DK3152577T3 - Signifikans af intratumoral her2-heterogenitet i brystkræft og anvendelser hefar - Google Patents

Signifikans af intratumoral her2-heterogenitet i brystkræft og anvendelser hefar Download PDF

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DK3152577T3
DK3152577T3 DK15726957.2T DK15726957T DK3152577T3 DK 3152577 T3 DK3152577 T3 DK 3152577T3 DK 15726957 T DK15726957 T DK 15726957T DK 3152577 T3 DK3152577 T3 DK 3152577T3
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her2
sample
protein
tumor
ihc
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Hiro Nitta
James Ranger-Moore
Eslie Dennis
Mary T Padilla
Sasagu Kurozumi
Masafumi Kurosumi
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Ventana Med Syst Inc
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57407Specifically defined cancers
    • G01N33/57415Specifically defined cancers of breast
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    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6876Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
    • C12Q1/6883Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
    • C12Q1/6886Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material for cancer
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57484Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites
    • G01N33/57492Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites involving compounds localized on the membrane of tumor or cancer cells
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    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/106Pharmacogenomics, i.e. genetic variability in individual responses to drugs and drug metabolism
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    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/158Expression markers
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/52Predicting or monitoring the response to treatment, e.g. for selection of therapy based on assay results in personalised medicine; Prognosis

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Claims (9)

1. In vitro-fremgangsmåde til forudsigelse af modtagelighed for en HER2-rettet behandling via vurdering af HER2-heterogenitet i en tumor, hvilken fremgangsmåde omfatter: • at bringe en prøve af tumoren i kontakt med et antistof, der specifikt binder sig til HER2-protein, og påvisning af HER2-protein i prøven, • at bringe prøven af tumoren i kontakt med en nukleinsyreprobe, der specifikt binder til HER2-genomisk DNA, og påvisning af HER2-genamplifikationsstatus i prøven, • at score HER2-proteinet (IHC) og HER2-genet (DISH), hvor scoringen er kategoriseret som: o gruppe A for prøver, der udviser IHC 3+ og DISH+, o gruppe B for prøver, der udviser IHC 3+ og DISH-, o gruppe C for prøver, der udviser IHC 2+ og DISH+, o gruppe D for prøver, der udviser IHC 2+ og DISH-, o gruppe E for prøver, der udviser IHC 0, 1+ og DISH+, og o gruppe F for prøver, der udviser IHC 0, 1+ og DISH-, • at forudsige, at tumoren er modtagelig for den HER2-rettede behandling, hvis tumoren afslører et første foci, der har en første score, som er gruppe F, og et andet foci, der har en anden score, som er valgt fra gruppe A til gruppe E.
2. Fremgangsmåde ifølge krav 1, hvor fremgangsmåden endvidere omfatter analyse af en anden prøve af tumoren for østrogenreceptor (ER) og progesteronreceptor (PR), hvor tumoren forudsiges at være modtagelig for den HER2-rettede behandling, hvis ER og PR er negative, således at tumoren forstås som triple-negativ brystkræft (TNBC).
3. Fremgangsmåde ifølge krav 1, hvor fremgangsmåden endvidere omfatter: • at bringe en prøve af tumoren i kontakt med et antistof, der specifikt binder til østrogenreceptor (ER)-protein, og påvisning af ER-protein i prøven, • at bringe en prøve af tumoren i kontakt med et antistof, der specifikt binder til progesteronreceptor (PR)-protein, og påvisning af PR-protein i prøven, hvor tumoren forudsiges at være modtagelig for den HER2-rettede behandling, hvis ER og PR er negative, således at tumoren forstås som triple-negativ brystcancer (TNBC).
4. Fremgangsmåde ifølge et hvilket som helst af kravene 1 til 3, hvor den HER-2- rettede behandling er valgt fra gruppen bestående af trastuzumab, trastuzumab emtansin, pertuzumab, neratinib og lapatinib.
5. In vitro-fremgangsmåde til scoring en tumorprøve, hvilken fremgangsmåde omfatter: • at bringe tumorprøven i kontakt med et antistof, der specifikt binder til HER2-protein, og påvisning af HER2-protein i prøven, • at bringe tumorprøven i kontakt med en nukleinsyreprobe, der specifikt binder til HER2-genomisk DNA, og påvisning af HER2-genamplifikationsstatus i prøven, • at score HER2-proteinet (IHC) og HER2-genet (DISH), hvor scoringen er kategoriseret som: o gruppe A for prøver, der udviser IHC 3+ og DISH+, o gruppe B for prøver, der udviser IHC 3+ og DISH-, o gruppe C for prøver, der udviser IHC 2+ og DISH+, o gruppe D for prøver, der udviser IHC 2+ og DISH-, o gruppe E for prøver, der udviser IHC 0, 1+ og DISH+, og o gruppe F for prøver, der udviser IHC 0, 1+ og DISH-, • at score tumorprøven som heterogen, hvis tumoren afslører et første foci, der har en første score, som er gruppe F, og et andet foci, der har en anden score, som er valgt fra gruppe A til gruppe E.
6. Fremgangsmåde ifølge krav 5, hvor fremgangsmåden endvidere omfatter prognosticering af et fare forhold på mere end 5, hvis tumorprøven er scoret som heterogen.
7. Fremgangsmåde ifølge krav 5, hvor fremgangsmåden endvidere omfatter analyse af en anden prøve af tumoren for østrogenreceptor (ER) og progesteronreceptor (PR), hvor tumoren forudsiges at være modtagelig for en HER2-rettet behandling, hvis ER og PR er negative, således at tumoren forstås som triple-negativ brystkræft (TNBC).
8. Fremgangsmåde ifølge krav 5, hvor fremgangsmåden endvidere omfatter: • at bringe en prøve af tumoren i kontakt med et antistof, der specifikt binder til østrogenreceptor (ER)-protein, og påvisning af ER-protein i prøven, • at bringe en prøve af tumoren i kontakt med et antistof, der specifikt binder til progesteronreceptor (PR)-protein, og påvisning af PR-protein i prøven, hvor tumoren forudsiges at være modtagelig for den HER2-rettede behandling, hvis ER og PR er negative, således at tumoren forstås som værende triple-negativ brystcancer (TNBC).
9. Fremgangsmåde ifølge krav 7 eller 8, hvor fremgangsmåden endvidere omfatter prognosticering af en signifikant dårligere overlevelsesscore sammenlignet med en ikke-hetero gen score (RFS: P=0.0176; CSS: P=0.0199), hvis prøven scores som heterogen.
DK15726957.2T 2014-06-06 2015-06-03 Signifikans af intratumoral her2-heterogenitet i brystkræft og anvendelser hefar DK3152577T3 (da)

