Predictive Role of O6-Methylguanine DNA Methyltransferase Status for the Treatment of Brain Tumors


Study

Number of patients

Treatment

Assay

MGMT status (frequency, %)

Survival

p

PFS

OS

PFS

OS

Newly diagnosed glioblastoma

Jaeckle et al. 1998

40

SR-RT-BCNU

Protein expression: quantative

immunofluorescence

Low level: 33 % (≤ 60,000 molecules/nucleus)
 
12 mo
 
0.0002

High level: 67 % (> 60,000 molecules/nucleus)
 
7 mo
  
Kamiryo et al. 2004

74

SR-RT-PAV/SR-RT-PAV-IFNβ

DNA methylation

Me: 45 %

0.42 years

1.69 years

0.98

0.20

Um: 55 %

0.43 years

1.34 years
  
Hegi et al. 2005

206

SR-CCRT-TMZ

DNA methylation

Me: 45 %

10.3 mo

21.7 mo
 
< 0.001

Um: 55 %

5.3 mo

12.7 mo
  
SR-RT-TMZ
 
Me

5.9 mo

15.3 mo
  
Um

4.4 mo

11.8 mo
  
Watanabe et al. 2005

29

SR-RT-ACNU-IFNβ

DNA methylation

Me: 34 %

14 mo

38 mo

0.009

0.008

Um: 66 %

4 mo

7 mo
  
Herrlinger et al. 2006

19

SR-RT-CCNU-TMZ

DNA methylation

Me: 42 %

19 mo

Not reached

0.014

0.037
    
Um: 58 %

6 mo

12.5 mo
  
Criniere et al. 2007

219

SR-RT

DNA methylation

Me: 58 %
 
10.2 mo
 
0.407
    
Um: 42 %
 
15.1 mo
    
SR-RT-CT (nitrosourea-based)
 
Me
 
17.1 mo
 
0.049
    
Um
 
13.1 mo
    
SR-CRT (with nitrosourea)/CT (nitrosourea-based)
 
Me
 
19.9 mo
 
0.0004
    
Um
 
13.5 mo
  
Chinot et al. 2007

25 (inoperable glioblastoma)

STB-TMZ/RT-TMZ

Protein expression

Immunonegative: 44 % (< 35 % cells)

5.5 mo

16 mo

0.009

0.003
    
Immunopositive: 56 % (≥ 35 % cells)

1.9 mo

5 mo
  
Brandes et al. 2008

103

SR-CCRT-TMZ

DNA methylation

Me: 35 %

21.9 mo

43.6 mo

< 0.0001

< 0.0001
    
Um: 65 %

9.2 mo

16.8 mo
  
Capper et al. 2008

73

SR-RT-CT

Protein expression

Immunonegative: 58 % ( < 15 % cells)
 
15.4 mo
 
0.0002
    
Immunopositive: 42 % (> 15 % cells)
 
8 mo
  
Smith et al. 2008

22

SR-BCNU (wafer implantation)- GKSRS

DNA methylation

Me: 41 %
 
103 weeks
 
0.0009
    
Um: 59 %
 
45 weeks
  
Brandes et al. 2009

58 (elderly patients: ≥  65 years)

SR-CCRT-TMZ

DNA methylation

Me: 43 %

22.9 mo

Not reached

< 0.01

0.05
    
Um: 57 %

9.5 mo

13.7 mo
  
Cao et al. 2009

76

SR-CCRT-TMZ/SR-TMZ after recurrence

DNA methylation

Me: 61 %
 
19.87 mo
 
0.014
    
Um: 39 %
 
12.3 mo
   
80
 
Protein expression

Immunonegative: 60 % (< 5 % cells)
 
17.43 mo
 
0.197
    
Immunopositive: 27.5 % (< 30 % cells)
 
15.83 mo
      
Immunopositive: 12.5 % (≥ 30 % cells)
 
