Drug response prediction in high-risk multiple myeloma
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Drug response prediction in high-risk multiple myeloma. / Vangsted, A. J.; Helm-Petersen, S.; Cowland, J. B.; Jensen, P. B.; Gimsing, P.; Barlogie, B.; Knudsen, S.
In: Gene, Vol. 644, 2018, p. 80-86.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Drug response prediction in high-risk multiple myeloma
AU - Vangsted, A. J.
AU - Helm-Petersen, S.
AU - Cowland, J. B.
AU - Jensen, P. B.
AU - Gimsing, P.
AU - Barlogie, B.
AU - Knudsen, S.
PY - 2018
Y1 - 2018
N2 - A Drug Response Prediction (DRP) score was developed based on gene expression profiling (GEP) from cell lines and tumor samples. Twenty percent of high-risk patients by GEP70 treated in Total Therapy 2 and 3A have a progression-free survival (PFS) of more than 10 years. We used available GEP data from high-risk patients by GEP70 at diagnosis from Total Therapy 2 and 3A to predict the response by the DRP score of drugs used in the treatment of myeloma patients. The DRP score stratified patients further. High-risk myeloma with a predicted sensitivity to melphalan by the DRP score had a prolonged PFS, HR = 2.4 (1.2–4.9, P = 0.014) and those with predicted sensitivity to bortezomib had a HR 5.7 (1.2–27, P = 0.027). In case of predicted sensitivity to bortezomib, a better response to treatment was found (P = 0.022). This method may provide us with a tool for identifying candidates for effective personalized medicine and spare potential non-responders from suffering toxicity.
AB - A Drug Response Prediction (DRP) score was developed based on gene expression profiling (GEP) from cell lines and tumor samples. Twenty percent of high-risk patients by GEP70 treated in Total Therapy 2 and 3A have a progression-free survival (PFS) of more than 10 years. We used available GEP data from high-risk patients by GEP70 at diagnosis from Total Therapy 2 and 3A to predict the response by the DRP score of drugs used in the treatment of myeloma patients. The DRP score stratified patients further. High-risk myeloma with a predicted sensitivity to melphalan by the DRP score had a prolonged PFS, HR = 2.4 (1.2–4.9, P = 0.014) and those with predicted sensitivity to bortezomib had a HR 5.7 (1.2–27, P = 0.027). In case of predicted sensitivity to bortezomib, a better response to treatment was found (P = 0.022). This method may provide us with a tool for identifying candidates for effective personalized medicine and spare potential non-responders from suffering toxicity.
KW - Drug response prediction
KW - High-risk
KW - Multiple myeloma
U2 - 10.1016/j.gene.2017.10.071
DO - 10.1016/j.gene.2017.10.071
M3 - Journal article
C2 - 29122646
AN - SCOPUS:85034446843
VL - 644
SP - 80
EP - 86
JO - Gene
JF - Gene
SN - 0378-1119
ER -
ID: 214462561