RETRACTED: Pre-treatment levels of circulating free IGF-1 identify NSCLC patients who derive clinical benefit from figitumumab (Retracted article. See vol. 107, pg. 2024, 2012)

被引:69
作者
Gualberto, A. [1 ,2 ]
Hixon, M. L. [2 ]
Karp, D. D. [3 ]
Li, D. [1 ]
Green, S. [1 ]
Dolled-Filhart, M. [4 ]
Paz-Ares, L. G. [5 ]
Novello, S. [6 ]
Blakely, J. [7 ]
Langer, C. J. [8 ]
Pollak, M. N. [9 ]
机构
[1] Pfizer Oncol, Dept Clin Dev & Med Affairs, New London, CT 06320 USA
[2] Brown Univ, Warren Alpert Med Sch, Dept Pathol & Lab Med, Providence, RI 02903 USA
[3] Univ Texas Houston, MD Anderson Canc Ctr, Dept Thorac Oncol, Houston, TX 77030 USA
[4] HistoRx Inc, New Haven, CT 06511 USA
[5] Virgen del Rocio Univ Hosp, Dept Med Oncol, Seville 41013, Spain
[6] Univ Turin, Dept Med Oncol, I-10043 Turin, Italy
[7] West Clin, Dept Med Oncol, Memphis, TN 38120 USA
[8] Univ Penn, Abramson Canc Ctr, Div Hematol Oncol, Philadelphia, PA 19104 USA
[9] McGill Univ, Dept Med Oncol, Montreal, PQ H3T 1E2, Canada
关键词
IGF-IR; IGF-1; figitumumab; NSCLC; GROWTH-FACTOR-I; CELL LUNG-CANCER; ELDERLY POPULATION; BINDING PROTEIN-3; INSULIN; BIOACTIVITY; IGFBP-1; COMBINATION; CP-751,871; EXPRESSION;
D O I
10.1038/sj.bjc.6605972
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Phase III trials of the anti-insulin-like growth factor type 1 receptor (IGF-IR) antibody figitumumab (F) in unselected non-small-cell lung cancer (NSCLC) patients were recently discontinued owing to futility. Here, we investigated a role of free IGF-1 (fIGF-1) as a potential predictive biomarker of clinical benefit from F treatment. MATERIALS AND METHODS: Pre-treatment circulating levels of fIGF-1 were tested in 110 advanced NSCLC patients enrolled in a phase II study of paclitaxel and carboplatin given alone (PC) or in combination with F at doses of 10 or 20 mg kg(-1) (PCF10, PCF20). RESULTS: Cox proportional hazards model interactions were between 2.5 and 3.5 for fIGF-1 criteria in the 0.5-0.9 ng ml(-1) range. Patients above each criterion had a substantial improvement in progression-free survival on PCF20 related to PC alone. Free IGF-1 correlated inversely with IGF binding protein 1 (IGFBP-1, rho = -0.295, P = 0.005), and the pre-treatment ratio of insulin to IGFBP-1 was also predictive of F clinical benefit. In addition, fIGF-1 levels correlated with tumour vimentin expression (rho = 0.594, P = 0.021) and inversely with E-cadherin (rho = -0.389, P = 0.152), suggesting a role for fIGF-1 in tumour de-differentiation. CONCLUSION: Free IGF-1 may contribute to the identification of a subset of NSCLC patients who benefit from F therapy. British Journal of Cancer (2011) 104, 68-74. doi:10.1038/sj.bjc.6605972 www.bjcancer.com Published online 23 November 2010 (C) 2011 Cancer Research UK
引用
收藏
页码:68 / 74
页数:7
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