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Karger Publishers, Oncology, 6(94), p. 373-382

DOI: 10.1159/000486896

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A Prospective Observational Study Evaluating the Correlation of <b><i>c-MET</i></b> Expression and <b><i>EGFR</i></b> Gene Mutation with Response to Erlotinib as Second-Line Treatment for Patients with Advanced/Metastatic Non-Small-Cell Lung Cancer

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

<b><i>Objectives:</i></b> We aimed to evaluate the prevalence and predictive role of <i>c-MET</i> expression and <i>EGFR</i> mutation in the efficacy of erlotinib in non-small-cell lung cancer (NSCLC). <b><i>Methods:</i></b> We prospectively recruited 196 patients with stage IV or recurrent NSCLC treated with erlotinib after failure of first-line chemotherapy. Immunohistochemistry was used to evaluate <i>c-MET</i> overexpression, silver in situ hybridization (SISH) to assess gene copy number, and real-time polymerase chain reaction to detect <i>EGFR</i> mutations, respectively, in tumor tissue. <b><i>Results:</i></b> The major histologic type was adenocarcinoma (66.8%). <i>c-MET</i> was overexpressed in 55.8% (87/156) and dominant in females as well as non-squamous histology. Although <i>c-MET</i> gene amplification and high polysomy were observed in 2.0% (3/152) and 11.2% (17/152), they did not correlate with any characteristics. <i>EGFR</i> mutation was detected in 13.1% (20/153). The objective response rate of erlotinib was higher (61.1 vs. 3.7%, <i>p</i> &#x3c; 0.001) and the median progression-free survival (PFS) was longer (10.2 vs. 1.9 months, <i>p</i> &#x3c; 0.001) in EGFR-sensitizing mutations. However, <i>c-MET</i> positivity did not show a significant correlation with response to erlotinib or PFS. <b><i>Conclusion:</i></b> We reconfirmed <i>EGFR</i> mutation as a strong predictive marker of NSCLC. However, <i>c-MET</i> positivity was not associated with response or PFS, although <i>c-MET</i> overexpression correlated with some clinical characteristics.