Development of an immunofluorescent AR-V7 circulating tumor cell assay – A blood-based test for men with metastatic prostate cancer

Autor: David Lu, Rachel Krupa, Melissa Harvey, Ryon P. Graf, Nicole Schreiber, Ethan Barnette, Emily Carbone, Adam Jendrisak, Audrey Gill, Sarah Orr, Howard I. Scher, Joseph Daniel Schonhoft
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Circulating Biomarkers, Vol 9, Iss 1, Pp 13-19 (2020)
Druh dokumentu: article
ISSN: 1849-4544
DOI: 10.33393/jcb.2020.2163
Popis: Introduction: Here we describe the development of a protein immunofluorescent assay for the detection of nuclear-localized androgen receptor variant 7 (AR-V7) protein within circulating tumor cells (CTCs) identified in patient blood samples. Used in the clinic, the test result serves as a validated biomarker of futility for patients with progressing metastatic castration-resistant prostate cancer (mCRPC) who are treated with androgen receptor targeted therapies (AATT) in whom nuclear-localized AR-V7 CTCs are identified and have received level 2A evidence in the 2019 National Cancer Center Network (NCCN) guidelines (v1.0). Methods: Assay development was completed on the Epic Sciences rare cell detection platform using control cell lines of known AR-V7 status and clinical testing of mCRPC patient samples obtained at the decision point in management. Results and conclusions: Using these samples, all assay parameters, scoring criteria, and clinical cutoffs for positivity were prospectively selected and locked. After assay lock, blinded clinical validation testing was initiated on multiple, independent, clinical cohorts as reported by Scher et al (JAMA Oncol. 2016;2:1441-1449; JAMA Oncol. 2018;4:1179-1186) and Armstrong et al (J Clin Oncol. 2019;37:1120-1129).
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