Journal article

RNA sequencing to predict response to neoadjuvant anti-HER2 therapy a secondary analysis of the NeoALTTO randomized clinical trial

D Fumagalli, D Venet, M Ignatiadis, HA Azim, M Maetens, F Rothé, R Salgado, I Bradbury, L Pusztai, N Harbeck, H Gomez, TW Chang, MA Coccia-Portugal, S Di Cosimo, E De Azambuja, L De La Peña, P Nuciforo, JC Brase, J Huober, J Baselga Show all

JAMA Oncology | AMER MEDICAL ASSOC | Published : 2017

Abstract

IMPORTANCE In neoadjuvant trials, treatment of human epidermal growth factor receptor 2 (HER2) -positive breast cancers with dual HER2 blockade resulted in increased pathologic complete response (pCR) rates compared with each targeted agent alone. Amplification and/or overexpression of HER2 currently remains the only biomarker for therapeutic decisions, but it is insufficient to explain the heterogeneous response to anti-HER2 agents. OBJECTIVE To investigate the ability of clinically and biologically relevant genes and gene signatures (GSs) measured by RNA sequencing to predict the efficacy of anti-HER2 agents. DESIGN, SETTING, AND PARTICIPANTS The neoadjuvant NeoALTTO trial randomized 455 w..

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