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Plasma ESR1 Mutations and the Treatment of Estrogen Receptor-Positive Advanced Breast Cancer.

Identifieur interne : 001897 ( PubMed/Checkpoint ); précédent : 001896; suivant : 001898

Plasma ESR1 Mutations and the Treatment of Estrogen Receptor-Positive Advanced Breast Cancer.

Auteurs : Charlotte Fribbens [États-Unis] ; Ben O'Leary [États-Unis] ; Lucy Kilburn [États-Unis] ; Sarah Hrebien [États-Unis] ; Isaac Garcia-Murillas [États-Unis] ; Matthew Beaney [États-Unis] ; Massimo Cristofanilli [États-Unis] ; Fabrice Andre [États-Unis] ; Sherene Loi [États-Unis] ; Sibylle Loibl [États-Unis] ; John Jiang [États-Unis] ; Cynthia Huang Bartlett [États-Unis] ; Maria Koehler [États-Unis] ; Mitch Dowsett [États-Unis] ; Judith M. Bliss [États-Unis] ; Stephen R D. Johnston [États-Unis] ; Nicholas C. Turner [États-Unis]

Source :

RBID : pubmed:27269946

Descripteurs français

English descriptors

Abstract

ESR1 mutations are selected by prior aromatase inhibitor (AI) therapy in advanced breast cancer. We assessed the impact of ESR1 mutations on sensitivity to standard therapies in two phase III randomized trials that represent the development of the current standard therapy for estrogen receptor-positive advanced breast cancer.

DOI: 10.1200/JCO.2016.67.3061
PubMed: 27269946


Affiliations:


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pubmed:27269946

Le document en format XML

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<name sortKey="Cristofanilli, Massimo" sort="Cristofanilli, Massimo" uniqKey="Cristofanilli M" first="Massimo" last="Cristofanilli">Massimo Cristofanilli</name>
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<name sortKey="Andre, Fabrice" sort="Andre, Fabrice" uniqKey="Andre F" first="Fabrice" last="Andre">Fabrice Andre</name>
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<name sortKey="Loi, Sherene" sort="Loi, Sherene" uniqKey="Loi S" first="Sherene" last="Loi">Sherene Loi</name>
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<name sortKey="Loibl, Sibylle" sort="Loibl, Sibylle" uniqKey="Loibl S" first="Sibylle" last="Loibl">Sibylle Loibl</name>
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<name sortKey="Jiang, John" sort="Jiang, John" uniqKey="Jiang J" first="John" last="Jiang">John Jiang</name>
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<name sortKey="Bartlett, Cynthia Huang" sort="Bartlett, Cynthia Huang" uniqKey="Bartlett C" first="Cynthia Huang" last="Bartlett">Cynthia Huang Bartlett</name>
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<name sortKey="Koehler, Maria" sort="Koehler, Maria" uniqKey="Koehler M" first="Maria" last="Koehler">Maria Koehler</name>
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<name sortKey="Dowsett, Mitch" sort="Dowsett, Mitch" uniqKey="Dowsett M" first="Mitch" last="Dowsett">Mitch Dowsett</name>
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<div type="abstract" xml:lang="en">ESR1 mutations are selected by prior aromatase inhibitor (AI) therapy in advanced breast cancer. We assessed the impact of ESR1 mutations on sensitivity to standard therapies in two phase III randomized trials that represent the development of the current standard therapy for estrogen receptor-positive advanced breast cancer.</div>
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<DateCreated>
<Year>2016</Year>
<Month>08</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>07</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1527-7755</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>34</Volume>
<Issue>25</Issue>
<PubDate>
<Year>2016</Year>
<Month>Sep</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</Title>
<ISOAbbreviation>J. Clin. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Plasma ESR1 Mutations and the Treatment of Estrogen Receptor-Positive Advanced Breast Cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>2961-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1200/JCO.2016.67.3061</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">ESR1 mutations are selected by prior aromatase inhibitor (AI) therapy in advanced breast cancer. We assessed the impact of ESR1 mutations on sensitivity to standard therapies in two phase III randomized trials that represent the development of the current standard therapy for estrogen receptor-positive advanced breast cancer.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In a prospective-retrospective analysis, we assessed ESR1 mutations in available archived baseline plasma from the SoFEA (Study of Faslodex Versus Exemestane With or Without Arimidex) trial, which compared exemestane with fulvestrant-containing regimens in patients with prior sensitivity to nonsteroidal AI and in baseline plasma from the PALOMA3 (Palbociclib Combined With Fulvestrant in Hormone Receptor-Positive HER2-Negative Metastatic Breast Cancer After Endocrine Failure) trial, which compared fulvestrant plus placebo with fulvestrant plus palbociclib in patients with progression after receiving prior endocrine therapy. ESR1 mutations were analyzed by multiplex digital polymerase chain reaction.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In SoFEA, ESR1 mutations were found in 39.1% of patients (63 of 161), of whom 49.1% (27 of 55) were polyclonal, with rates of mutation detection unaffected by delays in processing of archival plasma. Patients with ESR1 mutations had improved progression-free survival (PFS) after taking fulvestrant (n = 45) compared with exemestane (n = 18; hazard ratio [HR], 0.52; 95% CI, 0.30 to 0.92; P = .02), whereas patients with wild-type ESR1 had similar PFS after receiving either treatment (HR, 1.07; 95% CI, 0.68 to 1.67; P = .77). In PALOMA3, ESR1 mutations were found in the plasma of 25.3% of patients (91 of 360), of whom 28.6% (26 of 91) were polyclonal, with mutations associated with acquired resistance to prior AI. Fulvestrant plus palbociclib improved PFS compared with fulvestrant plus placebo in both ESR1 mutant (HR, 0.43; 95% CI, 0.25 to 0.74; P = .002) and ESR1 wild-type patients (HR, 0.49; 95% CI, 0.35 to 0.70; P < .001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">ESR1 mutation analysis in plasma after progression after prior AI therapy may help direct choice of further endocrine-based therapy. Additional confirmatory studies are required.</AbstractText>
<CopyrightInformation>© 2016 by American Society of Clinical Oncology.</CopyrightInformation>
</Abstract>
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