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THE NATIONAUS009890430B2 O UN ALT MAN HAR MAN DI (12 ) United States Patent (10 ) Patent No. : US 9 ,890 ,430 B2 Ellis et al. ( 45 ) Date of Patent: Feb . 13 , 2018 (54 ) COPY NUMBER ABERRATION DRIVEN ( 58) Field of Classification Search ENDOCRINE RESPONSE GENE SIGNATURE None ( 71 ) Applicant : Washington University , Saint Louis , See application file for complete search history . MO (US ) (56 ) References Cited ( 72 ) Inventors: Matthew Ellis , Houston , TX (US ) ; U . S . PATENT DOCUMENTS Jingqin Luo , Saint Louis , MO (US ) 7 , 504 ,214 B2 3 / 2009 Erlander et al . ( 73 ) Assignee : Washington University , St. Louis , MO 7 , 569 ,345 B2 8 /2009 Cobleigh et al . (US ) ( Continued ) ( * ) Notice : Subject to any disclaimer , the term of this FOREIGN PATENT DOCUMENTS patent is extended or adjusted under 35 U . S . C . 154 (b ) by 322 days . Wo 2011120984 Al 10 /2011 (21 ) Appl . No. : 14 /407 , 913 OTHER PUBLICATIONS (22 ) PCT Filed : Jun . 12 , 2013 M Dowsett et al. Meta - Analysis of Breast Cancer Outcomes in Adjuvant Trials of Aromatase Inhibitors Versus Tamoxifen . Journal ( 86 ) PCT No .: PCT/ US2013 / 045525 of Clinical Oncology, Jan . 2010 , vol . 28 , No. 3 , p . 509 -518 . * $ 371 ( c ) ( 1 ) , (Continued ) ( 2 ) Date : Dec. 12 , 2014 Primary Examiner — John S . Brusca ( 87 ) PCT Pub . No. : WO2013 / 188600 Assistant Examiner - Olivia M Wise PCT Pub. Date : Dec . 19 , 2013 (57 ) ABSTRACT (65 ) Prior Publication Data Disclosed are methods of predicting the likelihood of long term survival without recurrence of breast cancer for a US 2015 /0240312 A1 Aug. 27, 2015 subject having estrogen receptor -positive (ER + ) breast can Related U . S . Application Data cer treated with adjuvant endocrine monotherapy . In various embodiments , these methods comprise performing a gene (60 ) Provisional application No . 61/ 658 , 517 , filed on Jun . expression profile of a breast tissue sample of substantially 12 , 2012 . all of the genes of the “CADER set” described herein ; (51 ) Int. Ci. calculating a risk score using a regression model; and G06F 19 / 20 applying a double median cutoff classification to assign the ( 2011 . 01 ) subject to a sensitive , indeterminate or resistant group , C12Q 1 /68 ( 2006 . 01 ) wherein assignment to a sensitive group predicts longer ( Continued ) relapse - free survival compared to the median relapse - free (52 ) U . S . CI. survival of ER + breast cancer patients treated with adjuvant ??? .. C12Q 1 /6886 (2013 .01 ) ; B01J 19 /0046 endocrine monotherapy . ( 2013 .01 ) ; GOIN 33 /57415 ( 2013 .01 ) ; (Continued ) 11 Claims, 5 Drawing Sheets * Therapy * sensitive indeterminate ODOON Therapy indeterminate resistant X -axis : resistant gene centroid Y - axis : sensitive gene centroid US 9 ,890 , 430 B2 Page 2 ( 51 ) Int. Cl. Loi, S ., et al. , Definition of clinically distinct molecular subtypes in GOIN 33 /574 estrogen receptor- positive breast carcinomas through genomic ( 2006 .01 ) grade . , J . Clin . Oncol. , 25 ( 10 ) , 1239 - 1246 ( Apr. 2007 ) . B01J 19 / 00 (2006 . 01 ) Nielsen , T . O . , et al. , A comparison of PAM50 intrinsic subtyping G06F 19 /24 ( 2011. 01 ) with immunohistochemistry and clinical prognostic factors in G06F 19 / 00 ( 2011. 01 ) tamoxifen - treated estrogen receptor- positive breast cancer . , Clin . Cancer Res. , 16 ( 21) , 5222 - 5232 (Nov . 