Reference : Molecular-Based Recursive Partitioning Analysis Model for Glioblastoma in the Temozol...
Scientific journals : Article
Life sciences : Genetics & genetic processes
http://hdl.handle.net/2268/206590
Molecular-Based Recursive Partitioning Analysis Model for Glioblastoma in the Temozolomide Era: A Correlative Analysis Based on NRG Oncology RTOG 0525.
English
Bell, Erica Hlavin [> >]
Pugh, Stephanie L. [> >]
McElroy, Joseph P. [> >]
Gilbert, Mark R. [> >]
Mehta, Minesh [> >]
Klimowicz, Alexander C. [> >]
Magliocco, Anthony [> >]
Bredel, Markus [> >]
Robe, Pierre mailto [Université de Liège > Département des sciences biomédicales et précliniques > Département des sciences biomédicales et précliniques >]
Grosu, Anca-L. [> >]
Stupp, Roger [> >]
Curran, Walter Jr [> >]
Becker, Aline P. [> >]
Salavaggione, Andrea L. [> >]
Barnholtz-Sloan, Jill S. [> >]
Aldape, Kenneth [> >]
Blumenthal, Deborah T. [> >]
Brown, Paul D. [> >]
Glass, Jon [> >]
Souhami, Luis [> >]
Lee, R. Jeffrey [> >]
Brachman, David [> >]
Flickinger, John [> >]
Won, Minhee [> >]
Chakravarti, Arnab [> >]
2017
JAMA Oncology
Yes (verified by ORBi)
International
2374-2437
2374-2445
United States
[en] Importance: There is a need for a more refined, molecularly based classification model for glioblastoma (GBM) in the temozolomide era. Objective: To refine the existing clinically based recursive partitioning analysis (RPA) model by incorporating molecular variables. Design, Setting, and Participants: NRG Oncology RTOG 0525 specimens (n = 452) were analyzed for protein biomarkers representing key pathways in GBM by a quantitative molecular microscopy-based approach with semiquantitative immunohistochemical validation. Prognostic significance of each protein was examined by single-marker and multimarker Cox regression analyses. To reclassify the prognostic risk groups, significant protein biomarkers on single-marker analysis were incorporated into an RPA model consisting of the same clinical variables (age, Karnofsky Performance Status, extent of resection, and neurologic function) as the existing RTOG RPA. The new RPA model (NRG-GBM-RPA) was confirmed using traditional immunohistochemistry in an independent data set (n = 176). Main Outcomes and Measures: Overall survival (OS). Results: In 452 specimens, MGMT (hazard ratio [HR], 1.81; 95% CI, 1.37-2.39; P < .001), survivin (HR, 1.36; 95% CI, 1.04-1.76; P = .02), c-Met (HR, 1.53; 95% CI, 1.06-2.23; P = .02), pmTOR (HR, 0.76; 95% CI, 0.60-0.97; P = .03), and Ki-67 (HR, 1.40; 95% CI, 1.10-1.78; P = .007) protein levels were found to be significant on single-marker multivariate analysis of OS. To refine the existing RPA, significant protein biomarkers together with clinical variables (age, Karnofsky Performance Status, extent of resection, and neurological function) were incorporated into a new model. Of 166 patients used for the new NRG-GBM-RPA model, 97 (58.4%) were male (mean [SD] age, 55.7 [12.0] years). Higher MGMT protein level was significantly associated with decreased MGMT promoter methylation and vice versa (1425.1 for methylated vs 1828.0 for unmethylated; P < .001). Furthermore, MGMT protein expression (HR, 1.84; 95% CI, 1.38-2.43; P < .001) had greater prognostic value for OS compared with MGMT promoter methylation (HR, 1.77; 95% CI, 1.28-2.44; P < .001). The refined NRG-GBM-RPA consisting of MGMT protein, c-Met protein, and age revealed greater separation of OS prognostic classes compared with the existing clinically based RPA model and MGMT promoter methylation in NRG Oncology RTOG 0525. The prognostic significance of the NRG-GBM-RPA was subsequently confirmed in an independent data set (n = 176). Conclusions and Relevance: This new NRG-GBM-RPA model improves outcome stratification over both the current RTOG RPA model and MGMT promoter methylation, respectively, for patients with GBM treated with radiation and temozolomide and was biologically validated in an independent data set. The revised RPA has the potential to contribute to improving the accurate assessment of prognostic groups in patients with GBM treated with radiation and temozolomide and to influence clinical decision making. Trial Registration: clinicaltrials.gov Identifier: NCT00304031.
http://hdl.handle.net/2268/206590

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Restricted access
Molecular-based 2017 Robe.pdfPublisher postprint374.39 kBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.