A modified Trastuzumab antibody for the immunohistochemical detection of HER-2 overexpression in breast cancer
2005

New Antibody Test for Breast Cancer

Sample size: 164 publication 10 minutes Evidence: moderate

Author Information

Author(s): Bussolati G, Montemurro F, Righi L, Donadio M, Aglietta M, Sapino A

Primary Institution: University of Turin, Torino, Italy

Hypothesis

Can a modified Trastuzumab antibody improve the detection of HER-2 overexpression in breast cancer?

Conclusion

The modified Trastuzumab antibody, BiotHER, can accurately detect HER-2 overexpression and predict clinical outcomes in breast cancer patients treated with Trastuzumab.

Supporting Evidence

  • BiotHER staining was detected in 50% of tumours with HER-2 amplification.
  • BiotHER positivity was independently associated with increased likelihood of tumour response.
  • The combination of chemotherapy plus Trastuzumab produced a 74% response rate.

Takeaway

Researchers created a new test using a special antibody to help find breast cancer patients who can benefit from a specific treatment.

Methodology

The study involved modifying Trastuzumab to create BiotHER, which was tested on breast cancer samples to assess its ability to detect HER-2 overexpression and predict treatment outcomes.

Potential Biases

Potential bias due to retrospective analysis and variability in tissue processing methods.

Limitations

The study had a small sample size and results should be confirmed in larger trials.

Participant Demographics

54 women with HER-2 amplified advanced breast cancer, median age 55 years.

Statistical Information

P-Value

0.03

Confidence Interval

95% CI 61–84%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602507

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