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Clin Cancer Res. 2015 Nov 15;21(22):5082-5091. doi: 10.1158/1078-0432.CCR-15-0586. Epub 2015 Jul 2.

Genome-Wide Association Studies for Taxane-Induced Peripheral Neuropathy in ECOG-5103 and ECOG-1199.

Author information

1
Indiana University School of Medicine, Indianapolis, Indiana.
2
Dana Farber Cancer Institute, Boston, Massachusetts.
3
Research Advocacy Network, Plano, Texas.
4
CB White, Chicago, Illinois.
5
Albert Einstein university, Montefiore Medical Center, Bronx, New York.
6
University of Pittsburgh Cancer Center, Pittsburgh, Pennsylvania.
7
Stanford University Medical Center, Stanford, California.
#
Contributed equally

Abstract

PURPOSE:

Taxane-induced peripheral neuropathy (TIPN) is an important survivorship issue for many cancer patients. Currently, there are no clinically implemented biomarkers to predict which patients might be at increased risk for TIPN. We present a comprehensive approach to identification of genetic variants to predict TIPN.

EXPERIMENTAL DESIGN:

We performed a genome-wide association study (GWAS) in 3,431 patients from the phase III adjuvant breast cancer trial, ECOG-5103 to compare genotypes with TIPN. We performed candidate validation of top SNPs for TIPN in another phase III adjuvant breast cancer trial, ECOG-1199.

RESULTS:

When evaluating for grade 3-4 TIPN, 120 SNPs had a P value of <10(-4) from patients of European descent (EA) in ECOG-5103. Thirty candidate SNPs were subsequently tested in ECOG-1199 and SNP rs3125923 was found to be significantly associated with grade 3-4 TIPN (P = 1.7 × 10(-3); OR, 1.8). Race was also a major predictor of TIPN, with patients of African descent (AA) experiencing increased risk of grade 2-4 TIPN (HR, 2.1; P = 5.6 × 10(-16)) and grade 3-4 TIPN (HR, 2.6; P = 1.1 × 10(-11)) compared with others. An SNP in FCAMR, rs1856746, had a trend toward an association with grade 2-4 TIPN in AA patients from the GWAS in ECOG-5103 (OR, 5.5; P = 1.6 × 10(-7)).

CONCLUSIONS:

rs3125923 represents a validated SNP to predict grade 3-4 TIPN. Genetically determined AA race represents the most significant predictor of TIPN.

PMID:
26138065
PMCID:
PMC4717479
DOI:
10.1158/1078-0432.CCR-15-0586
[Indexed for MEDLINE]
Free PMC Article

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