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  • 1
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2011
    In:  Investigational New Drugs Vol. 29, No. 5 ( 2011-10), p. 971-977
    In: Investigational New Drugs, Springer Science and Business Media LLC, Vol. 29, No. 5 ( 2011-10), p. 971-977
    Type of Medium: Online Resource
    ISSN: 0167-6997 , 1573-0646
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2011
    detail.hit.zdb_id: 2009846-7
    SSG: 15,3
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2012
    In:  Clinical Trials Vol. 9, No. 2 ( 2012-04), p. 141-154
    In: Clinical Trials, SAGE Publications, Vol. 9, No. 2 ( 2012-04), p. 141-154
    Abstract: Background Advances in molecular therapeutics in the past decade have opened up new possibilities for treating cancer patients with personalized therapies, using biomarkers to determine which treatments are most likely to benefit them, but there are difficulties and unresolved issues in the development and validation of biomarker-based personalized therapies. We develop a new clinical trial design to address some of these issues. The goal is to capture the strengths of the frequentist and Bayesian approaches to address this problem in the recent literature and to circumvent their limitations. Methods We use generalized likelihood ratio tests of the intersection null and enriched strategy null hypotheses to derive a novel clinical trial design for the problem of advancing promising biomarker-guided strategies toward eventual validation. We also investigate the usefulness of adaptive randomization (AR) and futility stopping proposed in the recent literature. Results Simulation studies demonstrate the advantages of testing both the narrowly focused enriched strategy null hypothesis related to validating a proposed strategy and the intersection null hypothesis that can accommodate to a potentially successful strategy. AR and early termination of ineffective treatments offer increased probability of receiving the preferred treatment and better response rates for patients in the trial, at the expense of more complicated inference under small-to-moderate total sample sizes and some reduction in power. Limitations The binary response used in the development phase may not be a reliable indicator of treatment benefit on long-term clinical outcomes. In the proposed design, the biomarker-guided strategy (BGS) is not compared to ‘standard of care’, such as physician’s choice that may be informed by patient characteristics. Therefore, a positive result does not imply superiority of the BGS to ‘standard of care’. The proposed design and tests are valid asymptotically. Simulations are used to examine small-to-moderate sample properties. Conclusion Innovative clinical trial designs are needed to address the difficulties and issues in the development and validation of biomarker-based personalized therapies. The article shows the advantages of using likelihood inference and interim analysis to meet the challenges in the sample size needed and in the constantly evolving biomarker landscape and genomic and proteomic technologies.
    Type of Medium: Online Resource
    ISSN: 1740-7745 , 1740-7753
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2159773-X
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  • 3
    In: Molecular Oncology, Wiley, Vol. 8, No. 7 ( 2014-10), p. 1231-1239
    Abstract: CCL2 expression is high in three paclitaxel‐resistant ovarian cancer variants. CCL2 blockade enhanced antitumor efficacy of paclitaxel and carboplatin. Efficacy was related to tumor stroma‐derived MCP‐1 blockade.
    Type of Medium: Online Resource
    ISSN: 1574-7891 , 1878-0261
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2322586-5
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  • 4
    Online Resource
    Online Resource
    American Society of Clinical Oncology (ASCO) ; 2013
    In:  Journal of Clinical Oncology Vol. 31, No. 15_suppl ( 2013-05-20), p. 5583-5583
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 31, No. 15_suppl ( 2013-05-20), p. 5583-5583
    Abstract: 5583 Background: Integrating chromosomal deletions/amplifications with sequencing alterations is increasingly important in the determination of key drivers of outcome in cancer (Leary 2008, Curtis 2012). We introduce a novel computational approach, Gene Set Outcome Analysis, to determine gene signatures constrained to regions with frequent deletion or amplification events in ovarian cancer identified by TCGA. Differential expressions of mRNA from these genes are used as a proxy for loss of function from deletions or amplifications. Methods: Gene signatures from each region were evaluated using log-rank test comparing high and low gene expression groups split by cohort mean. In total, 30,119,708 signatures constrained to 47 deleted and 36 amplified regions were tested for PFS for first line platinum treatment in a random 2/3 split of TCGA ovarian cohort (n=262) resulting in 26,271 gene signatures with p 〈 .001. The remaining 1/3 cohort (n=135) and full cohort (n=397) were used as a replication study where 111 signatures have a p 〈 .01 located in 2 deletion and 1 amplification region. The signature