Effect of HER2/CEP17 ratio on survival in metastatic HER2-positive gastric cancer, multicenter study.

Gastric cancer HER2 positive HER2/CEP17 Survival

Journal

Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
ISSN: 1699-3055
Titre abrégé: Clin Transl Oncol
Pays: Italy
ID NLM: 101247119

Informations de publication

Date de publication:
07 Mar 2024
Historique:
received: 24 01 2024
accepted: 12 02 2024
medline: 7 3 2024
pubmed: 7 3 2024
entrez: 7 3 2024
Statut: aheadofprint

Résumé

HER2-positive metastatic gastric cancer is still a highly fatal disease despite advances. We aimed to investigate the relationship between HER2/CEP17 ratio and survival in patients with HER2-positive metastatic gastric cancer. A total of 99 patients from 8 different centers in Turkey were included in the study. Patients with HER2-positive metastatic gastric cancer and whose HER2/CEP17 ratio was examined were included in the study. Patients were divided into two groups according to HER2/CEP17 values, and survival analysis was performed. The median age was 64 (24-83) years. There were 74 (74.8%) male and 25 (25.2%) female patients. OS in the high HER2/CEP17 ratio group was 21.97 months (95% CI: 16.36-27.58), and in the low ratio group was 16.17 months (95% CI: 10.95-21.38) (p = 0.015). OS was 17.7 months (95% CI: 7.02-28.37) in the high HER2 gene copy number group and 10.13 months (5.55-14.71) in the group with low copy number (p = 0.03). PFS was 10.94 months (95% CI: 7.55-14.33) in the group with high HER2 gene copy number and 7.56 months (4.62-10.49) in the low copy number group (p = 0.06). Patients with both high HER2 gene amplification and high HER2/CEP17 ratio had better OS. The PFS of the group with high HER2 gene amplification was also better. To our knowledge, this is the first study in the literature showing that the HER2/CEP17 ratio affects survival in patients with metastatic gastric cancer.

Identifiants

pubmed: 38451412
doi: 10.1007/s12094-024-03410-x
pii: 10.1007/s12094-024-03410-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Federación de Sociedades Españolas de Oncología (FESEO).