2010 ) . (52 ) U .S . CI. Olson , J . A . Jr . , et al. Improved surgical outcomes for breast cancer ??? G06F 19 / 20 ( 2013 .01 ) ; G06F 19 /24 patients receiving neoadjuvant aromatase inhibitor therapy : results ( 2013 .01 ) ; G06F 19 / 345 (2013 .01 ) ; C12Q from a multicenter phase II trial. , J . Am . Coll . Surg. , 208 ( 5 ) , 2600 / 112 ( 2013 . 01 ) ; C12Q 2600 / 118 906 - 914 (2009 ) . Paik , S . , et al. , A multigene assay to predict recurrence of tamoxifen ( 2013 .01 ) ; C12Q 2600 / 158 ( 2013 .01 ) ; C12Q treated , node- negative breast cancer ., N . Engl . J . Med ., 351 (27 ) , 2600 / 16 (2013 .01 ) ; GOIN 2800 /52 (2013 .01 ) ; 2817 - 2826 (Dec . 2004 ) . GOIN 2800 /60 (2013 .01 ) Parker, J . S . , et al. , Supervised risk predictor of breast cancer based on intrinsic subtypes . , J . Clin . Oncol ., 27 ( 8 ), 1160 - 1167 (Mar . ( 56 ) References Cited 2009 ) . Pawitan , Y ., et al. , Gene expression profiling spares early breast U . S . PATENT DOCUMENTS cancer patients from adjuvant therapy : derived and validated in two population -based cohorts . , Breast Cancer Res. , 7 (6 ) , R953 -R964 2007 / 0059720 A9 3 / 2007 Fuqua et al. (Oct . 2005 ) . 2008 /0014579 Al 1 / 2008 Liu et al. Ringner M . , et al . , GOBO : gene expression -based outcome for 2008/ 0032293 A1 2 / 2008 Szabo 2009 /0215033 A1 8 /2009 Khan et al . breast cancer online PLOS ONE , 6 ( 3 ) , E17911 (Mar . 2011) . 2011 / 0014191 A1 1 / 2011 Bertucci et al . Rupp , G . and Locker, J . , 395 , Lab Invest . , 56 ( 1 ) , A67 (Mar . 1987 ) . 2011/ 0130296 A1 6 / 2011 Benz et al. Schena , M ., et al ., A two - subunit type I DNA topoisomerase 2011/ 0145176 A16 /2011 Perou et al. ( reverse gyrase ) from an extreme hyperthermophile. , Proc . Natl . 2011 /0152113 Al * 6 /2011 Escudero .. .. C12Q 1 /6886 Acad . Sci. USA , 93 ( 2 ) , 106 - 149 (Oct . 1996 ) . 506 / 9 Sørlie T . et al. , Gene expression patterns of breast carcinomas 2011 /0230360 AL 9 / 2011 Stephan et al . distinguish tumor subclasses with clinical implications. , Proc . Natl . Acad . Sci. USA , 98 ( 19 ) , 10869 - 10874 (Sep . 2001 ) . Symmans , W . F . , et al . , Genomic index of sensitivity to endocrine OTHER PUBLICATIONS therapy for breast cancer ., J . Clin . Oncol. 28 (27 ) , 4111 -4119 (Sep . 2010 ) . La Korde et al . Gene expression pathway analysis to predict Van Tine , B . A . , et al ., ER and PI3K independently modulate response to neoadjuvant docetaxel and capecitabine for breast endocrine resistance in ER positive breast cancer ., Cancer Discov ., cancer . Breast Cancer Res Treat 2010 , vol. 119 , p . 685 -699 ( Year : 1 , 287 - 288 ( 2011) . 2010 ) . * Van De Vijver , M . J ., et al. , A gene -expression signature as a Affymetrix HG -U133 Plus 2 . 0 Array Search Results . 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U ., et al ., Ki67 Index , HER2 Status, and Prognosis of Zhang, Y . , et al. , The 76 - gene signature defines high - risk patients Patients with Luminal B Breast Cancer. , J . Natl . Cancer Inst . , that benefit from adjuvant tamoxifen therapy. , Breast Cancer Res. 101 ( 10 ) : 736 - 750 ( 2009 ) . Treat. , 116 , 303 -309 (2009 ) . Galanina , N . , et al . , Molecular Predictors of Response to Therapy for Breast Cancer. , Cancer J . , 17 ( 2 ), 96 - 103 (Mar . / Apr. 2011 ) . * cited by examiner atent Feb . 13 , 2018 Sheet 1 of 5 US 9 ,890 ,430 B2 FIG . 1 FL????? ???? ???????? [ reme= 1 (? .= meled ?????qa } of cost after?????? ? ? { { ?? 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