with the lowest p-value from each region that validated in the replication study, were evaluated in GSE9891 (n=179) (Tothill 2008) for PFS when treated with platinum and taxol resulting in gene signatures from 2 deletion regions with p 〈 .05. Results: Greater than mean expression in this gene signature [OXTR, SATB1, WNT7A, SH3BP5, CRBN, ATG7, CRELD1, TMEM43] located at 3p23-p26.2 predicts poor response to platinum chemotherapy in TCGA full ovarian cohort (17.9 vs 14 months p = 1.4E-7) and validates in GSE9891 (19.6 vs 13.3 months p = .014). Using a separate, compact gene signature [CAAP1, LRRC19, IFNA8] located at 9p21.2, samples with lower than mean expression demonstrate increased platinum sensitivity in TCGA full ovarian cohort (12.2 vs 18.2 months p = 1.0E-6) and in GSE9891 (15.5 vs 18.6 p = .055). Conclusions: Response to platinum therapy is an important predictor of survival in high-risk ovarian cancer patients. These signatures arising from common deletion and amplification events in ovarian cancer can anticipate platinum sensitivity and merits further study for use in choosing optimal therapies studying platinum resistance mechanisms.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2013
    detail.hit.zdb_id: 2005181-5
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  • 5
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2012
    In:  Cancer Research Vol. 72, No. 8_Supplement ( 2012-04-15), p. 817-817
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 817-817
    Abstract: Ovarian cancer is strongly associated with a pro-inflammatory leukocyte infiltrate, and very high levels of chemokines are found in ascites, including CCL2. CNTO 888, a neutralizing anti-CCL2 antibody, could inhibit the pro-tumor inflammatory infiltrate and tumor growth, thus providing clinical benefit to ovarian cancer patients. It was reported that CCL2 stimulated tumor cells to produce pro-angiogenic factors instead of directly stimulating bone marrow endothelial cells (Zhang J et al. 2009). The anti-CCL2 antibody CNTO 888 also had no effect as a monotherapy on capillary tube formation; however, CCL2 increased VEGF-A mRNA expression levels in PC-3 cells after 4-6 h of treatment. The induction of VEGF-A mRNA expression in PC-3 cells was blocked by pretreatment with a neutralizing antibody, indicating this induction was mediated by CCL2. CCL2 has been shown to be overexpressed in tumor cell lines resistant to taxanes. CCL2 may be induced by chemotherapy and mediate chemoresistance to taxanes. Moreover, this upregulation of CCL2 by taxane-based chemotherapy has been shown to occur via the JNK pathway. Study design: Our overall hypothesis is that CCL2 neutralization can inhibit tumor growth of taxane resistant metastatic ovarian cancer, and that stroma plays an important role in promoting tumor growth. This project is focused on three pairs of taxane resistant variants developed in the lab: ES-2/TP, MES-OV/TP and OVCAR-3/TP. These three cell models exhibit alterations in tubulin expression and dynamics along with other non-MDR1/P-glycoprotein mechanisms of resistance to taxanes. Using quantitative PCR, we observed elevated CCL2 expression (7x, 45x and 9x, respectively) in these cell models relative to parental controls, and confirmed these findings at the protein level by ELISA. CCR2 expression has been determined as well, by qPCR and by FACS analysis. In order to assess tumor growth by bioluminescent imaging, our taxane variants were transduced with the pHR2-gfp/luc lentiviral vector and were sorted in order to obtain homogenous gfp/luc positive population. These cells have been implanted intraperitoneally (i.p.) and subcutaneously (s.c.) in athymic nude, adult female mice. A pilot study was done to determine the growth of our three cell lines pairs injected subcutaneously or intraperitoneally into mice. Mice were then treated with antibodies to neutralize both the human tumor-derived CCL2 (CNTO 888) and the mouse orthologue of human CCL2, MCP-1 (C1142), with and without chemotherapy (paclitaxel or carboplatin). Bioluminescence images have been acquired in order to evaluate tumor growth during treatment. We observed a significant additive effect on efficacy of paclitaxel and carboplatin when the CCL2 blockade is added, compared to the chemotherapy alone (percent tumor burden at week 7 compared with week 3: paclitaxel 82%, paclitaxel + CNTO888/C1142 19%, carboplatin 74%, carboplatin + CNTO888/C1142 13%). Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 817. doi:1538-7445.AM2012-817
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 6
    Online Resource
    Online Resource
    The Royal Society ; 2014
    In:  Interface Focus Vol. 4, No. 3 ( 2014-06-06), p. 20140023-
    In: Interface Focus, The Royal Society, Vol. 4, No. 3 ( 2014-06-06), p. 20140023-
    Type of Medium: Online Resource
    ISSN: 2042-8898 , 2042-8901
    Language: English
    Publisher: The Royal Society
    Publication Date: 2014
    detail.hit.zdb_id: 2585655-8
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  • 7
    In: Investigational New Drugs, Springer Science and Business Media LLC, Vol. 30, No. 6 ( 2012-12), p. 2364-2370
    Type of Medium: Online Resource
