Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences

Abstract Cyclin E is frequently encoded by CCNE1 gene amplification in various malignancies. We reviewed the medical records of patients with solid tumors displaying CCNE1 amplification to determine the effect of this amplification for future therapeutic development. We reviewed the medical records...

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Main Authors: Shuyang Yao, Funda Meric-Bernstam, David Hong, Filip Janku, Aung Naing, Sarina Anne Piha-Paul, Apostolia Maria Tsimberidou, Daniel Karp, Vivek Subbiah, Timothy Anthony Yap, Jordi Rodon Ahnert, Shubham Pant, Ecaterina E Ileana Dumbrava, Chetna Wathoo, Erick Campbell, Lihou Yu, Yuko Yamamura, Siqing Fu
Format: Article
Language:English
Published: Nature Portfolio 2022-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-12669-5
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author Shuyang Yao
Funda Meric-Bernstam
David Hong
Filip Janku
Aung Naing
Sarina Anne Piha-Paul
Apostolia Maria Tsimberidou
Daniel Karp
Vivek Subbiah
Timothy Anthony Yap
Jordi Rodon Ahnert
Shubham Pant
Ecaterina E Ileana Dumbrava
Chetna Wathoo
Erick Campbell
Lihou Yu
Yuko Yamamura
Siqing Fu
author_facet Shuyang Yao
Funda Meric-Bernstam
David Hong
Filip Janku
Aung Naing
Sarina Anne Piha-Paul
Apostolia Maria Tsimberidou
Daniel Karp
Vivek Subbiah
Timothy Anthony Yap
Jordi Rodon Ahnert
Shubham Pant
Ecaterina E Ileana Dumbrava
Chetna Wathoo
Erick Campbell
Lihou Yu
Yuko Yamamura
Siqing Fu
author_sort Shuyang Yao
collection DOAJ
description Abstract Cyclin E is frequently encoded by CCNE1 gene amplification in various malignancies. We reviewed the medical records of patients with solid tumors displaying CCNE1 amplification to determine the effect of this amplification for future therapeutic development. We reviewed the medical records of patients with advanced solid tumors harboring CCNE1 amplification who were seen at the phase I clinic between September 1, 2012, and December 31, 2019. Among 79 patients with solid tumors harboring CCNE1 amplification, 56 (71%) received phase 1 clinical trial therapy, 39 (49%) had 3 or more concurrent genomic aberrances, and 52 (66%) had a concurrent TP53 mutation. The median overall survival (OS) after patients’ initial phase I visit was 8.9 months and after their initial metastasis diagnosis was 41.4 months. We identified four factors associated with poor risk: age < 45 years, body mass index ≥ 25 kg/m2, presence of the TP53 mutation, and elevated LDH > upper limit of normal. In patients treated with gene aberration-related therapy, anti-angiogenic therapy led to significantly longer OS after their initial phase I trial therapy than those who did not: 26 months versus 7.4 months, respectively (P = 0.04). This study provided preliminary evidence that CCNE1 amplification was associated with frequent TP53 mutation and aggressive clinical outcomes. Survival benefit was observed in patients who received antiangiogenic therapy and gene aberration-related treatment, supporting the future development of a personalized approach to combine gene aberration-related therapy with antiangiogenesis for the treatment of advanced malignancies harboring CCNE1 amplification.
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spelling doaj.art-a5b386ae4dfe4117b0a471663d796ae62022-12-22T03:24:19ZengNature PortfolioScientific Reports2045-23222022-05-011211910.1038/s41598-022-12669-5Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiencesShuyang Yao0Funda Meric-Bernstam1David Hong2Filip Janku3Aung Naing4Sarina Anne Piha-Paul5Apostolia Maria Tsimberidou6Daniel Karp7Vivek Subbiah8Timothy Anthony Yap9Jordi Rodon Ahnert10Shubham Pant11Ecaterina E Ileana Dumbrava12Chetna Wathoo13Erick Campbell14Lihou Yu15Yuko Yamamura16Siqing Fu17Department of Thoracic Surgery, Xuanwu Hospital Capital Medical UniversityDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterInstitute of Personalized Cancer Therapy, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterDepartment of Investigational Cancer Therapeutics, Unit 0455, The University of Texas MD Anderson Cancer CenterAbstract Cyclin E is frequently encoded by CCNE1 gene amplification in various malignancies. We reviewed the medical records of patients with solid tumors displaying CCNE1 amplification to determine the effect of this amplification for future therapeutic development. We reviewed the medical records of patients with advanced solid tumors harboring CCNE1 amplification who were seen at the phase I clinic between September 1, 2012, and December 31, 2019. Among 79 patients with solid tumors harboring CCNE1 amplification, 56 (71%) received phase 1 clinical trial therapy, 39 (49%) had 3 or more concurrent genomic aberrances, and 52 (66%) had a concurrent TP53 mutation. The median overall survival (OS) after patients’ initial phase I visit was 8.9 months and after their initial metastasis diagnosis was 41.4 months. We identified four factors associated with poor risk: age < 45 years, body mass index ≥ 25 kg/m2, presence of the TP53 mutation, and elevated LDH > upper limit of normal. In patients treated with gene aberration-related therapy, anti-angiogenic therapy led to significantly longer OS after their initial phase I trial therapy than those who did not: 26 months versus 7.4 months, respectively (P = 0.04). This study provided preliminary evidence that CCNE1 amplification was associated with frequent TP53 mutation and aggressive clinical outcomes. Survival benefit was observed in patients who received antiangiogenic therapy and gene aberration-related treatment, supporting the future development of a personalized approach to combine gene aberration-related therapy with antiangiogenesis for the treatment of advanced malignancies harboring CCNE1 amplification.https://doi.org/10.1038/s41598-022-12669-5
spellingShingle Shuyang Yao
Funda Meric-Bernstam
David Hong
Filip Janku
Aung Naing
Sarina Anne Piha-Paul
Apostolia Maria Tsimberidou
Daniel Karp
Vivek Subbiah
Timothy Anthony Yap
Jordi Rodon Ahnert
Shubham Pant
Ecaterina E Ileana Dumbrava
Chetna Wathoo
Erick Campbell
Lihou Yu
Yuko Yamamura
Siqing Fu
Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
Scientific Reports
title Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
title_full Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
title_fullStr Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
title_full_unstemmed Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
title_short Clinical characteristics and outcomes of phase I cancer patients with CCNE1 amplification: MD Anderson experiences
title_sort clinical characteristics and outcomes of phase i cancer patients with ccne1 amplification md anderson experiences
url https://doi.org/10.1038/s41598-022-12669-5
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