Prospective Exploratory Analysis of Angiogenic Biomarkers in Peripheral Blood in Advanced NSCLC Patients Treated With Bevacizumab Plus Chemotherapy: The ANGIOMET Study

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Jantus-Lewintre, E
  • Sureda, BM
  • Larriba, JLG
  • Rodriguez-Abreu, D
  • Blasco, A
  • Domine, M
  • Pulla, MP
  • Garde, J
  • Alvarez, R
  • Maestu, I
  • de Carrion, RP
  • Artal, A
  • Rolfo, C
  • de Castro, J
  • Guillot, M
  • Oramas, J
  • de las Penas, R
  • Ferrera, L
  • Martinez, N
  • Serra, O
  • Rosell, R
  • Camps, C
  • Grp Espanol Canc Pulmon GECP

Grupos

Abstract

Finding angiogenic prognostic markers in advanced non-small-cell lung cancer is still an unmet medical need. We explored a set of genetic variants in the VEGF-pathway as potential biomarkers to predict clinical outcomes of patients with non-small-cell lung cancer treated with chemotherapy plus bevacizumab. We prospectively analyzed the relationship between VEGF-pathway components with both pathological and prognostic variables in response to chemotherapy plus bevacizumab in 168 patients with non-squamous non-small-cell lung cancer. Circulating levels of VEGF and VEGFR2 and expression of specific endothelial surface markers and single-nucleotide polymorphisms in VEGF-pathway genes were analyzed. The primary clinical endpoint was progression-free survival. Secondary endpoints included overall survival and objective tumor response. VEGFR-1 rs9582036 variants AA/AC were associated with increased progression-free survival (p = 0.012 and p = 0.035, respectively), and with improved overall survival (p = 0.019) with respect to CC allele. Patients with VEGF-A rs3025039 harboring allele TT had also reduced mortality risk (p = 0.049) compared with the CC allele. The VEGF-A rs833061 variant was found to be related with response to treatment, with 61.1% of patients harboring the CC allele achieving partial treatment response. High pre-treatment circulating levels of VEGF-A were associated with shorter progression-free survival (p = 0.036). In conclusion, in this prospective study, genetic variants in VEGFR-1 and VEGF-A and plasma levels of VEGF-A were associated with clinical benefit, progression-free survival, or overall survival in a cohort of advanced non-squamous non-small-cell lung cancer patients receiving chemotherapy plus antiangiogenic therapy.

Datos de la publicación

ISSN/ISSNe:
2234-943X, 2234-943X

Frontiers in Oncology  Frontiers Media S.A.

Tipo:
Article
Páginas:
695038-695038
PubMed:
34381717
Factor de Impacto:
1,291 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 3

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Keywords

  • liquid biopsy; biomarkers; NSCLC; angiogenesis; VEGF

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