Références

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.
doi: 10.3322/caac.21660
Qiu H, Cao S, Xu R. Cancer incidence, mortality, and burden in China: a time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020. Cancer Commun (Lond). 2021;41(10):1037–48.
doi: 10.1002/cac2.12197
Zaanan A, Bouche O, De La Fouchardiere C, Samalin-Scalzi E, Le Malicot K, Pernot S, et al. LBA77 5-fluorouracil and oxaliplatin with or without docetaxel in the first-line treatment of HER2 negative locally advanced (LA) unresectable or metastatic gastric or gastro-esophageal junction (GEJ) adenocarcinoma (GASTFOX-PRODIGE 51): a randomized phase III trial sponsored by the FFCD. Ann Oncol. 2023;34:S1318.
doi: 10.1016/j.annonc.2023.10.078
Ma J, Lyu H, Huang J, Liu B. Targeting of erbB3 receptor to overcome resistance in cancer treatment. Mol Cancer. 2014;13(1):105.
doi: 10.1186/1476-4598-13-105
Moasser MM. The oncogene HER2: its signaling and transforming functions and its role in human cancer pathogenesis. Oncogene. 2007;26(45):6469–87.
doi: 10.1038/sj.onc.1210477
Abrahao-Machado LF, Scapulatempo-Neto C. HER2 testing in gastric cancer: an update. World J Gastroenterol. 2016;22(19):4619–25.
doi: 10.3748/wjg.v22.i19.4619
Bang YJ, Van Cutsem E, Feyereislova A, Chung HC, Shen L, Sawaki A, et al. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a phase 3, open-label, randomised controlled trial. Lancet. 2010;376(9742):687–97.
doi: 10.1016/S0140-6736(10)61121-X
Liu Z, Shi M, Li X, Song S, Liu N, Du H, et al. HER2 copy number as predictor of disease-free survival in HER2-positive resectable gastric adenocarcinoma. J Cancer Res Clin Oncol. 2021;147(5):1315–24.
doi: 10.1007/s00432-021-03522-9
Pietrantonio F, Manca P, Bellomo SE, Corso S, Raimondi A, Berrino E, et al. HER2 copy number and resistance mechanisms in patients with HER2-positive advanced gastric cancer receiving initial trastuzumab-based therapy in JACOB trial. Clin Cancer Res. 2023;29(3):571–80.
doi: 10.1158/1078-0432.CCR-22-2533
Papouchado BG, Myles J, Lloyd RV, Stoler M, Oliveira AM, Downs-Kelly E, et al. Silver in situ hybridization (SISH) for determination of HER2 gene status in breast carcinoma: comparison with FISH and assessment of interobserver reproducibility. Am J Surg Pathol. 2010;34(6):767–76.
doi: 10.1097/PAS.0b013e3181d96231
Rüschoff J, Dietel M, Baretton G, Arbogast S, Walch A, Monges G, et al. HER2 diagnostics in gastric cancer-guideline validation and development of standardized immunohistochemical testing. Virchows Arch. 2010;457(3):299–307.
doi: 10.1007/s00428-010-0952-2
Greenwell K, Hussain L, Lee D, Bramlage M, Bills G, Mehta A, et al. Complete pathologic response rate to neoadjuvant chemotherapy increases with increasing HER2/CEP17 ratio in HER2 overexpressing breast cancer: analysis of the National Cancer Database (NCDB). Breast Cancer Res Treat. 2020;181(2):249–54.
doi: 10.1007/s10549-020-05599-1
Fuchs CS, Mayer RJ. Gastric carcinoma. N Engl J Med. 1995;333(1):32–41.
doi: 10.1056/NEJM199507063330107
Cunningham D, Allum WH, Stenning SP, Thompson JN, Van de Velde CJ, Nicolson M, et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med. 2006;355(1):11–20.
doi: 10.1056/NEJMoa055531
Coburn NG, Swallow CJ, Kiss A, Law C. Significant regional variation in adequacy of lymph node assessment and survival in gastric cancer. Cancer. 2006;107(9):2143–51.
doi: 10.1002/cncr.22229
Wang J, Sun Y, Bertagnolli MM. Comparison of gastric cancer survival between Caucasian and Asian patients treated in the United States: results from the Surveillance Epidemiology and End Results (SEER) database. Ann Surg Oncol. 2015;22(9):2965–71.
doi: 10.1245/s10434-015-4388-4
Terashima M, Kitada K, Ochiai A, Ichikawa W, Kurahashi I, Sakuramoto S, et al. Impact of expression of human epidermal growth factor receptors EGFR and ERBB2 on survival in stage II/III gastric cancer. Clin Cancer Res. 2012;18(21):5992–6000.
doi: 10.1158/1078-0432.CCR-12-1318
Okines AF, Thompson LC, Cunningham D, Wotherspoon A, Reis-Filho JS, Langley RE, et al. Effect of HER2 on prognosis and benefit from peri-operative chemotherapy in early oesophago-gastric adenocarcinoma in the MAGIC trial. Ann Oncol. 2013;24(5):1253–61.
doi: 10.1093/annonc/mds622
Lordick F, Kang YK, Chung HC, Salman P, Oh SC, Bodoky G, et al. Capecitabine and cisplatin with or without cetuximab for patients with previously untreated advanced gastric cancer (EXPAND): a randomised, open-label phase 3 trial. Lancet Oncol. 2013;14(6):490–9.
doi: 10.1016/S1470-2045(13)70102-5
Wagner AD, Syn NL, Moehler M, Grothe W, Yong WP, Tai BC, et al. Chemotherapy for advanced gastric cancer. Cochrane Database Syst Rev. 2017;8(8): Cd004064.
AktürkEsen S, Ergun Y, Erol C, Arikan R, Er MM, Atci MM, et al. First-line treatment of patients with HER2-positive metastatic gastric and gastroesophageal junction cancer. Bosn J Basic Med Sci. 2022;22(5):818–25.
Ajani JA, D’Amico TA, Bentrem DJ, Chao J, Cooke D, Corvera C, et al. Gastric cancer, version 2.2022, NCCN clinical practice guidelines in oncology. J Natl Compr Cancer Netw. 2022;20(2):167–92.
doi: 10.6004/jnccn.2022.0008
Chua TC, Merrett ND. Clinicopathologic factors associated with HER2-positive gastric cancer and its impact on survival outcomes–a systematic review. Int J Cancer. 2012;130(12):2845–56.
doi: 10.1002/ijc.26292
Gomez-Martin C, Plaza JC, Pazo-Cid R, Salud A, Pons F, Fonseca P, et al. Level of HER2 gene amplification predicts response and overall survival in HER2-positive advanced gastric cancer treated with trastuzumab. J Clin Oncol. 2013;31(35):4445–52.
doi: 10.1200/JCO.2013.48.9070
Lander EM, Rappazzo KC, Huang LC, Hu JR, Chen H, Shyr Y, et al. Using the HER2/CEP17 fish ratio to predict pathologic complete response following neoadjuvant anti-HER2 doublet therapy in HER2+ breast cancer. Oncologist. 2023;28(2):123–30.
doi: 10.1093/oncolo/oyac247
Park JH, Yeo JH, Kim YS, Park I, Ahn HK, Shin DB, et al. Predictive roles of HER2 gene amplification and neutrophil-to-lymphocyte ratio on survival in HER2-positive advanced gastric cancer treated with trastuzumab-based chemotherapy. Am J Clin Oncol. 2021;44(6):232–8.
doi: 10.1097/COC.0000000000000810

