Early Detection of Erlotinib Treatment Response in NSCLC by 3′-Deoxy-3′-[18F]-Fluoro-L-Thymidine ([18F]FLT) Positron Emission Tomography (PET) Imaging EGFR Inhibition
2008

Early Detection of Lung Cancer Treatment Response Using PET Imaging

Sample size: 8 publication Evidence: moderate

Author Information

Author(s): Ullrich Roland T., Zander Thomas, Neumaier Bernd, Koker Mirjam, Shimamura Takeshi, Waerzeggers Yannic, Borgman Christa L., Tawadros Samir, Li Hongfeng, Sos Martin L., Backes Heiko, Shapiro Geoffrey I., Wolf Jürgen, Jacobs Andreas H., Thomas Roman K., Winkeler Alexandra

Primary Institution: Max Planck Institute for Neurological Research with Klaus-Joachim-Zülch-Laboratories of the Max Planck Society, Medical Faculty of the University of Cologne, Cologne, Germany

Hypothesis

Can [18F]FLT PET imaging identify early responses to EGFR inhibitors in lung cancer?

Conclusion

[18F]FLT PET imaging can reliably detect early responses to erlotinib treatment in EGFR-dependent lung tumors.

Supporting Evidence

  • Erlotinib-sensitive tumors showed a significant decrease in [18F]FLT uptake after two days of treatment.
  • The reduction in [18F]FLT PET signal correlated with cell cycle arrest and apoptosis.
  • Complete lack of [18F]FLT PET response was observed in tumors with the T790M resistance mutation.

Takeaway

This study shows that a special type of imaging can help doctors see if a lung cancer treatment is working just two days after starting it.

Methodology

The study compared [18F]FLT and [18F]FDG PET imaging to assess treatment response in EGFR-dependent lung cancer models.

Limitations

The study primarily used cell lines and animal models, which may not fully represent human responses.

Statistical Information

P-Value

0.04

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0003908

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