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Implementation of Immunohistochemistry Assays for Clinical Trial Sample Analyses

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Translating Molecular Biomarkers into Clinical Assays

Part of the book series: AAPS Advances in the Pharmaceutical Sciences Series ((AAPS,volume 21))

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Abstract

Immunohistochemistry (IHC) is an essential tool for visualization and assessment of protein expression in sections of tissue in the context of sample morphology. IHC is utilized in preclinical applications to determine target engagement and pharmacodynamics, as well as proof of concept studies. However, transitioning an assay from the preclinical stage to implementation for human clinical trial sample analyses can be challenging for a number of reasons. For example, correlation of preclinical results on surrogate tissues may not be indicative of the final results in humans and assay conditions and reagents may need to be changed for optimal use on human formalin-fixed paraffin-embedded (FFPE) tissue. In clinical trials, IHC can be deployed to address different types of biomarker needs, such as for prospective patient enrollment where the assay validated to stringent clinical laboratory standards, or as a research assay used solely to generate observational data. Using a chromogen-based oncology IHC biomarker analyses as an example, this chapter will cover a range of considerations for implementation of IHC assays in clinical trials, from sample collection considerations through assay validation and implementation.

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References

  1. Engel KB, Moore HM (2011) Effects of preanalytical variables on the detection of proteins by immunohistochemistry in formalin-fixed, paraffin-embedded tissue. Arch Pathol Lab Med 135:537–543

    PubMed  Google Scholar 

  2. Hewitt SM, Badve SS, True LD (2012) Impact of preanalytic factors on the design and application of integral biomarkers for directing patient therapy. Clin Cancer Res 18:1524–1530

    Article  PubMed  PubMed Central  Google Scholar 

  3. Pinhel IF, Macneill FA, Hills MJ, Salter J, Detre S, A’hern R, Nerurkar A, Osin P, Smith IE, Dowsett M (2010) Extreme loss of immunoreactive p-Akt and p-Erk1/2 during routine fixation of primary breast cancer. Breast Cancer Res 12:R76

    Google Scholar 

  4. Siddiqui S, Rimm DL (2010) Pre-analytic variables and phospho-specific antibodies: the achilles heel of immunohistochemistry. Breast Cancer Res 12:113

    Article  PubMed  PubMed Central  Google Scholar 

  5. Holzer TR, Fulford AD, Arkins AM, Grondin JM, Mundy CW, Nasir A, Schade AE (2011) Ischemic time impacts biological integrity of phospho-proteins in PI3 K/Akt, Erk/MAPK, and p38 MAPK signaling networks. Anticancer Res 31:2073–2081

    CAS  PubMed  Google Scholar 

  6. Hammond ME, Hayes DF, Dowsett M, Allred DC, Hagerty KL, Badve S, Fitzgibbons PL, Francis G, Goldstein NS, Hayes M, Hicks DG, Lester S, Love R, Mangu PB, McShane L, Miller K, Osborne CK, Paik S, Perlmutter J, Rhodes A, Sasano H, Schwartz JN, Sweep FC, Taube S, Torlakovic EE, Valenstein P, Viale G, Visscher D, Wheeler T, Williams RB, Wittliff JL, Wolff AC (2010) American society of clinical oncology/college of American pathologists guideline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer (unabridged version). Arch Pathol Lab Med 134:e48–e72

    CAS  PubMed  Google Scholar 

  7. Wolff AC, Hammond ME, Hicks DG, Dowsett M, McShane LM, Allison KH, Allred DC, Bartlett JM, Bilous M, Fitzgibbons P, Hanna W, Jenkins RB, Mangu PB, Paik S, Perez EA, Press MF, Spears PA, Vance GH, Viale G, Hayes DF (2013) Recommendations for human epidermal growth factor receptor 2 testing in breast cancer: American society of clinical oncology/college of American pathologists clinical practice guideline update. Arch Pathol Lab Med

    Google Scholar 

  8. Goldstein NS, Ferkowicz M, Odish E, Mani A, Hastah F (2003) Minimum formalin fixation time for consistent estrogen receptor immunohistochemical staining of invasive breast carcinoma. Am J Clin Pathol 120:86–92

    Article  PubMed  Google Scholar 

  9. Yildiz-Aktas IZ, Dabbs DJ, Cooper KL, Chivukula M, McManus K, Bhargava R (2012) The effect of 96-hour formalin fixation on the immunohistochemical evaluation of estrogen receptor, progesterone receptor, and HER2 expression in invasive breast carcinoma. Am J Clin Pathol 137:691–698

    Article  PubMed  Google Scholar 

  10. Tong LC, Nelson N, Tsourigiannis J, Mulligan AM (2011) The effect of prolonged fixation on the immunohistochemical evaluation of estrogen receptor, progesterone receptor, and HER2 expression in invasive breast cancer: a prospective study. Am J Surg Pathol 35:545–552

    Article  PubMed  Google Scholar 

  11. Neumeister VM, Anagnostou V, Siddiqui S, England AM, Zarrella ER, Vassilakopoulou M, Parisi F, Kluger Y, Hicks DG, Rimm DL (2012) Quantitative assessment of effect of preanalytic cold ischemic time on protein expression in breast cancer tissues. J Natl Cancer Inst 104:1815–1824

