Clinical utility of a protein-based oncopanel in patients with end-stage head and neck cancer

Author:

Doescher Johannes1ORCID,Weissinger Stephanie E2,Schönsteiner Stefan S3,Lisson Catharina4,Bullinger Lars35,Barth Thomas FE2,Leithäuser Frank2,Mueller-Richter Urs6,Laban Simon1,Hoffmann Thomas K1,Möller Peter2,Lennerz Jochen K27,Schuler Patrick J1

Affiliation:

1. Department of Otorhinolaryngology, Head & Neck Surgery, University of Ulm, Germany

2. Department of Pathology, University of Ulm, Germany

3. Department of Internal Medicine III, University of Ulm, Germany

4. Department of Radiology, University of Ulm, Germany

5. Department of Internal Medicine, Division of Hematology, Oncology & Tumor Immunology, Charité University Medicine, Berlin, Germany

6. Department of Oral & Maxillofacial Plastic Surgery, University of Würzburg, Germany

7. Department of Pathology, Center for Integrated Diagnostics, Massachusetts General Hospital/Harvard Medical School, Boston, MA 02114, USA

Abstract

Aim: In a prospective clinical initiative, we selected heavily pretreated head and neck carcinoma patients and assessed the clinical utility of a protein-based oncopanel for identification of potential targetable markers. Patients & methods: Tumor samples of 45 patients were evaluated using a 12-marker immunohistochemistry panel. The primary end point was the prevalence of potentially actionable markers. Results: At least one expressed marker in each case could be identified. We noted a high prevalence of EGFR (80%, 39/45) and MET (57.4%, 28/45). Three patients received oncopanel-based therapy with variable results. Conclusion: Despite the limited number of treated subjects, oncopanel analysis in end-stage head and neck cancer is operationally and technically feasible. Combination with targeted next generation sequencing might provide additional therapy options.

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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