Early imaging and molecular changes with neoadjuvant bevacizumab in stage ii/iii breast cancer

López-Vega J.M. ; Álvarez I. ; Antón Torres, A. (Universidad de Zaragoza) ; Illarramendi J.J. ; Llombart A. ; Boni V. ; García-Velloso M.J. ; Martí-Climent J.M. ; Pina L. ; García-Foncillas J.

Resumen: This prospective, phase II study evaluated novel biomarkers as predictors of response to bevacizumab in patients with breast cancer (BC), using serial imaging methods and gene expression analysis. Patients with primary stage II/III BC received bevacizumab 15 mg/kg (cycle 1; C1), then four cycles of neoadjuvant docetaxel doxorubicin, and bevacizumab every 3 weeks (C2–C5). Tumour proliferation and hypoxic status were evaluated using18F-fluoro-3'-deoxy-3'-L-fluorothymidine (FLT)-and18F-fluoromisonidazole (FMISO)-positron emission tomography (PET) at baseline, and during C1 and C5. Pre-and post-bevacizumab vascular changes were evaluated using dynamic contrastenhanced magnetic resonance imaging (DCE-MRI). Molecular biomarkers were assessed using microarray analysis. A total of 70 patients were assessed for treatment efficacy. Significant decreases from baseline in tumour proliferation (FLT-PET), vascularity, and perfusion (DCE-MRI) were observed during C1 (p = 0.001), independent of tumour subtype. Bevacizumab treatment did not affect hypoxic tumour status (FMISO-PET). Significant changes in the expression of 28 genes were observed after C1. Changes in vascular endothelial growth factor receptor (VEGFR)-2p levels were observed in 65 patients, with a > 20% decrease in VEGFR-2p observed in 13/65. Serial imaging techniques. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Idioma: Inglés

DOI: 10.3390/cancers13143511

Año: 2021

Publicado en: Cancers 13, 14 (2021), 3511 [17 pp]
ISSN: 2072-6694

Factor impacto JCR: 6.575 (2021)

Categ. JCR: ONCOLOGY rank: 60 / 245 = 0.245 (2021) - Q1 - T1

Factor impacto CITESCORE: 5.8 - Medicine (Q1) - Biochemistry, Genetics and Molecular Biology (Q2)

Factor impacto SCIMAGO: 1.349 - Oncology (Q1) - Cancer Research (Q1)

Tipo y forma: Article (Published version)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)