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Leyland-Jones BR, Ambrosone CB, Bartlett J, Ellis MJ, Enos RA, Raji A, Pins MR, Zujewski JA, Hewitt SM, Forbes JF, Abramovitz M, Braga S, Cardoso F, Harbeck N, Denkert C, Jewell SD (2008) Recommendations for collection and handling of specimens from group breast cancer clinical trials. J Clin Oncol 26:5638–5644

    Article  PubMed  PubMed Central  Google Scholar 

  13. Divito KA, Charette LA, Rimm DL, Camp RL (2004) Long-term preservation of antigenicity on tissue microarrays. Lab Invest 84:1071–1078

    Article  CAS  PubMed  Google Scholar 

  14. DiVito KA, Charette LA, Rimm DL, Camp RL (2004) Long-term preservation of antigenicity on tissue microarrays. Lab Invest 84:1071–1078

    Article  CAS  PubMed  Google Scholar 

  15. Xie R, Chung JY, Ylaya K, Williams RL, Guerrero N, Nakatsuka N, Badie C, Hewitt SM (2011) Factors influencing the degradation of archival formalin-fixed paraffin-embedded tissue sections. J Histochem Cytochem 59:356–365

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Loi S, Symmans WF, Bartlett JM, Fumagalli D, Van’t Veer L, Forbes JF, Bedard P, Denkert C, Zujewski J, Viale G, Pusztai L, Esserman LJ, Leyland-Jones BR (2011) Proposals for uniform collection of biospecimens from neoadjuvant breast cancer clinical trials: timing and specimen types. Lancet Oncol 12:1162–1168

    Google Scholar 

  17. Matos LL, Trufelli DC, de Matos MG, Silva Pinhal MA (2010) Immunohistochemistry as an important tool in biomarkers detection and clinical practice. Biomark Insights 5:9–20

    Google Scholar 

  18. Rojo MG, Bueno G, Slodkowska J (2009) Review of imaging solutions for integrated quantitative immunohistochemistry in the Pathology daily practice. Folia Histochem Cytobiol 47:349–354

    PubMed  Google Scholar 

  19. Wolff AC, Hammond ME, Hicks DG, Dowsett M, McShane LM, Allison KH, Allred DC, Bartlett JM, Bilous M, Fitzgibbons P, Hanna W, Jenkins RB, Mangu PB, Paik S, Perez EA, Press MF, Spears PA, Vance GH, Viale G, Hayes DF (2014) Recommendations for human epidermal growth factor receptor 2 testing in breast cancer: american society of clinical oncology/college of american pathologists clinical practice guideline update. Arch Pathol Lab Med 138:241–256

    Article  PubMed  Google Scholar 

  20. McCarty KS Jr, Szabo E, Flowers JL, Cox EB, Leight GS, Miller L, Konrath J, Soper JT, Budwit DA, Creasman WT (1986) Use of a monoclonal anti-estrogen receptor antibody in the immunohistochemical evaluation of human tumors. Cancer Res 46:4244s–4248s

    PubMed  Google Scholar 

  21. Allred DC, Harvey JM, Berardo M, Clark GM (1998) Prognostic and predictive factors in breast cancer by immunohistochemical analysis. Mod Pathol 11:155–168

    CAS  PubMed  Google Scholar 

  22. Rhodes A, Jasani B, Barnes DM, Bobrow LG, Miller KD (2000) Reliability of immunohistochemical demonstration of oestrogen receptors in routine practice: interlaboratory variance in the sensitivity of detection and evaluation of scoring systems. J Clin Pathol 53:125–130

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Bordeaux JM, Cheng H, Welsh AW, Haffty BG, Lannin DR, Wu X, Su N, Ma XJ, Luo Y, Rimm DL (2012) Quantitative in situ measurement of estrogen receptor mRNA predicts response to tamoxifen. PLoS ONE 7:e36559

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Anagnostou VK, Welsh AW, Giltnane JM, Siddiqui S, Liceaga C, Gustavson M, Syrigos KN, Reiter JL, Rimm DL (2010) Analytic variability in immunohistochemistry biomarker studies. Cancer Epidemiol Biomark Prev 19:982–991

    Article  CAS  Google Scholar 

  25. Pozner-Moulis S, Cregger M, Camp RL, Rimm DL (2007) Antibody validation by quantitative analysis of protein expression using expression of Met in breast cancer as a model. Lab Invest 87:251–260

    Article  CAS  PubMed  Google Scholar 

  26. Marchio C, Dowsett M, Reis-Filho JS (2011) Revisiting the technical validation of tumour biomarker assays: how to open a Pandora’s box. BMC Med 9:41

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Torlakovic EE (2012) Quality control by tissue microarray in immunohistochemistry. J Clin Pathol 65:961

    Article  PubMed  Google Scholar 

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Correspondence to Marisa Dolled-Filhart .

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Dolled-Filhart, M., Singh, U., Wu, D., Emancipator, K. (2016). Implementation of Immunohistochemistry Assays for Clinical Trial Sample Analyses. In: Weiner, R., Kelley, M. (eds) Translating Molecular Biomarkers into Clinical Assays . AAPS Advances in the Pharmaceutical Sciences Series, vol 21. Springer, Cham. https://doi.org/10.1007/978-3-319-40793-7_16

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