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Found 2 Presentations For Request "Abs: 170P"

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170P - β2-adrenergic receptor gene expression as a prognostic and predictive biomarker in HER2-positive early-stage breast cancer patients enrolled on the NCCTG-N9831 (Alliance) trial

Presentation Number
170P
Speakers
  • Rafael Caparica (Brussels, Belgium)
Date
17.09.2020

Abstract

Background

β2-adrenergic receptor (ADRB2) modulates immune activation, and may enhance the activity of trastuzumab in HER2-positive breast cancer cells. We assessed the impact of ADRB2 expression on the outcomes of patients enrolled on the NCCTG-N9831 trial.

Methods

NCCTG-N9831 compared chemotherapy (arm A) versus chemotherapy plus trastuzumab (arms B&C) as adjuvant treatment of HER2-positive early-stage breast cancer patients. Disease-free survival (DFS) was the primary endpoint. Gene expression data by DASL Assay were matched to patient’s characteristics. Median ADRB2 expression was assessed, with levels above median defined as ADRB2-high and below median as ADRB2-low. Stromal tumor-infiltrating lymphocytes (TILs) levels were correlated with ADRB2 expression. DFS curves were created by Kaplan Meier method; multivariate analyses were performed with Cox proportional hazard models.

Results

ADRB2 expression data were available for 1,282 patients (arm A [N=433]; arms B&C [N=849]), who were classified according to ADRB2 expression levels (ADRB2-high [N=944] and ADRB2-low [N=388]). Overall, ADRB2-high patients had a longer DFS than ADRB2-low patients (p=0.01). ADRB2-high was associated with a longer DFS in patients from arms B&C (p<0.01), but not in those from arm A (p=0.63). The addition of trastuzumab yielded a significant DFS improvement in ADRB2-high patients (DFS arms B&C versus arm A, p<0.01); whereas ADRB2-low patients did not benefit from trastuzumab (DFS arms B&C versus arm A, p=0.47). ADRB2 expression presented a direct correlation with TILs levels (r=0.24, p<0.001). High TILs levels were associated with a favorable prognosis in ADRB2-high patients (p=0.03), but not in ADRB2-low patients (p=0.12).

Conclusions

These results suggest that ADRB2 expression is associated with a favorable prognosis and could identify a subset of HER2-positive early-stage breast cancer patients who appear not to benefit from adjuvant trastuzumab.

Clinical trial identification

NCT00005970.

Legal entity responsible for the study

North Central Cancer Treatment Group (NCCTG)-N9831 trial. NCCTG is now part of the Alliance for Clinical Trials in Oncology (Alliance).

Funding

Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under Award Numbers U10CA180821, U10CA180882, and U24CA196171 (to the Alliance for Clinical Trials in Oncology). Genentech provided trastuzumab for this study. Also supported in part by funds from Genentech, Genomic Health, Breast Cancer Research Foundation; and Fondation Cancer Luxembourg (to F.R. and C.D.).

Disclosure

R. Caparica: Speaker Bureau/Expert testimony: Boehringer-Ingelheim; Speaker Bureau/Expert testimony, Travel/Accommodation/Expenses: AstraZeneca; Speaker Bureau/Expert testimony: Janssen; Travel/Accommodation/Expenses: Pfizer. A.H. Awada: Speaker Bureau/Expert testimony: Roche; Speaker Bureau/Expert testimony: Lilly; Speaker Bureau/Expert testimony: Amgen; Speaker Bureau/Expert testimony: ESAI; Speaker Bureau/Expert testimony: BMS; Speaker Bureau/Expert testimony: Pfizer; Speaker Bureau/Expert testimony: Novartis; Speaker Bureau/Expert testimony: MSD. M. Piccart: Honoraria (institution), Officer/Board of Directors: Radius; Honoraria (self), Honoraria (institution): AstraZeneca; Honoraria (self), Honoraria (institution): Lilly ; Honoraria (self), Honoraria (institution): MSD; Honoraria (self), Honoraria (institution): Novartis; Honoraria (self): Odonate; Honoraria (self), Honoraria (institution): Pfizer; Honoraria (self), Honoraria (institution): Roche; Honoraria (self): Crescendo biologics; Honoraria (self): Periphagen; Honoraria (self): Huya; Honoraria (self): Debiopharm; Honoraria (self): PharmaMar; Honoraria (self): G1 therapeutics; Honoraria (self): Menarini; Honoraria (self): Seattle Genetics; Honoraria (self): Immunomedics; Honoraria (institution): Synthon; Honoraria (institution): Servier. E. Perez: Honoraria (institution): NIH; Honoraria (institution): Roche. A. Moreno-Aspitia: Honoraria (institution): NIH; Honoraria (institution): Roche. S. Badve: Speaker Bureau/Expert testimony: Targos; Speaker Bureau/Expert testimony: MSD; Speaker Bureau/Expert testimony: Natera; Honoraria (institution): Dako/Agilent; Honoraria (institution): Roche/Ventana. E. de Azambuja: Honoraria (self), Honoraria (institution), Research grant/Funding (institution), Travel/Accommodation/Expenses: Roche; Travel/Accommodation/Expenses: Glaxo. All other authors have declared no conflicts of interest.

