19 (10) ◽  
pp. 825-835 ◽  
Author(s):  
Rong Liu ◽  
Rong Hu ◽  
Wei Zhang ◽  
Hong-Hao Zhou


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