PMID- 19272639 OWN - NLM STAT- MEDLINE DCOM- 20090518 LR - 20211020 IS - 1095-6859 (Electronic) IS - 0090-8258 (Print) IS - 0090-8258 (Linking) VI - 113 IP - 3 DP - 2009 Jun TI - Associations between ERBB2 amplification and progression-free survival and overall survival in advanced stage, suboptimally-resected epithelial ovarian cancers: a Gynecologic Oncology Group Study. PG - 341-7 LID - 10.1016/j.ygyno.2009.02.009 [doi] AB - OBJECTIVE(S): The Gynecologic Oncology Group (GOG) examined the association between ERBB2 amplification and clinical covariates, tumor response, disease status post-chemotherapy, progression-free survival (PFS), and overall survival (OS) in epithelial ovarian cancer (EOC). METHODS: Women with suboptimally-resected, advanced stage EOC who participated in GOG-111, a multi-center randomized phase III trial of cyclophosphamide+cisplatin versus paclitaxel+cisplatin, and provided a tumor block through the companion protocol GOG-9404 were eligible. ERBB2 amplification was examined using fluorescence in situ hybridization (FISH) with probes for ERBB2 and the centromere of chromosome 17 (CEP17). RESULTS: ERBB2 amplification, defined as >2 copies of ERBB2/CEP17, was a rare event in EOC with 7% (9/133) of women exhibiting between 2.2 and 33.7 copies of ERBB2/CEP17, and was not associated with patient age, race, GOG performance status, stage, cell type, grade, measurable disease status, volume of ascites, tumor response or disease status post-chemotherapy. Women with >2 verses < or =2 copies of ERBB2/CEP17 did not have a reduced risk of disease progression (hazard ratio [HR]=0.56; 95% confidence interval [CI]=0.27-1.16; p=0.120) or death (HR=0.57; 95% CI=0.26-1.23; p=0.152), and ERBB2 amplification was not an independent prognostic factor for PFS or OS. ERBB2 amplification, defined as >4 copies of ERBB2/nuclei, was observed in 9% (12/133) of women with levels ranging from 4.2 to 49.2 copies of ERBB2/nuclei, and was associated with older age and volume of ascites, but not with the other clinical covariates or outcome. CONCLUSION(S): ERBB2 amplification is a rare event and has no predictive or prognostic value in suboptimally-resected, advanced stage EOC treated with platinum-based combination chemotherapy. FAU - Farley, John AU - Farley J AD - Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA. FAU - Fuchiuji, Sartoru AU - Fuchiuji S FAU - Darcy, Kathleen M AU - Darcy KM FAU - Tian, Chunqiao AU - Tian C FAU - Hoskins, William J AU - Hoskins WJ FAU - McGuire, William P AU - McGuire WP FAU - Hanjani, Parviz AU - Hanjani P FAU - Warshal, David AU - Warshal D FAU - Greer, Benjamin E AU - Greer BE FAU - Belinson, Jerome AU - Belinson J FAU - Birrer, Michael J AU - Birrer MJ LA - eng GR - U10 CA037517/CA/NCI NIH HHS/United States GR - Z01 SC000164/ImNIH/Intramural NIH HHS/United States GR - CA 37517/CA/NCI NIH HHS/United States GR - CA 27469/CA/NCI NIH HHS/United States GR - U10 CA027469/CA/NCI NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural DEP - 20090309 PL - United States TA - Gynecol Oncol JT - Gynecologic oncology JID - 0365304 SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Clinical Trials, Phase II as Topic MH - Disease Progression MH - Disease-Free Survival MH - Female MH - *Gene Amplification MH - *Genes, erbB-2 MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Ovarian Neoplasms/drug therapy/*genetics MH - Prognosis MH - Randomized Controlled Trials as Topic MH - Young Adult PMC - PMC6944288 MID - NIHMS1064764 COIS- Conflict of interest statement The authors declare that there are no conflicts of interest with the exception of Dr. William J. Hoskins who reports that he is CoChair NCI Gynecologic Cancer Steering Committee, Member of the Executive Board of ACOG, Investor of Chestnut Medical and his spouse is the Vice President of the ACOG. EDAT- 2009/03/11 09:00 MHDA- 2009/05/19 09:00 PMCR- 2020/01/06 CRDT- 2009/03/11 09:00 PHST- 2008/12/11 00:00 [received] PHST- 2009/01/29 00:00 [revised] PHST- 2009/02/04 00:00 [accepted] PHST- 2009/03/11 09:00 [entrez] PHST- 2009/03/11 09:00 [pubmed] PHST- 2009/05/19 09:00 [medline] PHST- 2020/01/06 00:00 [pmc-release] AID - S0090-8258(09)00081-X [pii] AID - 10.1016/j.ygyno.2009.02.009 [doi] PST - ppublish SO - Gynecol Oncol. 2009 Jun;113(3):341-7. doi: 10.1016/j.ygyno.2009.02.009. Epub 2009 Mar 9.