RT Journal Article SR Electronic T1 Monitoring of Serum Her-2/neu Predicts Histopathological Response to Neoadjuvant Trastuzumab-based Therapy for Breast Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1127 OP 1130 VO 24 IS 2C A1 KÖSTLER, WOLFGANG J. A1 STEGER, GÜNTHER G. A1 OLEIMAN, AFSCHIN A1 SCHWAB, BARBARA A1 SINGER, CHRISTIAN F. A1 TOMEK, SANDRA A1 BRODOWICZ, THOMAS A1 KRAINER, MICHAEL A1 WILTSCHKE, CHRISTOPH A1 HORVAT, REINHARD A1 JAKESZ, RAIMUND A1 ZIELINSKI, CHRISTOPH C. YR 2004 UL http://ar.iiarjournals.org/content/24/2C/1127.abstract 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 >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