Details

Autor(en) / Beteiligte

• Yan, Yibing
• Wongchenko, Matthew J
• Robert, Caroline
• Larkin, James
• Ascierto, Paolo A
• Dréno, Brigitte
• Maio, Michele
• Garbe, Claus
• Chapman, Paul B
• Sosman, Jeffrey A
• Shi, Zhen
• Koeppen, Hartmut
• Hsu, Jessie J
• Chang, Ilsung
• Caro, Ivor
• Rooney, Isabelle
• McArthur, Grant A
• Ribas, Antoni

Titel

Genomic Features of Exceptional Response in Vemurafenib ± Cobimetinib-treated Patients with BRAF V600 -mutated Metastatic Melanoma

Ist Teil von

• Clinical cancer research, 2019-06, Vol.25 (11), p.3239-3246

Ort / Verlag

United States

Erscheinungsjahr

2019

Quelle

MEDLINE

Beschreibungen/Notizen

• Previous investigations identified transcriptional signatures associated with innate resistance to anti-programmed cell death protein 1 therapy in melanoma. This analysis aimed to increase understanding of the role of baseline genetic features in the variability of response to BRAF and MEK inhibitor therapy for -mutated metastatic melanoma. This exploratory analysis compared genomic features, using whole-exome and RNA sequencing, of baseline tumors from patients who had complete response versus rapid progression (disease progression at first postbaseline assessment) on treatment with cobimetinib combined with vemurafenib or vemurafenib alone. Associations of gene expression with progression-free survival or overall survival were assessed by Cox proportional hazards modeling. Whole-exome sequencing showed that and alterations were more frequent in tumors from patients with rapid progression, while alterations were more frequent in tumors from patients with complete response. However, the low frequency of alterations in any one gene precluded their characterization as drivers of response/resistance. Analysis of RNA profiles showed that expression of immune response-related genes was enriched in tumors from patients with complete response, while expression of keratinization-related genes was enriched in tumors from patients who experienced rapid progression. These findings suggest that enriched immune infiltration might be a shared feature favoring response to both targeted and immune therapies, while features of innate resistance to targeted and immune therapies were distinct.