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Correction to: Relationship between tumor biomarkers and efficacy in MARIANNE, a phase III study of trastuzumab emtansine ± pertuzumab versus trastuzumab plus taxane in HER2-positive advanced breast cancer.

Edith A Perez1, Sanne Lysbet de Haas2, Wolfgang Eiermann3, Carlos H Barrios4, Masakazu Toi5, Young-Hyuck Im6, Pier Franco Conte7, Miguel Martin8, Tadeusz Pienkowski9, Xavier B Pivot10, Howard A Burris11, Sven Stanzel2, Monika Patre2, Paul Anthony Ellis12.   

Abstract

Following publication of the original article [1], the authors reported the following errors in the article.

Entities:  

Year:  2019        PMID: 31234810      PMCID: PMC6591955          DOI: 10.1186/s12885-019-5831-x

Source DB:  PubMed          Journal:  BMC Cancer        ISSN: 1471-2407            Impact factor:   4.430


Correction to: BMC Cancer https://doi.org/10.1186/s12885-019-5687-0 Following publication of the original article [1], the authors reported the following errors in the article. In Table 2, the layout has been updated. The corrected Table 2 is supplied below:
Table 2

Progression-free survival by HER2 expression subgroups

Trastuzumab + taxane (Control)T-DM1(T-DM1)T-DM1 + pertuzumab(T-DM1+P)
No. patients / No. patients with PFS eventMedian PFS (mo)No. patients / No. patients with PFS eventMedian PFS (mo)HR vs. trastuzumab + taxane (97.5% CI)aNo. patients / No. patients with PFS eventMedian PFS (mo)HR vs. trastuzumab + taxane (97.5% CI)aHR vs. T-DM1 + placebo (97.5% CI)a
All patientsb
 IHC 3+333/20914.4340/21514.60.93 (0.75–1.16)331/19516.70.83 (0.67–1.04)0.90 (0.72–1.12)
 IHC 2+27/1912.625/207.31.13 (0.55–2.32)29/208.31.25 (0.61–2.59)0.98 (0.48–2.02)
IHC 2+/3+ patients combinedc
 Focal IHC 2+/3+ (10–29%)d14/812.412/106.41.51 (0.52–4.40)15/127.51.41 (0.50–3.94)1.00 (0.38–2.65)
 Heterogeneous IHC 2+/3+ (30–79%)35/2710.637/258.31.04 (0.55–1.94)33/206.31.11 (0.57–2.17)0.91 (0.46–1.78)
 Homogeneous IHC 2+/3+ (≥80%)311/19314.6316/20014.70.92 (0.74–1.16)312/18317.80.82 (0.65–1.04)0.89 (0.71–1.13)
IHC 3+ patients only
 Focal IHC 3+ (10–29%)d9/58.311/78.31.20 (0.32–4.50)8/74.25.11 (0.99–26.40)2.28 (0.60–8.71)
 Heterogeneous IHC 3+ (30–79%)44/2910.545/3410.01.15 (0.65–2.03)29/1617.80.79 (0.39–1.60)0.65 (0.33–1.29)
 Homogeneous IHC 3+ (≥80%)280/17514.6284/17415.20.89 (0.70–1.14)294/17217.70.82 (0.65–1.05)0.92 (0.73–1.17)

aUnstratified hazard ratio

bFive patients with IHC 0/1+ and five patients with unknown IHC status are not included in this table

cCategories were based on IHC subgroup and then combined

dCompared with the overall population, samples with focal HER2 expression were more likely to express mutated PIK3CA and lower levels of HER2 mRNA CI confidence interval, HER2 human epidermal growth factor receptor 2, HR hazard ratio, IHC immunohistochemistry, NE not estimable, P pertuzumab, PFS progression-free survival, PIK3CA phosphoinositide 3-kinase catalytic subunit alpha, T-DM1 trastuzumab emtansine

The legend for Fig. 3 has been adapted for clearer readability. The updated legend is as follows:
Fig. 3

Kaplan–Meier curve of PFS in subgroups defined by the presence/absence of negatively impacting biomarkers.*

*Biomarkers were considered negatively prognostic of response to HER2-targeted treatment based on their association with a numerical decrease in PFS. Specifically, these included expression of mutated PIK3CA, low HER2 mRNA level (≤median), and focal HER2 distribution. Patients without negative markers were those with nonmutated PIK3CA, high HER2 mRNA levels (>median), and non-focal (i.e., heterogeneous or homogenous) distribution of HER2. Patients with negative markers were those with mutated PIK3CA, low HER2 mRNA levels (≤median), and focal HER2 distribution. HER2 human epidermal growth factor receptor 2, PIK3CA phosphoinositide 3-kinase catalytic subunit alpha, PFS progression-free survival, T-DM1 trastuzumab emtansine

The competing interests statement has been updated below. Progression-free survival by HER2 expression subgroups aUnstratified hazard ratio bFive patients with IHC 0/1+ and five patients with unknown IHC status are not included in this table cCategories were based on IHC subgroup and then combined dCompared with the overall population, samples with focal HER2 expression were more likely to express mutated PIK3CA and lower levels of HER2 mRNA CI confidence interval, HER2 human epidermal growth factor receptor 2, HR hazard ratio, IHC immunohistochemistry, NE not estimable, P pertuzumab, PFS progression-free survival, PIK3CA phosphoinositide 3-kinase catalytic subunit alpha, T-DM1 trastuzumab emtansine Kaplan–Meier curve of PFS in subgroups defined by the presence/absence of negatively impacting biomarkers.* *Biomarkers were considered negatively prognostic of response to HER2-targeted treatment based on their association with a numerical decrease in PFS. Specifically, these included expression of mutated PIK3CA, low HER2 mRNA level (≤median), and focal HER2 distribution. Patients without negative markers were those with nonmutated PIK3CA, high HER2 mRNA levels (>median), and non-focal (i.e., heterogeneous or homogenous) distribution of HER2. Patients with negative markers were those with mutated PIK3CA, low HER2 mRNA levels (≤median), and focal HER2 distribution. HER2 human epidermal growth factor receptor 2, PIK3CA phosphoinositide 3-kinase catalytic subunit alpha, PFS progression-free survival, T-DM1 trastuzumab emtansine
  1 in total

1.  Relationship between tumor biomarkers and efficacy in MARIANNE, a phase III study of trastuzumab emtansine ± pertuzumab versus trastuzumab plus taxane in HER2-positive advanced breast cancer.

Authors:  Edith A Perez; Sanne Lysbet de Haas; Wolfgang Eiermann; Carlos H Barrios; Masakazu Toi; Young-Hyuck Im; Pier Franco Conte; Miguel Martin; Tadeusz Pienkowski; Xavier B Pivot; Howard A Burris; Sven Stanzel; Monika Patre; Paul Anthony Ellis
Journal:  BMC Cancer       Date:  2019-05-30       Impact factor: 4.430

  1 in total
  1 in total

Review 1.  HER2+ Breast Cancer Escalation and De-Escalation Trial Design: Potential Role of Intrinsic Subtyping.

Authors:  Coralia Bueno Muiño; Miguel Martín; María Del Monte-Millán; José Ángel García-Saénz; Sara López-Tarruella
Journal:  Cancers (Basel)       Date:  2022-01-20       Impact factor: 6.639

  1 in total

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