Abstract | PURPOSE: METHODS: A blinded, retrospective biomarker evaluation was performed using immunohistochemistry to semiquantitate estrogen (ER), progesterone (PR), and EGFR expression. HER2 amplification was determined by fluorescent in situ hybridization. Effects of these biomarkers on event-free survival (EFS) were examined in patients with available tissue (n = 493). RESULTS:
Lapatinib improved median EFS in HER2-amplified, ER- or PR-positive MBC (n = 36; 5.7 v 4.5 months; P = .351); benefit was greater and statistically significant in HER2-amplified, ER-negative, PR-negative MBC (n = 42; 8.3 v 5.0 months; P = .007). In HER2-negative, ER-positive MBC, median EFS improvement varied by degree of PR expression (H-score): no benefit if PR-strong (n = 133; 9.3 v 7.3 months; P = .373), benefit if PR-weak (n = 50; 7.3 v 2.4 months; P = .026), and potential antagonism if PR-negative (n = 40; 3.7 v 7.2 months; P = .004). No benefit was seen in triple-negative MBC (n = 131; median EFS, 4.6 v 4.8 months; P = .255). EGFR expression was not correlated with benefit from lapatinib. CONCLUSION: Although subgroups are small, these analyses support the hypothesis that semiquantitative determination of hormone receptor status may be a surrogate for EGFR and/or HER2 dependency.
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Authors | Richard S Finn, Michael F Press, Judy Dering, Michael Arbushites, Maria Koehler, Cristina Oliva, Lisa S Williams, Angelo Di Leo |
Journal | Journal of clinical oncology : official journal of the American Society of Clinical Oncology
(J Clin Oncol)
Vol. 27
Issue 24
Pg. 3908-15
(Aug 20 2009)
ISSN: 1527-7755 [Electronic] United States |
PMID | 19620495
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- Quinazolines
- Receptors, Estrogen
- Receptors, Progesterone
- Lapatinib
- ERBB2 protein, human
- ErbB Receptors
- Receptor, ErbB-2
- Paclitaxel
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Topics |
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Breast Neoplasms
(chemistry, drug therapy, genetics)
- ErbB Receptors
(analysis)
- Female
- Gene Amplification
- Humans
- Immunohistochemistry
- In Situ Hybridization, Fluorescence
- Lapatinib
- Paclitaxel
(administration & dosage)
- Quinazolines
(administration & dosage)
- Receptor, ErbB-2
(genetics)
- Receptors, Estrogen
(analysis)
- Receptors, Progesterone
(analysis)
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