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- W4361946695 abstract "<div>AbstractPurpose:<p>While <i>FGFR1</i> amplification has been described in breast cancer, the optimal treatment approach for <i>FGFR1</i>-amplified (FGFR1<sup>+</sup>) metastatic breast cancer (MBC) remains undefined.</p><p><b>Experimental Design:</b> We evaluated clinical response to endocrine and targeted therapies in a cohort of patients with hormone receptor–positive (HR<sup>+</sup>)/HER2<sup>−</sup> MBC and validated the functional role of <i>FGFR1</i>-amplification in mediating response/resistance to hormone therapy <i>in vitro</i>.</p>Results:<p>In the clinical cohort (<i>N</i> = 110), we identified that patients with FGFR1<sup>+</sup> tumors were more likely to have progesterone receptor (PR)-negative disease (47% vs. 20%; <i>P</i> = 0.005), coexisting <i>TP53</i> mutations (41% vs. 21%; <i>P</i> = 0.05), and exhibited shorter time to progression with endocrine therapy alone and in combination with CDK4/6 inhibitor, but not with a mTOR inhibitor (everolimus), adjusting for key prognostic variables in multivariate analysis. Furthermore, mTOR-based therapy resulted in a sustained radiological and molecular response in an index case of FGFR1<sup>+</sup> HR<sup>+</sup>/HER2<sup>−</sup> MBC. In preclinical models, estrogen receptor–positive (ER<sup>+</sup>)/<i>FGFR1</i>-amplified CAMA1 human breast cancer cells were only partially sensitive to fulvestrant, palbociclib, and alpelisib, but highly sensitive to everolimus. In addition, transduction of an FGFR1 expression vector into ER<sup>+</sup> T47D cells induced resistance to fulvestrant that could be overcome by added TORC1 inhibition, but not PI3K or CDK4/6 inhibition.</p>Conclusions:<p>Collectively, these findings suggest that while <i>FGFR1</i> amplification confers broad resistance to ER, PI3K, and CDK4/6 inhibitors, mTOR inhibitors might have a unique therapeutic role in the treatment of patients with ER<sup>+</sup>/FGFR1<sup>+</sup> MBC.</p></div>" @default.
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- W4361946695 date "2023-03-31" @default.
- W4361946695 modified "2023-09-30" @default.
- W4361946695 title "Data from <i>FGFR1</i> Amplification Mediates Endocrine Resistance but Retains TORC Sensitivity in Metastatic Hormone Receptor–Positive (HR<sup>+</sup>) Breast Cancer" @default.
- W4361946695 doi "https://doi.org/10.1158/1078-0432.c.6529178" @default.
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