10.67 mo
  
Clarke et al. 2009

48

SR-RT-dose-dense TMZ/ SR-RT-metronomic TMZ

DNA methylation

Me: 19 %

4.2 mo

28.1 mo
      
Um: 81 %

5 mo

14.9 mo
  
Dunn et al. 2009

109

SR-CCRT-TMZ

DNA methylation

Me: 53 %

11.8 mo

16.8 mo

0.0001

0.00001
    
Um: 47 %

8.3 mo

11.1 mo
  
Felsberg et al. 2009

66

SR-RT-TMZ

DNA methylation

Me: 39 %

245 days

692 days

0.0003

0.004
    
Um: 61 %

100 days

474 days
    
SR (near-complete)-RT-TMZ
 
Me

268 days

681 days
      
Um

163 days

507 days
    
SR (non-complete)-RT-TMZ
 
Me

166 days

499 days
      
Um

83 days

406 days
  
Gerstner et al. 2009

40 (elderly patients: ≥ 70 years)

SR-TMZ/SR-BCNU

DNA methylation

Me: 60 %

405 days

489 days

0.27

0.0021
    
Um: 40 %

246 days

263 days
  
Glas et al. 2009

23

SR-RT-TMZ/SR-CCNU

DNA methylation

Me: 48 %

19 mo

34.3 mo

0.0064

0.0009
    
Um: 52 %

7 mo

12.5 mo
  
Grossman et al. 2009

24

SR-CCRT-TMZ/talampanel (6 mo)

DNA methylation

Me: 29 %
 
29.1 mo
      
Um: 71 %
 
16.3 mo
  
Nakagawa et al. 2009

23

SR-RT-ACNU-CBDCA-VP-16-IFN-b

Protein expression

Immunonegative: 70 % (< 10 % cells)
 
15.3 mo
 
0.042
    
Immunopositive: 30 % (≥ 10 % cells)
 
10 mo
  
Prados et al. 2009

44

SR-CCRT-TMZ-erlotinib

DNA methylation

Me: 36 %
 
25.5 mo
 
0.006
    
Um: 64 %
 
14.6 mo
  
Park et al. 2009

48

SR-RT-ACNU-cisplatin

DNA methylation

Me: 54 %
 
17 mo
 
0.56
    
Um: 46 %
 
17 mo
  
Stupp et al. 2009

206

SR-RT

DNA methylation

Me: 45 %
 
15.3 mo
      
Um: 55 %
 
11.8 mo
    
SR-CCRT-TMZ
 
Me
 
23.4 mo

< 0.0001
     
Um
 
12.6 mo
  
Weller et al. 2009

295

SR-RT/SR-RT-TMZ

DNA methylation

Me: 45 %

7.5 mo

18.9 mo

< 0.001 (RT-TMZ)

< 0.001 (RT-TMZ)
    
Um: 55 %

6.3 mo

11.1 mo
  
Zawlik et al. 2009

371

SR/SR-RT

DNA methylation

Me: 44 %
 
10.1 mo
      
Um: 56 %
 
10 mo
  
Ang et al. 2010

105

SR-CRT (with TMZ)/SR-RT

DNA methylation

Me: 54 %

30 weeks

61 weeks

0.01

0.02
    
Um: 46 %

24 weeks

42 weeks
   
78

SR-CRT (with TMZ)
 
