PT - JOURNAL ARTICLE AU - KÖSTLER, WOLFGANG J. AU - STEGER, GÜNTHER G. AU - OLEIMAN, AFSCHIN AU - SCHWAB, BARBARA AU - SINGER, CHRISTIAN F. AU - TOMEK, SANDRA AU - BRODOWICZ, THOMAS AU - KRAINER, MICHAEL AU - WILTSCHKE, CHRISTOPH AU - HORVAT, REINHARD AU - JAKESZ, RAIMUND AU - ZIELINSKI, CHRISTOPH C. TI - Monitoring of Serum Her-2/<em>neu</em> Predicts Histopathological Response to Neoadjuvant Trastuzumab-based Therapy for Breast Cancer DP - 2004 Mar 01 TA - Anticancer Research PG - 1127--1130 VI - 24 IP - 2C 4099 - http://ar.iiarjournals.org/content/24/2C/1127.short 4100 - http://ar.iiarjournals.org/content/24/2C/1127.full SO - Anticancer Res2004 Mar 01; 24 AB - Background: This prospective pilot study was performed to elucidate whether early changes in serum levels of the Her-2/neu extracellular domain (ECD) reflect histopathological response to trastuzumab-based neoadjuvant therapy in patients with Her-2/neu-overexpressing breast cancer. Patients and Methods: ECD levels were measured throughout neoadjuvant trastuzumab-based treatment in 16 patients using a Her-2/neu Microtiter ELISA. Results: In 9 (56%) patients with Her-2/neu shedding tumors (ECD &gt;15ng/ml), ECD values (in % of baseline) of non-responders vs. responders were 117% vs. 55% on day 8 (p=0.014), 157% vs. 58% on day 22 (p=0.061) and 114% vs. 46% at restaging (p=0.049). Conclusion: Serial monitoring of serum Her-2/neu ECD levels may represent a valuable tool to predict pathological response to trastuzumab-based neoadjuvant therapy in patients with Her-2/neu-overexpressing tumors. Copyright© 2004 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved