The use of trastuzumab in the treatment of hormone refractory prostate cancer; phase II trial

Purpose To investigate the efficacy and toxicity of the antibody to the HER‐2/neu receptor (trastuzumab, Herceptin®) in the treatment of advanced hormone‐refractory prostate cancer (HRPC). Materials and Methods Eighteen patients with HRPC were recruited for this phase II trial in which they received...

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Veröffentlicht in:The Prostate 2004-09, Vol.60 (4), p.332-337
Hauptverfasser: Ziada, Ali, Barqawi, Albaha, Glode, L. Michael, Varella-Garcia, Marileila, Crighton, Frances, Majeski, Susan, Rosenblum, Mark, Kane, Madeleine, Chen, Lin, Crawford, E. David
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container_end_page 337
container_issue 4
container_start_page 332
container_title The Prostate
container_volume 60
creator Ziada, Ali
Barqawi, Albaha
Glode, L. Michael
Varella-Garcia, Marileila
Crighton, Frances
Majeski, Susan
Rosenblum, Mark
Kane, Madeleine
Chen, Lin
Crawford, E. David
description Purpose To investigate the efficacy and toxicity of the antibody to the HER‐2/neu receptor (trastuzumab, Herceptin®) in the treatment of advanced hormone‐refractory prostate cancer (HRPC). Materials and Methods Eighteen patients with HRPC were recruited for this phase II trial in which they received trastuzumab for 12 weeks or until disease progression or unacceptable toxicity was documented. HER‐2 receptor overexpression was evaluated using immunohistochemistry (IHC) and dual‐color fluorescence in‐situ hybridization (FISH) assays. Results Trastuzumab as a single agent demonstrated little efficacy in treating HRPC. Two patients demonstrated stable disease based on a decrease in PSA level to less than 50% of baseline. No patient demonstrated a regression of radiographic bony or soft tissue metastatic disease. The medication was well tolerated in 16 patients (89%), and 2 patients (11%) had to be hospitalized for cardiac complications. Conclusions Trastuzumab (Herceptin®) as a single agent demonstrated poor efficacy in treating HRPC. Based on promising results in treating breast cancer with regimens using Herceptin® and cytotoxic agents, a similar combination approach might demonstrate better efficacy in treating HRPC. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/pros.20065
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Michael ; Varella-Garcia, Marileila ; Crighton, Frances ; Majeski, Susan ; Rosenblum, Mark ; Kane, Madeleine ; Chen, Lin ; Crawford, E. David</creator><creatorcontrib>Ziada, Ali ; Barqawi, Albaha ; Glode, L. Michael ; Varella-Garcia, Marileila ; Crighton, Frances ; Majeski, Susan ; Rosenblum, Mark ; Kane, Madeleine ; Chen, Lin ; Crawford, E. David</creatorcontrib><description>Purpose To investigate the efficacy and toxicity of the antibody to the HER‐2/neu receptor (trastuzumab, Herceptin®) in the treatment of advanced hormone‐refractory prostate cancer (HRPC). Materials and Methods Eighteen patients with HRPC were recruited for this phase II trial in which they received trastuzumab for 12 weeks or until disease progression or unacceptable toxicity was documented. HER‐2 receptor overexpression was evaluated using immunohistochemistry (IHC) and dual‐color fluorescence in‐situ hybridization (FISH) assays. Results Trastuzumab as a single agent demonstrated little efficacy in treating HRPC. Two patients demonstrated stable disease based on a decrease in PSA level to less than 50% of baseline. No patient demonstrated a regression of radiographic bony or soft tissue metastatic disease. The medication was well tolerated in 16 patients (89%), and 2 patients (11%) had to be hospitalized for cardiac complications. Conclusions Trastuzumab (Herceptin®) as a single agent demonstrated poor efficacy in treating HRPC. 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HER‐2 receptor overexpression was evaluated using immunohistochemistry (IHC) and dual‐color fluorescence in‐situ hybridization (FISH) assays. Results Trastuzumab as a single agent demonstrated little efficacy in treating HRPC. Two patients demonstrated stable disease based on a decrease in PSA level to less than 50% of baseline. No patient demonstrated a regression of radiographic bony or soft tissue metastatic disease. The medication was well tolerated in 16 patients (89%), and 2 patients (11%) had to be hospitalized for cardiac complications. Conclusions Trastuzumab (Herceptin®) as a single agent demonstrated poor efficacy in treating HRPC. 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Michael</au><au>Varella-Garcia, Marileila</au><au>Crighton, Frances</au><au>Majeski, Susan</au><au>Rosenblum, Mark</au><au>Kane, Madeleine</au><au>Chen, Lin</au><au>Crawford, E. David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of trastuzumab in the treatment of hormone refractory prostate cancer; phase II trial</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>60</volume><issue>4</issue><spage>332</spage><epage>337</epage><pages>332-337</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><abstract>Purpose To investigate the efficacy and toxicity of the antibody to the HER‐2/neu receptor (trastuzumab, Herceptin®) in the treatment of advanced hormone‐refractory prostate cancer (HRPC). 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subjects Antibodies, Monoclonal - adverse effects
Antibodies, Monoclonal - pharmacology
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized
Antineoplastic Agents - adverse effects
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
cancer
Carcinoma - drug therapy
Carcinoma - pathology
Disease Progression
Drug Resistance, Neoplasm
HER-2 receptor
Humans
Immunohistochemistry
In Situ Hybridization, Fluorescence
Infusions, Intravenous
Male
Middle Aged
prostate
Prostate-Specific Antigen - analysis
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - pathology
Receptor, ErbB-2 - biosynthesis
Trastuzumab
Treatment Outcome
title The use of trastuzumab in the treatment of hormone refractory prostate cancer; phase II trial
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