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US201462009057P 2014-06-06 2014-06-06
PCT/EP2015/062331 WO2015185595A1 (en) 2014-06-06 2015-06-03 Significance of intratumoral her2 heterogeneity in breast cancer and uses therefore

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US (1) US20170082627A1 (da)
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JP (1) JP6626097B2 (da)
AU (1) AU2015270575B2 (da)
CA (1) CA2948420A1 (da)
DK (1) DK3152577T3 (da)
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SG11201700207WA (en) 2014-07-11 2017-02-27 Genentech Inc Anti-pd-l1 antibodies and diagnostic uses thereof
WO2019224153A1 (en) 2018-05-21 2019-11-28 Genentech, Inc. Her2 heterogeneity as a biomarker in cancer
JP2021531790A (ja) 2018-07-27 2021-11-25 ベンタナ メディカル システムズ, インコーポレイテッド 自動化された原位置ハイブリッド形成分析のためのシステム
EP3844771A1 (en) 2018-08-31 2021-07-07 Ventana Medical Systems, Inc. Contextually adaptive digital pathology interface

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WO2015185595A1 (en) 2015-12-10
EP3152577A1 (en) 2017-04-12
EP3152577B1 (en) 2018-07-18
AU2015270575A1 (en) 2016-10-27
US20170082627A1 (en) 2017-03-23
CA2948420A1 (en) 2015-12-10
JP6626097B2 (ja) 2019-12-25
AU2015270575B2 (en) 2019-07-25
JP2017520001A (ja) 2017-07-20

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