A genome-wide association study (GWAS) of docetaxel-induced peripheral neuropathy in CALGB 90401 (Alliance).

Authors

Daniel Hertz

Daniel Louis Hertz

University of Michigan, Ann Arbor, MI

Daniel Louis Hertz , Kouros Owzar , Susan Halabi , William Kevin Kelly , Hitoshi Zembutsu , Chen Jiang , Jai Narendra Patel , Dorothy Watson , Ivo Shterev , Deanna L. Kroetz , Paula N. Friedman , John Francis Mahoney , Michael Anthony Carducci , Michael J. Kelley , Eric Jay Small , Phillip G. Febbo , Yusuke Nakamura , Michiaki Kubo , Mark J. Ratain , Howard L. McLeod

Organizations

University of Michigan, Ann Arbor, MI, Duke University Medical Center, Durham, NC, Alliance Statistical and Data Center/Duke University Medical Center, Durham, NC, Kimmel Cancer Center of Thomas Jefferson University, Philadelphia, PA, University of Tokyo, Tokyo, Japan, University of North Carolina Institute for Pharmacogenomics and Individualized Therapy, Chapel Hill, NC, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, University of California, San Francisco, San Francisco, CA, Cancer and Leukemia Group B, Chicago, IL, Carolinas Hematology-Oncology Associates, Charlotte, NC, Johns Hopkins School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, Durham VA Medical Center/Duke University Medical Center, Durham, NC, University of California, San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, Human Genome Center, Institute of Medical Sciences, University of Tokyo, Tokyo, Japan, Laboratory for Genotyping Development, Center for Genomic Medicine, RIKEN, Yokohama, Japan, The University of Chicago, Chicago, IL, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC

Research Funding

No funding sources reported

Background: There are currently no effective methods for predicting, preventing, or treating chemotherapy-induced peripheral neuropathy. We performed a genome-wide association study in a clinical trial of castration-resistant prostate cancer (CRPC) to discover variants that may be useful for identifying patients at high risk of neuropathy during docetaxel treatment. Methods: Treatment and toxicity data were collected prospectively on the Cancer and Leukemia Group B (CALGB) 90401 trial of chemotherapy naïve CRPC patients treated with docetaxel and prednisone ± bevacizumab. Genotyping was performed by the RIKEN Institute using the Illumina HumanHap610-Quad platform. Genetically defined European subjects were included in the discovery analysis of all single nucleotide polymorphisms (SNPs) that passed quality control. The primary endpoint was the cumulative dose level triggering a grade 3+ sensory neuropathy. The inference was conducted within the framework of a competing risk model accounting for early treatment termination induced by death or progression, or other toxicities. SNPs that were highly associated with neuropathy were assessed for a broader taxane effect in a cohort of paclitaxel-treated patients from a breast cancer clinical trial, CALGB 40101. Results: 623 Caucasian patients and 498,022 SNPs were included in the discovery analysis. The incidence of grade 3 neuropathy was 8%. One intergenic SNP (rs11017056) was associated with increased risk of neuropathy (HR=2.83, p=4.7x10-7). This association surpassed the genome-wide significance threshold after covariate adjustment (p=7.2x10-8). However, none of the 7 SNPs selected for replication were associated with neuropathy in the paclitaxel-treated breast cancer cohort. Conclusions: Using a prospectively enrolled prostate cancer patient cohort we identified multiple SNPs that may identify risk of docetaxel-induced peripheral neuropathy, but not paclitaxel-induced neuropathy. However, since it is unknown whether the genetic factors that affect taxane neuropathy are drug-specific, further replication studies in docetaxel-treated cohorts are of great interest.

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Abstract Details

Meeting

2013 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Tumor Biology

Track

Tumor Biology

Sub Track

Genomic and Epigenomic Biomarkers

Citation

J Clin Oncol 31, 2013 (suppl; abstr 11053)

DOI

10.1200/jco.2013.31.15_suppl.11053

Abstract #

11053

Poster Bd #

44H

Abstract Disclosures