Me
 
71 weeks
      
Um
 
42 weeks
   
25

SR-RT
 
Me
 
14 weeks
      
Um
 
Not reached
  
Costa et al. 2010

80

SR-CCRT-TMZ

DNA methylation

Me: 48 %

9 mo

16 mo

0.77

0.58
    
Um: 52 %

10 mo

13 mo
  
Etcheverry et al. 2010

50

SR-CCRT-TMZ

DNA methylation

Me: 60 %
 
26.2 mo
 
< 0.01
    
Um: 40 %
 
9.5 mo
  
Karayan-Tapon et al. 2010

81

SR-CCRT-TMZ

DNA methylation

Me: 68 %
 
19 mo
 
0.005
    
Um: 32 %
 
15 mo
   
81
 
DNA methylation

Me: 48 %
 
23 mo
 
< 0.0001
    
Um: 52 %
 
14 mo
   
79
 
DNA methylation

Me: 49 %
 
23 mo
 
0.0001
    
Um: 51 %
 
14 mo
   
80
 
RNA expression

Low level: 50 %
 
20 mo
 
0.028
    
High level: 50 %
 
14 mo
   
78
 
Protein expression

Immunonegative: 50 %
 
17 mo
 
0.595
    
Immunopositive: 50 %
 
17 mo
  
Minniti et al. 2010

87

SR-CCRT-TMZ

DNA methylation

Me: 36 %

5.6 mo

11.2 mo

0.0001

0.01
    
Um: 64 %

9.8 mo

16.7 mo
  
Morandi et al. 2010

159

SR-CCRT-TMZ/SR-RT-TMZ

DNA methylation

Me: 44 %
 
36 mo
 
0.004
    
Um: 56 %
 
20 mo
  
Weiler et al. 2010

39

SR-TMZ (1 week on/1 week off) before RT-CCRT-TMZ (1 week on/1 week off) + Indometacin 25 mg twice daily

DNA methylation

Me: 41 %

15.8 mo

Not reached > 21.5 mo

0.0002

0.10
    
Um: 59 %

6.2 mo

15 mo
  
Rivera et al. 2010

171

SR-RT

DNA methylation

Me: 32 %

31 weeks

63 weeks

0.009

0.019
    
Um: 68 %

15 weeks

51 weeks
  
Stupp et al. 2010

45

SR-CCRT-TMZ-cilengitide

DNA methylation

Me: 51 %

13.4 mo

23.2 mo

< 0.001

0.022
    
Um: 49 %

3.4 mo

13.1 mo
  
Sonoda et al. 2010

62

SR-RT-ACNU/SR-RT-TMZ

DNA methylation

Me: 56 %

12 mo

26 mo

0.019

0.40
    
Um: 44 %

5 mo

17 mo
   
73
 
Protein expression

Immunonegative: 36 % (< 20 % cells)

13 mo

43 mo

0.045

0.30
    
Immunopositive: 64 % (≥ 20 % cells)

7 mo

19 mo
  
Balañá et al. 2011

70

SR-RT-BCNU/SR-CCRT-TMZ

DNA methylation

Me: 39 %

34.2 weeks

73 weeks

0.03

0.04
    
Um: 61 %

31.4 weeks

54.7 weeks
  
Kreth et al. 2011

53

SR-CCRT-TMZ

RNA expression

Low level: 42 %

17.5 mo

21.6 mo
      
High level: 58 %

3.3 mo

10.4 mo
  
Lai et al. 2011

70

SR-CCRT-TMZ-BEV

DNA methylation

Me: 41 %

17.5 mo

24.7 mo

< 0.005

< 0.005
    
Um: 59 %

10.5 mo

15.9 mo
  
Minniti et al. 2011

83 (elderly patients: ≥ 65 years)

SR-CCRT-TMZ

DNA methylation

Me: 51 %

10.5 mo

15.3 mo

0.0001

0.0001
    
Um: 49 %

5.5 mo

10.2 mo
  
Perez-Larraya et al. 2011

31 (elderly patients: ≥ 70 years)

SR-TMZ

DNA methylation

Me: 42 %

26 weeks

31 weeks

0.03

0.03
    
Um: 58 %

11 weeks

19 weeks
  
Shah et al. 2011

28

SR-CCRT-TMZ

DNA methylation

Me: 29 %

373 days
 
0.21
     
Um: 71 %

224 days
    
28
 
DNA methylation

Me: 46 %

540 days
 
0.007
     
Um: 54 %

210 days
    
24
 
Protein expression

Immunonegative: 58 % (≤ 15 % cells)

540 days
 
< 0.0001
     
Immunopositive: 42 % (> 15 % cells)

