scholarly journals A guided and personalised treatment in metastatic breast cancer: Optimisation of gene and protein expression in tumor tissue

2018 ◽  
Vol 29 ◽  
pp. viii676
Author(s):  
E. Seront ◽  
S. Lejeune ◽  
B. Petit ◽  
V. Samartzy ◽  
S. Sauvage ◽  
...  
2009 ◽  
Vol 62 (6) ◽  
pp. 1423-1430 ◽  
Author(s):  
Kai H. Barck ◽  
Brandon Willis ◽  
Jed Ross ◽  
Dorothy M. French ◽  
Ellen H. Filvaroff ◽  
...  

2014 ◽  
Vol 25 (11) ◽  
pp. 2185-2190 ◽  
Author(s):  
E.A. Reijm ◽  
A.M. Timmermans ◽  
M.P. Look ◽  
M.E. Meijer-van Gelder ◽  
C.K. Stobbe ◽  
...  

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 10557-10557 ◽  
Author(s):  
M. P. Bates ◽  
C. Desmedt ◽  
J. Sperinde ◽  
W. Huang ◽  
D. Larsimont ◽  
...  

10557 Background: Selection of patients for treatment with trastuzumab is currently based on the semi-quantitative measurement of HER2 protein expression (IHC) or gene amplification (FISH). We made quantitative measurements of HER2 expression and homodimerization using a novel assay, eTag, and correlated them with overall survival (OS) and time-to-progression (TTP) following trastuzumab treatment in a cohort of patients with metastatic breast cancer (MBC). We also examined the benefit of concomitant chemotherapy (CT) depending on quantitative HER2 expression. Methods: The Jules Bordet cohort (Brussels, Belgium, N=71) had MBC and prior treatment with at least two CT regimens. Patients received trastuzumab alone or combined with predominantly paclitaxel. Independent medical data review and central confirmation of HER2 overexpression by FISH (N=64) or IHC (N=7) were mandatory. The eTag assay was used to quantitate HER2 protein expression and HER2:HER2 dimers in FFPE specimens. eTag measurements were correlated with OS and TTP using Kaplan-Meier and Cox Proportional Hazards regression analyses. Results: Cox analyses identified three independent correlates of OS and TTP: number of metastatic sites (HROS = 2.4/site, 95%CI 1.5–3.9, p = 0.00019), treatment with trastuzumab only (HROS = 2.8, 95%CI 1.1–7.3, p = 0.036), and HER2 expression level (HROS = 0.24/log10(HER2), 95%CI 0.09–0.7, p = 0.0058). Patients with high HER2 (above median expression) experienced better OS than those with low HER2 (HR 0.24, p = 0.0014). Patients with high HER2 expression did not benefit from added CT (HR = 0.95, 95%CI 0.24–3.8, p = 0.94), while patients with low HER2 expression did (trastuzumab alone HR 4.4, 95% CI 1.3–18, p = 0.018). Similar results were observed for HER2:HER2 dimerization. Conclusions: Within a population of patients selected by FISH or IHC to receive trastuzumab, higher HER2 expression or HER2:HER2 dimerization correlated with better outcomes. Patients with high HER2 expression derived no benefit from concomitant CT, while patients with low HER2 expression benefited significantly from the addition of CT to trastuzumab. No significant financial relationships to disclose.


2017 ◽  
Vol 15 (5) ◽  
pp. 2957-2968 ◽  
Author(s):  
Maren Bredemeier ◽  
Sabine Kasimir-Bauer ◽  
Hans-Christian Kolberg ◽  
Thomas Herold ◽  
Sarah Synoracki ◽  
...  

2021 ◽  
Vol 11 ◽  
Author(s):  
Loredana Urso ◽  
Grazia Vernaci ◽  
Jessica Carlet ◽  
Marcello Lo Mele ◽  
Matteo Fassan ◽  
...  

Endocrine therapy represents the cornerstone of treatment in hormone receptor-positive (HR+), HER2-negative metastatic breast cancer (mBC). The natural course of this disease is marked by endocrine resistance, mainly due to Estrogen Receptor 1 (ESR1) acquired mutations. The aim of this study is to evaluate the concordance between ESR1 status in metastatic tumor specimens and matched circulating tumor DNA (ctDNA). Forty-three patients with HR+, HER2-negative mBC underwent both a metastatic tumor biopsy and a liquid biopsy at the time of disease progression. DNA extracted from formalin fixed paraffin embedded (FFPE) tumor specimens and ctDNA from matched plasma were analyzed by droplet digital (dd)PCR for the main ESR1 mutations (Y537S, Y537C, Y537N, D538G, E380Q). We observed a total mutation rate of 21%. We found six mutations on tissue biopsy: Y537S (1), D538G (2), Y537N (1), E380Q (2). Three patients with no mutations in tumor tissue had mutations detected in ctDNA. The total concordance rate between ESR1 status on tumor tissue and plasma was 91%. Our results confirm the potential role of liquid biopsy as a non-invasive alternative to tissue biopsy for ESR1 mutation assessment in mBC patients.


Sign in / Sign up

Export Citation Format

Share Document