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Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy
The aim of this article is to summarise the published data on prognostic and predictive biomarkers for early-stage non-small cell lung cancer (NSCLC), and discuss how to integrate them into clinical trials. Large phase III trials have been published in resected NSCLC with biomarkers identifying subs...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Respiratory Society
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639177/ https://www.ncbi.nlm.nih.gov/pubmed/24293473 http://dx.doi.org/10.1183/09059180.00007113 |
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author | Bergot, Emmanuel Levallet, Guénaëlle Campbell, Karine Dubois, Fatéméh Lechapt, Emmanuèle Zalcman, Gérard |
author_facet | Bergot, Emmanuel Levallet, Guénaëlle Campbell, Karine Dubois, Fatéméh Lechapt, Emmanuèle Zalcman, Gérard |
author_sort | Bergot, Emmanuel |
collection | PubMed |
description | The aim of this article is to summarise the published data on prognostic and predictive biomarkers for early-stage non-small cell lung cancer (NSCLC), and discuss how to integrate them into clinical trials. Large phase III trials have been published in resected NSCLC with biomarkers identifying subsets of patients benefitting from perioperative chemotherapy. Initial findings of predictive implications for the DNA repair protein, ERCC1, were not confirmed in a larger series of patients due to the versatility of the commercially available monoclonal ERCC1 antibody. Prediction of survival by RRM1 tumour expression was not confirmed in a prospective phase III trial in 275 patients with stage IV disease, precluding its use in early-stage NSCLC. BRCA1 mRNA tumour content also failed to predict platinum resistance in 287 stage IV NSCLC patients included in a phase II trial, and the results of a similar trial in early-stage patients are still pending. Of the several cDNA gene expression studies in early-stage NSCLC with non-overlapping prognostic signatures, few have been replicated in independent cohorts for prognostic value, and none received external validation for predictive value. Therefore, use of biomarkers predicting chemotherapy efficacy still needs additional validation before becoming routine practice in oncogene-driven pan-negative NSCLC patients. |
format | Online Article Text |
id | pubmed-9639177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-96391772022-11-14 Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy Bergot, Emmanuel Levallet, Guénaëlle Campbell, Karine Dubois, Fatéméh Lechapt, Emmanuèle Zalcman, Gérard Eur Respir Rev Series The aim of this article is to summarise the published data on prognostic and predictive biomarkers for early-stage non-small cell lung cancer (NSCLC), and discuss how to integrate them into clinical trials. Large phase III trials have been published in resected NSCLC with biomarkers identifying subsets of patients benefitting from perioperative chemotherapy. Initial findings of predictive implications for the DNA repair protein, ERCC1, were not confirmed in a larger series of patients due to the versatility of the commercially available monoclonal ERCC1 antibody. Prediction of survival by RRM1 tumour expression was not confirmed in a prospective phase III trial in 275 patients with stage IV disease, precluding its use in early-stage NSCLC. BRCA1 mRNA tumour content also failed to predict platinum resistance in 287 stage IV NSCLC patients included in a phase II trial, and the results of a similar trial in early-stage patients are still pending. Of the several cDNA gene expression studies in early-stage NSCLC with non-overlapping prognostic signatures, few have been replicated in independent cohorts for prognostic value, and none received external validation for predictive value. Therefore, use of biomarkers predicting chemotherapy efficacy still needs additional validation before becoming routine practice in oncogene-driven pan-negative NSCLC patients. European Respiratory Society 2013-12 /pmc/articles/PMC9639177/ /pubmed/24293473 http://dx.doi.org/10.1183/09059180.00007113 Text en ©ERS 2013 https://creativecommons.org/licenses/by-nc/3.0/ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 3.0 (https://creativecommons.org/licenses/by-nc/3.0/) . |
spellingShingle | Series Bergot, Emmanuel Levallet, Guénaëlle Campbell, Karine Dubois, Fatéméh Lechapt, Emmanuèle Zalcman, Gérard Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title | Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title_full | Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title_fullStr | Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title_full_unstemmed | Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title_short | Predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
title_sort | predictive biomarkers in patients with resected non-small cell lung cancer treated with perioperative chemotherapy |
topic | Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639177/ https://www.ncbi.nlm.nih.gov/pubmed/24293473 http://dx.doi.org/10.1183/09059180.00007113 |
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