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Genomic Classification of HER2-Positive Patients With 80-Gene and 70-Gene Signatures Identifies Diversity in Clinical Outcomes With HER2-Targeted Neoadjuvant Therapy.

Pat W WhitworthPeter D BeitschMary K MurrayPaul D RichardsAngela MislowskyCarrie L DulJames V PellicanePaul L BaronRakhshanda Layeequr RahmanLaura A LeeBeth B DupreePond R KelemenAndrew Y AshikariRaye J BudwayCristina Lopez-PenalverWilliam C DooleyShiyu WangPatricia DauerAndrea R MenicucciErin B YoderChristine FinnLisa E BlumencranzM William Audeh
Published in: JCO precision oncology (2022)
The 80-gene assay identified meaningful genomic diversity in patients with cHER2 disease. Patients with cHER2/gHER2 tumors, who benefitted most from dual HER2-targeted therapy, accounted for approximately half of the cHER2 cohort. Genomically Luminal tumors had low pCR rates but good 5-year outcomes. cHER2/gBasal tumors derived no benefit from dual therapy and had significantly worse 5-year prognosis; these patients merit special consideration in future trials.
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