PMID- 30999109 OWN - NLM STAT- MEDLINE DCOM- 20200625 LR - 20200625 IS - 1556-1380 (Electronic) IS - 1556-0864 (Linking) VI - 14 IP - 7 DP - 2019 Jul TI - Multicenter Evaluation of a Novel ROS1 Immunohistochemistry Assay (SP384) for Detection of ROS1 Rearrangements in a Large Cohort of Lung Adenocarcinoma Patients. PG - 1204-1212 LID - S1556-0864(19)30283-7 [pii] LID - 10.1016/j.jtho.2019.03.024 [doi] AB - INTRODUCTION: The detection of a ROS1 rearrangement in advanced and metastatic lung adenocarcinoma (LUAD) led to a targeted treatment with tyrosine kinase inhibitors with favorable progression-free survival and overall survival of the patients. Thus, it is mandatory to screen for the ROS1 rearrangement in all these patients. ROS1 rearrangements can be detected using break-apart fluorescence in situ hybridization (FISH), which is the gold standard; however, ROS1 immunohistochemistry (IHC) can be used as a screening test because it is widely available, easy and rapid to perform, and cost-effective. METHODS: We evaluated the diagnostic accuracy and interpathologist agreement of two anti-ROS1 IHC clones, SP384 (Ventana, Tucson, Arizona) and D4D6 (Cell Signaling, Danvers, Massachusetts), in a training cohort of 51 positive ROS1 FISH LUAD cases, and then in a large validation cohort of 714 consecutive cases of LUAD from six routine molecular pathology platforms. RESULTS: In the two cohorts, the SP384 and D4D6 clones show variable sensitivity and specificity rates on the basis of two cutoff points greater than or equal to 1+ (all % tumor cells) and greater than or equal to 2+ (>30% stained tumor cells). In the validation cohort, the D4D6 yielded the best accuracy for the presence of a ROS1 rearrangement by FISH. Interpathologist agreement was moderate to good (interclass correlation 0.722-0.874) for the D4D6 clone and good to excellent (interclass correlation: 0.830-0.956) for the SP384 clone. CONCLUSIONS: ROS1 IHC is an effective screening tool for the presence of ROS1 rearrangements. However, users must be acutely aware of the variable diagnostic performance of different anti-ROS1 antibodies before implementation into routine clinical practice. CI - Copyright (c) 2019 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved. FAU - Hofman, Veronique AU - Hofman V AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France; Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France; Universite Cote d'Azur, University Hospital Federation OncoAge, Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Nice, France. FAU - Rouquette, Isabelle AU - Rouquette I AD - CHU Toulouse, Department of Pathology, Toulouse, France. FAU - Long-Mira, Elodie AU - Long-Mira E AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France; Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France; Universite Cote d'Azur, University Hospital Federation OncoAge, Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Nice, France. FAU - Piton, Nicolas AU - Piton N AD - Charles Nicolle Hospital, Department of Pathology, Rouen, France. FAU - Chamorey, Emmanuel AU - Chamorey E AD - Antoine Lacassagne Comprehensive Cancer Center, Biostatistics Unit, Nice, France. FAU - Heeke, Simon AU - Heeke S AD - Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France. FAU - Vignaud, Jean Michel AU - Vignaud JM AD - CHU Nancy, Department of Pathology and Biobank (BB-0033-00035), Nancy, France. FAU - Yguel, Clemence AU - Yguel C AD - CHU Nancy, Department of Pathology and Biobank (BB-0033-00035), Nancy, France. FAU - Mazieres, Julien AU - Mazieres J AD - CHU Toulouse, Larrey Hospital, Universite Paul Sabatier, Toulouse, France. FAU - Lepage, Anne-Laure AU - Lepage AL AD - Normandie Universite, Department of Pathology, Caen, France. FAU - Bibeau, Frederic AU - Bibeau F AD - Normandie Universite, Department of Pathology, Caen, France. FAU - Begueret, Hugues AU - Begueret H AD - CHU Bordeaux, Department of Pathology, Pessac, France. FAU - Lassalle, Sandra AU - Lassalle S AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France; Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France. FAU - Lalvee, Salome AU - Lalvee S AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France. FAU - Zahaf, Katia AU - Zahaf K AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France. FAU - Benzaquen, Jonathan AU - Benzaquen J AD - Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France; Universite Cote d'Azur, University Hospital Federation OncoAge, Department of Pulmonary Medicine and Thoracic Oncology, Nice, France. FAU - Poudenx, Michel AU - Poudenx M AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Department of Pulmonary Medicine and Thoracic Oncology, Nice, France. FAU - Marquette, Charles-Hugo AU - Marquette CH AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Department of Pulmonary Medicine and Thoracic Oncology, Nice, France. FAU - Sabourin, Jean-Christophe AU - Sabourin JC AD - Charles Nicolle Hospital, Department of Pathology, Rouen, France. FAU - Ilie, Marius AU - Ilie M AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France; Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France; Universite Cote d'Azur, University Hospital Federation OncoAge, Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Nice, France. FAU - Hofman, Paul AU - Hofman P AD - Universite Cote d'Azur, University Hospital Federation OncoAge, Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Nice, France; Universite Cote d'Azur, CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), University Hospital Federation OncoAge, Nice, France; Universite Cote d'Azur, University Hospital Federation OncoAge, Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Nice, France. Electronic address: hofman.p@chu-nice.fr. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20190415 PL - United States TA - J Thorac Oncol JT - Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer JID - 101274235 RN - 0 (Biomarkers, Tumor) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM MH - Adenocarcinoma of Lung/*diagnosis/genetics/metabolism MH - Biomarkers, Tumor/*analysis MH - Follow-Up Studies MH - *Gene Rearrangement MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*diagnosis/genetics/metabolism MH - Prognosis MH - Protein-Tyrosine Kinases/*genetics/*metabolism MH - Proto-Oncogene Proteins/*genetics/*metabolism MH - Retrospective Studies OTO - NOTNLM OT - D4D6 OT - Fluorescence in situ hybridization OT - Immunohistochemistry OT - Lung adenocarcinoma OT - ROS1 OT - SP384 EDAT- 2019/04/19 06:00 MHDA- 2020/06/26 06:00 CRDT- 2019/04/19 06:00 PHST- 2019/01/28 00:00 [received] PHST- 2019/03/06 00:00 [revised] PHST- 2019/03/19 00:00 [accepted] PHST- 2019/04/19 06:00 [pubmed] PHST- 2020/06/26 06:00 [medline] PHST- 2019/04/19 06:00 [entrez] AID - S1556-0864(19)30283-7 [pii] AID - 10.1016/j.jtho.2019.03.024 [doi] PST - ppublish SO - J Thorac Oncol. 2019 Jul;14(7):1204-1212. doi: 10.1016/j.jtho.2019.03.024. Epub 2019 Apr 15.