Ohlmann, Carsten-Henning, Markert, Eva, Gerharz, Michael, Dienes, Hans-Peter, Stoeckle, Michael, Engelmann, Udo and Heidenreich, Axel (2011). Improving the efficacy of targeted trials by multiple-marker analysis in castration-resistant prostate cancer. Urol. Oncol.-Semin. Orig. Investig., 29 (6). S. 664 - 670. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-2496
Full text not available from this repository.Abstract
Objectives: In order to improve the efficacy of targeted therapy trials, the expression profiles of several molecular markers that are potential candidates for targeted therapy were analyzed in patients with progressive castration-resistant prostate cancer. Methods and materials: Paraffin-embedded samples of tumor tissue from 51 patients obtained from biopsies of metastases or remaining prostates were analyzed immunohistochemically for the expression of EGFR, PDGFR beta, Her-2/neu, c-Kit, and VEGF. Staining was analyzed according to the percentage of positively stained tumor cells and the intensity of staining. Results: According to the different cut-off values of 10%, 30%, 50%, or 70% for the percentage of positively stained cells, different rates of expression were found. Expression rates ranged from 30.6% to 61.2% for EGFR, from 34.7% to 57.1% for PDGFR beta, from 9.6% to 28.8% for Her-2/neu, from 12.5% to 22.4% for c-Kit, and from 51.1% to 74.5% for VEGF. Defining positive expression as >= 30% positively stained tumor cells, with an intensity of staining of >= 2+, resulted in positive expression of EGFR in 38.8%, PDGFR beta in 24.5%, Her-2/neu in 13.5%, c-Kit in 6.4%, and VEGF in 44.7% of the patients. Conclusions: Our results demonstrate simultaneous expression of several markers in castration-resistant prostate cancer tissue. Translation of the results into modern, multi-arm clinical trial designs will improve the efficacy of recruiting and obtaining results, compared with multiple double-arm trials. (C) 2011 Elsevier Inc. All rights reserved.
Item Type: | Journal Article | ||||||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-485953 | ||||||||||||||||||||||||||||||||
DOI: | 10.1016/j.urolonc.2009.09.010 | ||||||||||||||||||||||||||||||||
Journal or Publication Title: | Urol. Oncol.-Semin. Orig. Investig. | ||||||||||||||||||||||||||||||||
Volume: | 29 | ||||||||||||||||||||||||||||||||
Number: | 6 | ||||||||||||||||||||||||||||||||
Page Range: | S. 664 - 670 | ||||||||||||||||||||||||||||||||
Date: | 2011 | ||||||||||||||||||||||||||||||||
Publisher: | ELSEVIER SCIENCE INC | ||||||||||||||||||||||||||||||||
Place of Publication: | NEW YORK | ||||||||||||||||||||||||||||||||
ISSN: | 1873-2496 | ||||||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/48595 |
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