MURAGAKI Yoshihiro
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Visiting Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Epidermal growth factor receptor (EGFR) amplification rates observed in screening patients for randomized trials in glioblastoma
Journal Formal name:Journal of neuro-oncology
Abbreviation:J Neurooncol
ISSN code:0167594X/15737373
Domestic / ForeginForegin
Volume, Issue, Page 144(1),pp.205-210
Author and coauthor LASSMAN Andrew B†., ALDAPE Kenneth D. , ANSELL Peter J. , BAIN Earle , CURRAN Walter J., EOIL Marica , FRENCH Pim J. , KINOSHITA Manabu , LOOMAN Jim , MRHTA Minesh, MURAGAKI Yoshihiro, NARITA Yoshitaka, OCAMPO Christopher , LISA Roberts-Rapp, SONG Minghao , VOGELBAUM Michael A., WALENKAMP Annemiek M. E., WANG Tony J. C. , ZHANG Peixin, van den BENT Martin J.
Publication date 2019/08
Summary Purpose
Epidermal growth factor receptor (EGFR) amplification has been reported to occur in ~ 50% of glioblastomas (GBMs). We are conducting several global studies that require central testing for EGFR amplification during screening, representing an opportunity to confirm the frequency of amplification in GBM in a large cohort and to evaluate whether EGFR amplification differs by region of the world.

Methods
EGFR amplification was measured by fluorescence in situ hybridization during screening for therapeutic trials of an EGFR antibody–drug conjugate: two Phase 2/3 global trials (INTELLANCE-1, INTELLANCE-2), and a Japanese Phase 1/2 trial (INTELLANCE-J). We evaluated the proportion of tumor tissue samples harboring EGFR amplification among those tested and differences in amplification frequency by geography.

Results
EGFR was amplified in 54% of 3150 informative cases screened for INTELLANCE-1 and -2, consistent with historic controls, but was significantly lower in patients from Asia versus the rest of the world (35% vs. 56%, P < 0.0030). The independent INTELLANCE-J trial validated this finding (33% amplified of 153 informative cases).

Conclusions
EGFR amplification occurs less frequently in patients from Asia than elsewhere. Further study is required to understand biological differences to optimize treatment in glioblastoma.
DOI 10.1007/s11060-019-03222-y
PMID 31273577