PMID- 17998285 OWN - NLM STAT- MEDLINE DCOM- 20080318 LR - 20200203 IS - 1569-8041 (Electronic) IS - 0923-7534 (Linking) VI - 19 IP - 2 DP - 2008 Feb TI - Serum HER2 extracellular domain predicts an aggressive clinical outcome and biological PSA response in hormone-independent prostate cancer patients treated with docetaxel. PG - 269-75 AB - BACKGROUND: Human epidermal growth factor receptor 2 (HER2) overexpression has been linked to hormone-independent prostate cancer (HIPC) progression. Its clinical value and correlation with therapy is not defined. PATIENTS AND METHODS: Patients with HIPC treated with docetaxel (Taxotere) were prospectively tested for serum HER2 extracellular domain (ECD) by immunoanalysis. HER2 was determined by immunohistochemistry and fluorescence in situ hybridization (FISH) in tumor samples. RESULTS: Sixty-nine patients were included. Twenty-four (34.8%) patients had high HER2 ECD (>15 ng/ml). Prostate-specific antigen (PSA) response was 58% for patients with low HER2 ECD and 36% for patients with high HER2 ECD (P = 0.046). HER2 ECD levels were an independent prognostic factor for time to PSA progression [hazard ratio (HR) 2.82; 95% confidence interval (CI) 1.22-6.50; P = 0.015] and overall survival (HR 3.24; 95% CI 1.38-7.59; P = 0.007). Tissue samples from 17 patients were tested for HER2. Patients with negative HER2 tissue expression had lower HER2 ECD levels (median 10.5 +/- 2.7 versus 30.5 +/- 24.8 ng/ml; P = 0.016). FISH was negative in all samples. CONCLUSIONS: High HER2 ECD levels in serum are associated with a worst clinical outcome of HIPC patients treated with docetaxel. FAU - Domingo-Domenech, J AU - Domingo-Domenech J AD - Department of Medical Oncology and Laboratory of Experimental Oncology, Institut Clinic de Malalties Hemato-Oncologiques, Barcelona, Spain. FAU - Fernandez, P L AU - Fernandez PL FAU - Filella, X AU - Filella X FAU - Martinez-Fernandez, A AU - Martinez-Fernandez A FAU - Molina, R AU - Molina R FAU - Fernandez, E AU - Fernandez E FAU - Alcaraz, A AU - Alcaraz A FAU - Codony, J AU - Codony J FAU - Gascon, P AU - Gascon P FAU - Mellado, B AU - Mellado B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071112 PL - England TA - Ann Oncol JT - Annals of oncology : official journal of the European Society for Medical Oncology JID - 9007735 RN - 0 (Antineoplastic Agents, Hormonal) RN - 0 (Biomarkers, Tumor) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Hormonal/adverse effects/therapeutic use MH - Biomarkers, Tumor/*blood MH - Disease Progression MH - Docetaxel MH - Drug Resistance, Neoplasm MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Staging MH - Predictive Value of Tests MH - Prognosis MH - Proportional Hazards Models MH - Prospective Studies MH - Prostate-Specific Antigen/*blood/drug effects MH - Prostatic Neoplasms/*blood/*drug therapy/mortality/pathology MH - Receptor, ErbB-2/*blood MH - Survival Analysis MH - Taxoids/*therapeutic use MH - Treatment Outcome EDAT- 2007/11/14 09:00 MHDA- 2008/03/19 09:00 CRDT- 2007/11/14 09:00 PHST- 2007/11/14 09:00 [pubmed] PHST- 2008/03/19 09:00 [medline] PHST- 2007/11/14 09:00 [entrez] AID - S0923-7534(19)41344-6 [pii] AID - 10.1093/annonc/mdm490 [doi] PST - ppublish SO - Ann Oncol. 2008 Feb;19(2):269-75. doi: 10.1093/annonc/mdm490. Epub 2007 Nov 12.