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HER2 quantitative continuous scoring for accurate patient selection in HER2 negative trastuzumab deruxtecan treated breast cancer
by
Shumilov, Anatoliy
, Alleze, Regina
, Schick, Markus
, Cecchi, Fabiola
, Meier, Armin
, Kapil, Ansh
, Brieu, Nicolas
, Barrett, J. Carl
, Carroll, Danielle
, Barkell, Alice
, Gustavson, Mark
, Haneder, Susanne
, Harder, Nathalie
, Hidalgo-Sastre, Ana
, Suto, Fumitaka
, Schmidt, Günter
, Sade, Hadassah
, Tsuchihashi, Zenta
, Spitzmüller, Andreas
, Mittermaier, Katrin
in
631/114/2397
/ 631/67/1857
/ 631/67/2329
/ Adult
/ Aged
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers, Tumor - metabolism
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Camptothecin - analogs & derivatives
/ Cancer therapies
/ ErbB-2 protein
/ Female
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Image processing
/ Immunoconjugates - therapeutic use
/ Immunohistochemistry
/ Lymphocytes
/ Middle Aged
/ Monoclonal antibodies
/ multidisciplinary
/ Patient Selection
/ Receptor, ErbB-2 - metabolism
/ Science
/ Science (multidisciplinary)
/ Spatial distribution
/ Targeted cancer therapy
/ Trastuzumab
/ Trastuzumab - therapeutic use
/ Tumor cells
/ Tumor-infiltrating lymphocytes
2024
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HER2 quantitative continuous scoring for accurate patient selection in HER2 negative trastuzumab deruxtecan treated breast cancer
by
Shumilov, Anatoliy
, Alleze, Regina
, Schick, Markus
, Cecchi, Fabiola
, Meier, Armin
, Kapil, Ansh
, Brieu, Nicolas
, Barrett, J. Carl
, Carroll, Danielle
, Barkell, Alice
, Gustavson, Mark
, Haneder, Susanne
, Harder, Nathalie
, Hidalgo-Sastre, Ana
, Suto, Fumitaka
, Schmidt, Günter
, Sade, Hadassah
, Tsuchihashi, Zenta
, Spitzmüller, Andreas
, Mittermaier, Katrin
in
631/114/2397
/ 631/67/1857
/ 631/67/2329
/ Adult
/ Aged
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers, Tumor - metabolism
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Camptothecin - analogs & derivatives
/ Cancer therapies
/ ErbB-2 protein
/ Female
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Image processing
/ Immunoconjugates - therapeutic use
/ Immunohistochemistry
/ Lymphocytes
/ Middle Aged
/ Monoclonal antibodies
/ multidisciplinary
/ Patient Selection
/ Receptor, ErbB-2 - metabolism
/ Science
/ Science (multidisciplinary)
/ Spatial distribution
/ Targeted cancer therapy
/ Trastuzumab
/ Trastuzumab - therapeutic use
/ Tumor cells
/ Tumor-infiltrating lymphocytes
2024
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HER2 quantitative continuous scoring for accurate patient selection in HER2 negative trastuzumab deruxtecan treated breast cancer
by
Shumilov, Anatoliy
, Alleze, Regina
, Schick, Markus
, Cecchi, Fabiola
, Meier, Armin
, Kapil, Ansh
, Brieu, Nicolas
, Barrett, J. Carl
, Carroll, Danielle
, Barkell, Alice
, Gustavson, Mark
, Haneder, Susanne
, Harder, Nathalie
, Hidalgo-Sastre, Ana
, Suto, Fumitaka
, Schmidt, Günter
, Sade, Hadassah
, Tsuchihashi, Zenta
, Spitzmüller, Andreas
, Mittermaier, Katrin
in
631/114/2397
/ 631/67/1857
/ 631/67/2329
/ Adult
/ Aged
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers, Tumor - metabolism
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Camptothecin - analogs & derivatives
/ Cancer therapies
/ ErbB-2 protein
/ Female
/ Heterogeneity
/ Humanities and Social Sciences
/ Humans
/ Image processing
/ Immunoconjugates - therapeutic use
/ Immunohistochemistry
/ Lymphocytes
/ Middle Aged
/ Monoclonal antibodies
/ multidisciplinary
/ Patient Selection
/ Receptor, ErbB-2 - metabolism
/ Science
/ Science (multidisciplinary)
/ Spatial distribution
/ Targeted cancer therapy
/ Trastuzumab
/ Trastuzumab - therapeutic use
/ Tumor cells
/ Tumor-infiltrating lymphocytes
2024
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HER2 quantitative continuous scoring for accurate patient selection in HER2 negative trastuzumab deruxtecan treated breast cancer
Journal Article
HER2 quantitative continuous scoring for accurate patient selection in HER2 negative trastuzumab deruxtecan treated breast cancer
2024
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Overview
Many targeted cancer therapies rely on biomarkers assessed by scoring of immunohistochemically (IHC)-stained tissue, which is subjective, semiquantitative, and does not account for expression heterogeneity. We describe an image analysis-based method for quantitative continuous scoring (QCS) of digital whole-slide images acquired from baseline human epidermal growth factor receptor 2 (HER2) IHC-stained breast cancer tissue. Candidate signatures for patient stratification using QCS of HER2 expression on subcellular compartments were identified, addressing the spatial distribution of tumor cells and tumor-infiltrating lymphocytes. Using data from trastuzumab deruxtecan-treated patients with HER2-positive and HER2-negative breast cancer from a phase 1 study (NCT02564900; DS8201-A-J101; N = 151), QCS-based patient stratification showed longer progression-free survival (14.8 vs 8.6 months) with higher prevalence of patient selection (76.4 vs 56.9%) and a better cross-validated log-rank
p
value (0.026 vs 0.26) than manual scoring based on the American Society of Clinical Oncology / College of American Pathologists guidelines. QCS-based features enriched the HER2-negative subgroup by correctly predicting 20 of 26 responders.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
/ Adult
/ Aged
/ Antineoplastic Agents, Immunological - therapeutic use
/ Biomarkers, Tumor - metabolism
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Camptothecin - analogs & derivatives
/ Female
/ Humanities and Social Sciences
/ Humans
/ Immunoconjugates - therapeutic use
/ Receptor, ErbB-2 - metabolism
/ Science
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