Auteurs

Serhat Sekmek (S)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey. serhatsekmek@gmail.com.

Irfan Karahan (I)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Gokhan Ucar (G)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Furkan Ceylan (F)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Dogan Bayram (D)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Ismet Seven (I)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Hatice Bölek (H)

Department of Medical Oncology, Ankara University, Ankara, Turkey.

Yüksel Ürün (Y)

Department of Medical Oncology, Ankara University, Ankara, Turkey.

Kadriye Bir Yücel (KB)

Department of Medical Oncology, Gazi University, Ankara, Turkey.

Ozan Yazici (O)

Department of Medical Oncology, Gazi University, Ankara, Turkey.

Ahmet Kadioglu (A)

Department of Medical Oncology, UHS Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.

Cengiz Karacin (C)

Department of Medical Oncology, UHS Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.

Kubra Canaslan (K)

Department of Medical Oncology, Dokuz Eylul University, Izmir, Turkey.

Elif Atag (E)

Department of Medical Oncology, Dokuz Eylul University, Izmir, Turkey.

Serhat Demirer (S)

Department of Medical Oncology, İstanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.

Gokmen Umut Erdem (GU)

Department of Medical Oncology, İstanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.

Yakup Ergun (Y)

Department of Medical Oncology, Antalya City Hospital, Antalya, Turkey.

Mehmetcan Atak (M)

Department of Medical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.

Baris Koksal (B)

Department of Medical Oncology, Hacettepe University, Ankara, Turkey.

Merve Meryem Kiran (MM)

Department of Pathology, Ankara City Hospital, Ankara, Turkey.

Duriye Ozer Turkay (DO)

Department of Pathology, Ankara City Hospital, Ankara, Turkey.

Burak Civelek (B)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Bulent Yalcin (B)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Dogan Uncu (D)

Department of Medical Oncology, Ankara City Hospital, Ankara, Turkey.

Classifications MeSH