Ovarian cancer with high-level focal ERBB2 amplification responds to trastuzumab and pertuzumab.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_AB2F51C1A9EA
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Ovarian cancer with high-level focal ERBB2 amplification responds to trastuzumab and pertuzumab.
Journal
Gynecologic oncology reports
Author(s)
Thouvenin L., Charrier M., Clement S., Christinat Y., Tille J.C., Frigeri M., Homicsko K., Michielin O., Bodmer A., Chappuis P.O., McKee T.A., Tsantoulis P.
ISSN
2352-5789 (Print)
ISSN-L
2352-5789
Publication state
Published
Issued date
08/2021
Peer-reviewed
Oui
Volume
37
Pages
100787
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
Epithelial ovarian cancer (EOC) is usually diagnosed at an advanced stage and significantly contributes to cancer mortality in women. Despite multimodal treatment associating chemotherapy and surgery, most patients ultimately progress and require palliative systemic therapy. In EOC, the efficacy of anti-HER2 agents is minimal even after selecting patients for HER2 expression. ERBB2 gene amplification is observed in 3-10% of patients, depending on the specific method of detection and cutoffs. We report the case of a young woman with a FIGO stage IV high-grade serous ovarian cancer with an amplification of ERBB2. She was treated with the association of trastuzumab - pertuzumab after two lines of standard treatment and presented an excellent long-lasting partial response after 36 months of treatment. The association of trastuzumab and pertuzumab, without chemotherapy, has not been previously tested in this context and could be more efficacious than monotherapy with either agent. In addition, the significant benefit observed in this case could be attributed to the presence of a high-level focal amplification that is relatively rare and probably more specific than an increase in HER2 expression. In conclusion, prospective trials of the trastuzumab and pertuzumab combination should be considered in an appropriately selected EOC patient population.
Keywords
ERBB2 amplification, Ovarian cancer, Pertuzumab, Precision oncology, Trastuzumab
Pubmed
Web of science
Open Access
Yes
Create date
15/06/2021 15:57
Last modification date
12/01/2022 8:12
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