Use of ERBB3 inhibitors in the treatment of triple negative and basal-like breast cancers
Provided are methods of suppressing growth of triple negative breast tumors and basal-like breast tumors by contacting tumor cells with an ErbB3 inhibitor, e.g., an anti-ErbB3 antibody. Also provided are methods for treating triple negative breast cancer or basal-like breast cancer in a patient by administering to the patient an ErbB3 inhibitor, e.g., an anti-ErbB3 antibody. The treatment methods can further comprise selecting a patient having a triple negative breast cancer or basal-like breast cancer and then administering an ErbB3 inhibitor to the patient. The treatment methods also can further comprise administering at least one additional anti-cancer agent to the patient in combination with the ErbB3 inhibitor.
1. A method of treating a patient having a tumor that expresses ErbB3and is identified as a triple negative breast cancer, the method comprising administering to the patient an effective amount of an anti-ErbB3 antibody, or antigen-binding fragment thereof, comprising a V H CDR1 sequence of SEQ ID NO:3, a V H CDR2 sequence of SEQ ID NO:4 and a V H CDR3 sequence of SEQ ID NO:5, and a V L CDR1 sequence of SEQ ID NO:6, a V L CDR2 sequence of SEQ ID NO:7 and a V L CDR3 sequence of SEQ ID NO:8, that binds to all or a portion of residues 92-104 of SEQ ID NO:41.
2. The method of claim 1 , wherein the anti-ErbB3 antibody binds to the same epitope as an antibody comprising a V H sequence as shown in SEQ ID NO:1 and a V L sequence as shown in SEQ ID NO:2.
3. The method of claim 1 , wherein administration of the effective amount of the anti-ErbB3 antibody suppresses growth of the triple negative breast cancer tumor.
4. The method of claim 1 , wherein the triple negative breast cancer is histopathologically characterized as having a basal-like phenotype.
5. The method of claim 1 , wherein the triple negative breast cancer is histopathologically characterized as having a phenotype other than basal-like.
6. The method of claim 1 , which further comprises administering to the patient an effective amount of at least one additional anti-cancer agent.
7. The method of claim 6 , wherein the at least one additional anti-cancer agent is selected from the group consisting of platinum-based chemotherapy drugs, taxanes, tyrosine kinase inhibitors, anti-EGFR antibodies, anti-ErbB2 antibodies, and combinations thereof.
8. The method of claim 7 , wherein the at least one additional anti cancer agent is a taxane and the taxane is paclitaxel.
9. The method of claim 6 , wherein the at least one additional anti-cancer agent comprises an EGFR inhibitor.
10. The method of claim 9 , wherein the EGFR inhibitor comprises an anti-EGFR antibody.
11. The method of claim 10 , wherein the anti-EGFR antibody is selected from the group consisting of cetuximab, matuzumab, panitumumab, nimotuzumab and mAb 806.
12. The method of claim 9 , wherein the EGFR inhibitor is a small molecule inhibitor of EGFR signaling selected from the group consisting of gefitinib, lapatinib, canertinib, pelitinib, and erlotinib HCL.
13. The method of claim 6 , wherein the at least one additional anti-cancer agent comprises a VEGF inhibitor.
14. The method of claim 13 , wherein the VEGF inhibitor comprises bevacizumab.
15. The method of claim 1 , wherein the triple negative breast cancer tumor is a tumor which scores negative for estrogen receptor (ER) and progesterone receptor and yields a test result of 0, 1+, or 2+ using a semi-quantitative immunohistochemical assay using a polyclonal anti-HER2 primary antibody.
16. The method of claim 15 , wherein the tumor is FISH negative for HER2 gene amplification.
17. A method of treating a patient having a tumor that expresses ErbB3and is identified as a triple negative breast cancer which has a basal-like phenotype, the method comprising administering to the patient an effective amount of an anti-ErbB3 antibody, or antigen-binding fragment thereof, comprising a V H CDR1 sequence of SEQ ID NO:3, a V H CDR2 sequence of SEQ ID NO:4 and a V H CDR3 sequence of SEQ ID NO:5, and a V L CDR1 sequence of SEQ ID NO:6, a V L CDR2 sequence of SEQ ID NO:7 and a V L CDR3 sequence of SEQ ID NO:8 that binds to all or a portion of residues 92-104 of SEQ ID NO:41.
18. The method of claim 17 , wherein the anti-ErbB3 antibody binds to the same epitope as an antibody comprising a V H sequence as shown in SEQ ID NO:1 and a V L sequence as shown in SEQ ID NO:2.
19. The method of claim 17 , wherein the administration of the effective amount of the anti-ErbB3 antibody suppresses growth of the breast cancer tumor.
20. The method of claim 17 , which further comprises administering to the patient an effective amount of at least one additional anti-cancer agent.
21. The method of claim 20 , wherein the at least one additional anti-cancer agent is a taxane.
22. The method of claim 21 , wherein the taxane is paclitaxel.