Table 1. Studies evaluating prognostic and/or predictive role of EGFRvIII in GBM.
Author, year | No. GBM cases | Treatment | Assay Technique | Prognostic/predictive value | Proposed molecular mechanism |
---|---|---|---|---|---|
Heimberger et al, 2005 [21] | 196 | Stupp | IHC | ↓ (for long survivors) | cell proliferation, ependymal involvement |
Liu et al, 2005 [22] | 160 | Stupp | PCR | none | NA |
Heimberger et al, 2005 [23] | 54 | Stupp | IHC | none | NA |
Mellinghoff et al, 2005 [16] | 50 | erlotinib / gefitinib (recurrence) | IHC, PCR, western blotting | ↑ (erlotinib) | EGFRvIII/PTEN co-expression |
Pelloski et al, 2007 [24] | 509 | Stupp | IHC | ↓ (OS) | none |
Viana-Pereira et al, 2008 [25] | 27 | Stupp | IHC | none | NA |
Brown et al, 2008 [26] | 81 | Stupp + erlotinib | IHC | none | NA |
Van den Bent et al, 2009 [27] | 49 | erlotinib vs TMZ/BCNU | IHC | ↓ (erlotinib) | none |
Thiessen et al, 2009 [28] | 16 | lapatinib (recurrence) | PCR | none | NA |
Reardon et al, 2009 [29] | 20 | erlotinib + sirolimus (recurrence) | IHC | none | NA |
Uhm et al, 2011 [30] | 96 | RT+ gefitinib | IHC | none | NA |
Montano et al, 2011 [15] | 73 | Stupp | PCR | ↑ (OS) | increased effectiveness of TMZ in EGFRvIII-positive cells due to pathway addiction |
Lv et al, 2012 [31] | 35 | cetuximab | IHC, PCR | ↓ (OS, PFS) | none |
Bienkowski et al, 2013 [32] | 83 | RT or RT+CT | PCR, FISH | ↑ (OS) | none |
D’Alessandris et al, 2013 [8] | 10 | bev + erlotinib (recurrence) | PCR | ↑ (erlotinib) | tailored therapy |
Weller et al, 2014 [33] | 184 | Stupp | IHC, PCR, MLPA | none | possible false-negative testings |
Gallego et al, 2014 [34] | 13 recurrent | erlotinib | IHC | none | genetic heterogeneity of GBM |
negative prognostic/predictive value;
positive prognostic/predictive value.
bev, bevacizumab; BCNU, bis-chloroethylnitrosourea; CT, chemotherapy; EGFRvIII, epidermal growth factor receptor variant III; FISH, fluorescence in situ hybridization; IHC, immunohistochemistry; MLPA, multiplex ligation-dependent probe amplification; NA, not available; OS, overall survival; PCR, polymerase chain reaction; PTEN, phosphatase and tensin homolog; PFS, progression-free survival; RT, radiotherapy; TMZ, temozolomide.