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Poster Display session

1165P - Subgroup analysis by Ki-67 and primary tumour origins of the randomized, placebo-controlled phase III study of surufatinib in advanced well-differentiated extrapancreatic neuroendocrine tumours (SANET-ep)

Presentation Number
1165P
Speakers
  • Zhiwei Zhou (Guangzhou, China)
Date
17.09.2020

Abstract

Background

Surufatinib, a tyrosine kinase inhibitor targeting vascular endothelial growth factor receptors (1,2,3), fibroblast growth factor receptor 1 and colony stimulating factor 1 receptor, has demonstrated superior efficacy in extrapancreatic neuroendocrine tumors (NETs) in a phase III study (SANET-ep, ESMO 2019 Abs. LBA76). The proliferation marker Ki-67 and primary tumor origins are the major prognostic factors in NETs.

Methods

The post-hoc efficacy analysis of surufatinib versus placebo was conducted by Ki-67 subcategory (<3%, 3-10%, >10%) and primary tumor origins (foregut, midgut, hindgut, others or unknown) in patients (pts) with advanced well-differentiated (grade 1 or 2) extrapancreatic NETs. The primary endpoint (progression-free survival [PFS]) and secondary endpoint (objective response rate [ORR]) both by investigator assessment (RECIST1.1) were analyzed.

Results

Median PFS was significantly prolonged with surufatinib compared to placebo in subgroups of Ki-67 3-10% (7.6 vs 4.6 months [mo], hazard ratio [HR] 0.47, P=0.0012), Ki-67 >10% (8.3 vs 2.1 mo, HR 0.14, P<0.0001), foregut (8.4 vs 4.6 mo, HR 0.29, P=0.0001) and hindgut (8.3 vs 2.1 mo, HR 0.35, P=0.0014). There was numerical PFS improvement with surufatinib compared to placebo in the rest subgroups: Ki 67 <3% (13.9 vs 7.4 mo, HR 0.43, P=0.0557), midgut (19.2 vs 8.9 mo, HR not analyzed due to small sample size) and unknown origin (9.2 vs 5.5 mo, HR 0.56, P=0.2943). ORR in the subgroups of Ki-67 <3%, 3-10%, >10% with surufatinib were 4.8%, 7.7%% and 20.0% respectively. There was no objective response in the placebo arm. ORR in the subgroups of foregut, midgut and unknown origin with surufatinib was 18.4%, 16.7% and 10.0% respectively while no response was observed in subgroups of hindgut or other origins.

Conclusions

Surufatinib demonstrated clinically significant benefits for pts with advanced well-differentiated extrapancreatic NETs compared to placebo. Results of this exploratory analysis were consistent with those reported for the SANET-ep primary analysis, and improved outcomes were observed across major subgroups.

Clinical trial identification

NCT02588170.

Legal entity responsible for the study

Hutchison MediPharma Limited.

Funding

Hutchison MediPharma Limited.

Disclosure

J. Li, J. He: Full/Part-time employment: Hutchison MediPharma Limited. W. Su: Shareholder/Stockholder/Stock options, Full/Part-time employment: Hutchison MediPharma Limited. All other authors have declared no conflicts of interest.

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