197 days
   
Thon et al. 2011

56 (inoperable glioblastoma)

STB-CCRT-TMZ

DNA methylation

Me: 54 %

56 weeks

104 weeks

< 0.0001

< 0.0001
    
Um: 46 %

20 weeks

28 weeks
  
Uno et al. 2011

29

SR-RT/SR-RT-BCNU

DNA methylation

Me: 41 %
 
27.4 mo
 
0.025
    
Um: 59 %
 
12 mo
   
28

SR-RT/SR-RT-BCNU

DNA methylation

Me: 39 %
 
31.7 mo
 
0.004
    
Um: 61 %
 
11.8 mo
  
Zunarelli et al. 2011

77

SR-CCRT-TMZ/SR-RT

DNA methylation

Me: 31 %
 
17.8 mo
 
< 0.04
    
Um: 69 %
 
11.1 mo
   
46

SR-CCRT-TMZ
 
Me: 30 %
 
20.1 mo
 
< 0.002
    
Um: 70 %
 
12.9 mo
   
18

SR-RT
 
Me: 72 %
 
7.6 mo
      
Um: 28 %
 
5.3 mo
  
Havik et al. 2012

86

SR-CCRT-TMZ

DNA methylation (MSP)

Me: 34 %
 
17.6 mo
      
Um: 66 %
 
12.2 mo
     
DNA methylation (pyrosequencing)

Me: 51 %
 
16.1 mo
      
Um: 49 %
 
11.5 mo
  
Kim et al. 2012

78

SR-CCRT-TMZ/SR-RT-TMZ/SR-RT-BCNU, CCNU, VCR

DNA methylation

Me: 45 %

18 mo

29 mo

0.017

0.002
    
Um: 55 %

9 mo

20 mo
   
6 (age ≤ 50)

SR (gross-total or subtotal)-CCRT-TMZ/SR-RT-TMZ/SR-RT-BCNU, CCNU, VCR
 
Me
 
Not reached (38–77 mo)
   
13 (age ≤ 50)
  
Um
 
24 mo
   
5 (age ≤ 50)

SR (partial or biopsy)-CCRT-TMZ (6 cycles)/SR-RT-TMZ/SR-RT-BCNU, CCNU, VCR
 
Me
 
38 mo
   
1 (age ≤ 50)
  
Um
 
15 mo
   
20 (age > 50)

SR (gross-total or subtotal)-CCRT-TMZ (6 cycles)/ SR-RT-TMZ/SR-RT-BCNU, CCNU, VCR
 
Me
 
21 mo
   
21 (age > 50)
  
Um
 
18 mo
   
4 (age > 50)

SR (partial or biopsy)-CCRT-TMZ (6 cycles)/SR-RT-TMZ/SR-RT-BCNU, CCNU, VCR
 
Me
 
12 mo
   
8 (age > 50)
  
Um
 
13.2 mo
  
Lechapt-Zalcman et al. 2012

110

SR-BCNU (wafer implantation)-CCRT-TMZ

DNA methylation

Me: 57 %

10.7 mo

21.7 mo

0.155

0.025
    
Um: 43 %

9.7 mo

15.1 mo
   
106
 
Protein expression

Immunonegative: 48 % (< 15 % cells)

11.5 mo

27 mo

0.049

0.021
    
Immunopositive: 52 % (> 15 % cells)

9.6 mo

15.1 mo
  
Malmstrom et al. 2012

203 (elderly patients: ≥ 60 years)

SR-TMZ

DNA methylation

Me: 45 %
 
9.7 mo
 
0.02
    
Um: 55 %
 
6.8 mo
    
SR-RT
 
Me
 
8.2 mo
 
0.81
    
Um
 
7 mo
  
Niyazi et al. 2012

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Nov 27, 2016 | Posted by in ONCOLOGY | Comments Off on Predictive Role of O6-Methylguanine DNA Methyltransferase Status for the Treatment of Brain Tumors

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