    ISSN: 0167-6997 , 1573-0646
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 2009846-7
    SSG: 15,3
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  • 8
    Online Resource
    Online Resource
    American Society of Clinical Oncology (ASCO) ; 2013
    In:  Journal of Clinical Oncology Vol. 31, No. 15_suppl ( 2013-05-20), p. 1012-1012
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 31, No. 15_suppl ( 2013-05-20), p. 1012-1012
    Abstract: 1012 Background: While effective, target-directed therapies are available for ER-positive and HER2-amplified breast cancer, adjuvant therapeutic options for triple-negative breast cancer (TNBC) are limited in the absence of well-defined molecular targets. Constitutive activation of oncogenic nuclear factor kB (NFkB) has been associated with ER-negative or basal-like (BL) breast cancers, but the underlying mechanism of this activation remains undefined. We previously showed that deletion of the endogenous NFkB repressor gene NFKBIA associates with EGFR non-amplified glioblastoma multiforme and portends unfavorable clinical outcome (Bredel et al. NEJM 2011). Methods: We analyzed 〉 5,000 human breast cancers for deletions, mutations and/or expression of NFKBIA. We studied tumor suppressor activity of NFKBIA and the effect of targeted NFkB inhibition in cell culture with various NFKBIA genotypes. We compared molecular results with outcomes of affected persons. Results: NFKBIA is often (10.8%) deleted but not mutated in breast cancer. NFKBIA deletions are significantly associated with TNBC (32.8%) and particularly frequent in the BL subtype (36.7%). Loss of NFKBIA exerts a haploinsufficient effect on NFKBIA expression and the transactivation of several NF-kB target genes with important roles in breast carcinogenesis. Restoration of NFKBIA expression or pharmacologic NFkB inhibition attenuates the malignant phenotype of cells cultured from TNBC with NFKBIA deletion. Deletion and low expression of NFKBIA are highly associated with unfavorable overall survival, independent of patient age, tumor stage, nodal status, and tumor subtype. Loss of NFKBIA expression portends significantly poorer disease-specific survival, recurrence-free survival, and distant metastasis-free survival. Moreover, NFKBIA expression is significantly associated with duration of metastasis-free survival in subgroups of patients with brain or lung metastases from breast cancer. Conclusions: NFKBIA is a new, prognostically relevant, molecular target in TNBC, which remains a clinically challenging subtype of breast cancer with limited treatment options.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2013
    detail.hit.zdb_id: 2005181-5
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  • 9
    In: New England Journal of Medicine, Massachusetts Medical Society, Vol. 364, No. 7 ( 2011-02-17), p. 627-637
    Type of Medium: Online Resource
    ISSN: 0028-4793 , 1533-4406
    RVK:
    Language: English
    Publisher: Massachusetts Medical Society
    Publication Date: 2011
    detail.hit.zdb_id: 1468837-2
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  • 10
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2010
    In:  Cancer Research Vol. 70, No. 8_Supplement ( 2010-04-15), p. 3496-3496
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 8_Supplement ( 2010-04-15), p. 3496-3496
    Abstract: In order to identify novel drug targets in ovarian cancers, we examined our ovarian cancer gene expression microarray data for expression of genes in the tyrosine kinase family. The spleen tyrosine kinase (SYK) gene was expressed in 73% of 55 ovarian cancer specimens, compared to 26% of 60 breast cancer specimens. Previous studies established the role of SYK in lymphocyte development, immune cell activation, and tumor progression. We found SYK to be expressed in 6 of 10 ovarian carcinoma cell lines. Among its many targets, SYK can bind microtubules and other molecules associated with the cytoskeleton. Because of this ability, we studied the relationship of SYK expression to cellular sensitivity to taxanes. We focused on the OVCAR-3 cell line, which was one of the highest SYK-expressing cell lines, to elucidate the potential effects of SYK on taxane sensitivity. Our results demonstrate that knockdown of SYK expression by siRNA resulted in a one log-fold increased sensitivity of OVCAR-3 cells to the taxane, paclitaxel. Furthermore, this effect was durable, as knockdown of SYK and sensitization to paclitaxel persisted over 128 hours. The potential effects of SYK on tubulin polymerization are currently being investigated. We will evaluate potential upstream and downstream targets to elucidate the pathway(s) responsible for SYK effects and determine whether SYK levels contribute to tumor resistance to chemotherapeutic agents. Understanding the growth signals in drug sensitive and resistant ovarian cancer cell lines and tumor samples may eventually lead to new therapeutic approaches for ovarian cancers. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 3496.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2010
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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