Patritumab deruxtecan in HER2-negative breast cancer: part B results of the window-of-opportunity SOLTI-1805 TOT-HER3 trial and biological determinants of early response.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
11 Jul 2024
Historique:
received: 18 09 2023
accepted: 26 06 2024
medline: 12 7 2024
pubmed: 12 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

Patritumab deruxtecan (HER3-DXd) exhibits promising efficacy in breast cancer, with its activity not directly correlated to baseline ERBB3/HER3 levels. This research investigates the genetic factors affecting HER3-DXd's response in women with early-stage hormone receptor-positive and HER2-negative (HR+/HER2-) breast cancer. In the SOLTI-1805 TOT-HER3 trial, a single HER3-DXd dose was administered to 98 patients across two parts: 78 patients received 6.4 mg/kg (Part A), and 44 received a lower 5.6 mg/kg dose (Part B). The CelTIL score, measuring tumor cellularity and infiltrating lymphocytes from baseline to day 21, was used to assess drug activity. Part A demonstrated increased CelTIL score after one dose of HER3-DXd. Here we report CelTIL score and safety for Part B. In addition, the exploratory analyses of part A involve a comprehensive study of gene expression, somatic mutations, copy-number segments, and DNA-based subtypes, while Part B focuses on validating gene expression. RNA analyses show significant correlations between CelTIL responses, high proliferation genes (e.g., CCNE1, MKI67), and low expression of luminal genes (e.g., NAT1, SLC39A6). DNA findings indicate that CelTIL response is significantly associated with TP53 mutations, proliferation, non-luminal signatures, and a distinct DNA-based subtype (DNADX cluster-3). Critically, low HER2DX ERBB2 mRNA, correlates with increased HER3-DXd activity, which is validated through in vivo patient-derived xenograft  models. This study proposes chemosensitivity determinants, DNA-based subtype classification, and low ERBB2 expression as potential markers for HER3-DXd activity in HER2-negative breast cancer.

Identifiants

pubmed: 38992028
doi: 10.1038/s41467-024-50056-y
pii: 10.1038/s41467-024-50056-y
doi:

Substances chimiques

Receptor, ErbB-3 EC 2.7.10.1
Receptor, ErbB-2 EC 2.7.10.1
ERBB3 protein, human EC 2.7.10.1
Antibodies, Monoclonal, Humanized 0
ERBB2 protein, human EC 2.7.10.1
patritumab 86780VJI1Q
Broadly Neutralizing Antibodies 0
Antibodies, Monoclonal 0
trastuzumab deruxtecan 5384HK7574
Tumor Suppressor Protein p53 0
Antineoplastic Agents 0
TP53 protein, human 0
Trastuzumab P188ANX8CK
Camptothecin XT3Z54Z28A
Immunoconjugates 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5826

Subventions

Organisme : Breast Cancer Research Foundation (BCRF)
ID : BCRF-23-198

Informations de copyright

© 2024. The Author(s).

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Auteurs

Fara Brasó-Maristany (F)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Reveal Genomics, Barcelona, Spain.
Cancer Institute and Blood Diseases, Hospital Clinic de Barcelona, Barcelona, Spain.

Juan Manuel Ferrero-Cafiero (JM)

SOLTI Cancer Research Group, Barcelona, Spain.
University of Barcelona, Barcelona, Spain.

Claudette Falato (C)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.

Olga Martínez-Sáez (O)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Cancer Institute and Blood Diseases, Hospital Clinic de Barcelona, Barcelona, Spain.

Juan Miguel Cejalvo (JM)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Breast Cancer Biology Research Group, Biomedical Research Institute INCLIVA, Valencia, Spain.

Mireia Margelí (M)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, ICO - Institut Català d' Oncologia Badalona (Hospital Universitario Germans Trias i Pujol), Badalona, Spain.

Pablo Tolosa (P)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital 12 de Octubre, Madrid, Spain.

Francisco Javier Salvador-Bofill (FJ)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital Universitario Virgen del Rocio, Sevilla, Spain.

Josefina Cruz (J)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain.

Blanca González-Farré (B)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Pathology Department, Hospital Clinic of Barcelona, Barcelona, Spain.

Esther Sanfeliu (E)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Pathology Department, Hospital Clinic of Barcelona, Barcelona, Spain.

Andreu Òdena (A)

University of Barcelona, Barcelona, Spain.
Experimental Therapeutics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Violeta Serra (V)

Experimental Therapeutics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Francisco Pardo (F)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Reveal Genomics, Barcelona, Spain.

Ana María Luna Barrera (AM)

Centro Integral Oncológico Clara Campal HM (CIOCC), Madrid, Spain.

Miriam Arumi (M)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Breast Cancer Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Juan Antonio Guerra (JA)

Medical Oncology Department, Hospital de Fuenlabrada, Madrid, Spain.

Guillermo Villacampa (G)

SOLTI Cancer Research Group, Barcelona, Spain.

Rodrigo Sánchez-Bayona (R)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital 12 de Octubre, Madrid, Spain.

Eva Ciruelos (E)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Hospital 12 de Octubre, Madrid, Spain.

Martín Espinosa-Bravo (M)

SOLTI Cancer Research Group, Barcelona, Spain.
Breast Cancer Surgical Unit, Vall d' Hebron University Hospital, Barcelona, Spain.

Yann Izarzugaza (Y)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Fundación Jimenez Díaz, Madrid, Spain.

Patricia Galván (P)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Reveal Genomics, Barcelona, Spain.

Judith Matito (J)

Cancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Sonia Pernas (S)

SOLTI Cancer Research Group, Barcelona, Spain.
Bellvitge Biomedical Research Institute IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Medical Oncology Department, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.

Maria Vidal (M)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Cancer Institute and Blood Diseases, Hospital Clinic de Barcelona, Barcelona, Spain.

Anu Santhanagopal (A)

Research and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.

Dalila Sellami (D)

Research and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.

Stephen Esker (S)

Research and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.

Pang-Dian Fan (PD)

Research and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.

Fumitaka Suto (F)

Research and Development, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.

Ana Vivancos (A)

Cancer Genomics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

Tomás Pascual (T)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
SOLTI Cancer Research Group, Barcelona, Spain.
Cancer Institute and Blood Diseases, Hospital Clinic de Barcelona, Barcelona, Spain.

Aleix Prat (A)

Translational Genomics and Targeted Therapies in Solid Tumors, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain. alprat@clinic.cat.
SOLTI Cancer Research Group, Barcelona, Spain. alprat@clinic.cat.
Reveal Genomics, Barcelona, Spain. alprat@clinic.cat.
Cancer Institute and Blood Diseases, Hospital Clinic de Barcelona, Barcelona, Spain. alprat@clinic.cat.
Department of Medicine, University of Barcelona, Barcelona, Spain. alprat@clinic.cat.
Institute of Oncology (IOB)-Hospital Quirónsalud, Barcelona, Spain. alprat@clinic.cat.

Mafalda Oliveira (M)

SOLTI Cancer Research Group, Barcelona, Spain.
Medical Oncology Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Breast Cancer Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.

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