This application claims the benefit of EP Application No. 12171126.1, filed Jun. 7, 2012. All the teachings of the above-referenced application is incorporated herein by reference.
The instant application contains a Sequence Listing which has been submitted in ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Jun. 3, 2013, is named P4928SeqList.txt and is 128,129 bytes in size.
The present invention provides methods for identifying patients diagnosed with non-small cell lung cancer who will most benefit from treatment with erlotinib comprising detecting autoantibodies in blood serum of said patients.
Tarceva® is an orally active, potent, inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase (TKI).
Erlotinib hydrochloride is the active ingredient in Tarceva®, which is approved as single agent treatment for patients with advanced non-small cell lung cancer (NSCLC) after treatment with chemotherapy, as maintenance treatment for patients not progressing during chemotherapy (1st line maintenance) or after failure of chemotherapy (2nd/3rd line maintenance). Tarceva® is also approved as first line treatment for patients whose tumor harbors an EGFR activating mutation in the EU.
Expression of unusual proteins is common in cancer and viral infection. The mammalian immune system contains a specialized arm that recognizes proteins induced by cellular transformation (neo-antigens) and effectively eliminates cells that express these neo-antigens against which tolerance has not established during development. This arm of the immune system is thought to be effective against viral infections, spontaneous chromosomal and genomic rearrangements caused by errors of the cell division machinery, or carcinogen-induced transforming mutations. While the initial cytotoxic immune response—which is mediated by the recognition of the unusual proteins displayed on MHCI complexes by CD8+ T-cells—is fast and effective, a sustained response against virus infections or aberrant cellular clones requires the co-stimulatory effect of CD4+ T-helper cells which are activated after presentation of extracellular peptides (which can stem from cells lysed in the first phase of the cytotoxic immune response) via MHCII complexes of professional antigen presenting cells. Additionally, these cells are able to induce a lasting B-cell response and antibodies to viral or aberrant proteins. The infiltration of a tumor with large numbers of CD8+ T-cells has shown to be a better prognostic marker than traditional tumor staging in colorectal cancer (Koizumi, Hojo et al. 20071), and it has been associated with favorable prognosis in almost all major solid carcinomas independently of cancer cell type. 1Koizumi, K., S. Hojo, et al. (2007). “Chemokine receptors in cancer metastasis and cancer cell-derived chemokines in host immune response.” Cancer Science 98(11): 1652-1658
Autoantibodies are well known diagnostic entities in cancer. Many cancer autoantibodies are proteins that are normally expressed in embryonic tissues and therefore represent a “foreign” protein against which immune tolerance is not established. The shedding of these proteins to the bloodstream late in cancer history leads to a humoral immune response. A typical example is the common cancer marker CEA (cancer embryonic antigen). Tumors frequently exhibit faulty protein processing. Prominent examples include proteins that are incorrectly cleaved by cell localization proteases (the presence of autoantibodies against the N-terminal sequence of p53 which is normally cleaved after the protein is targeted to the nucleus is one of the most specific biomarkers of lung cancer) or incorrectly glycosylated by cellular glycosylases (anti-MUC1-antibodies against a form of MUC1 that is incorrectly O-glycosylated is a biomarker for a variety of cancers). Even though p53 mutations are frequently observed in tumors, the specificity of the autoantibodies against this protein is almost always against the N-terminus of the protein—connecting the immunogenicity of p53 more to the ectopic expression of a protein that is normally short lived and located in the nucleus.
The detection of natural EGFR autoantibodies in serum of NSCLC patients has been described by Li et al.2. Li et al.3 and Chapman et al.4 described the detection of natural autoantibodies to p53, HER2, NY-ESO-1, CAGE, MUC1 and GBU4-5. Further, WO20110739055 relates to tumor markers associated with the progression of a cancer disease from a less progressed stage to a more progressed stage. 2Li Yuan et al, Chinese Journal of Lung Cancer, 13(7), 2010, 727-7303Li Yuan et al, Chinese Journal of Lung Cancer, 12(10), 2009, 1999-61874C J Chapman, A Murray, J E McElveen, U Sahin, U Luxemburger, Ö Türeci, R Wiewrodt, A C Barnes, J F Robertson, “Autoantibodies in lung cancer: possibilities for early detection and subsequent cure”, Thorax 2008; 63(3):228-2335WO2011073905
Unusual (mutated or expressed in abnormal quantities or locations) tumor proteins can invoke an antibody response. Tumor-induced autoantibodies have frequently been observed and their utility as diagnostic markers has been investigated (Albert and Darnell 20046). While autoantibodies to tumor proteins can be found that have exquisite specificity, most of them lack the required sensitivity for a diagnostic test. 6Albert, M. L. and R. B. Darnell (2004). “Paraneoplastic neurological degenerations: Keys to tumor immunity.” Nat. Rev. Cancer 4(1): 36-44
Few reliable epidemiologic and genetic markers that predict erlotinib hydrochloride response are known in the art. In particular, EGFR mutations in exon 18-21 (intracellular kinase domain of the receptor) were described to be linked with better prognosis as well as with better response to TKI treatment (Paz-Ares, Soulieres et al. 20107). The only predictive marker currently known (EGFR activating mutation) is difficult to diagnose as a biopsy of the tumor is needed. At present only about 50% of NSCLC patients are diagnosed with a biopsy (Reck, Hermes et al. 20118). There is a definite need for simpler techniques to detect predictive markers of TKI efficacy. It is desirable to identify the responders at diagnosis in order to have as many patients as possible benefiting from erlotinib treatment as early as possible, while exploring other treatment options for patients not likely to respond. 7Paz-Ares, L., D. Soulieres, et al. (2010). “Clinical outcomes in non-small-cell lung cancer patients with EGFR mutations: pooled analysis.” J Cell Mol Med 14(1-2): 51-698Reck, M., A. Hermes, et al. (2011). “Tissue sampling in lung cancer: A review in light of the MERIT experience.” Lung Cancer 74(1): 1-6
Present invention solves that problem in that it provides a method of diagnosis of cancer in a human subject.
Present invention solves that problem in that it provides a method of diagnosis of non-small cell lung cancer in a human subject.
Present invention solves that problem in that it provides a method of diagnosis of non-small cell lung cancer in a human subject by providing antibodies against mutated EGFR sequences.
A patient identified by a method as described herein is a patient, in particular a NSCLC patient who will respond to the treatment with erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride.
We surprisingly found that present autoantibodies possess the required sensitivity for a diagnostic test, especially autoantibodies against mutated EGFR sequences.
EGFR is normally bound to the cell membrane and not shed to the bloodstream. EGFR is a normal adult protein that is found in large quantities in some adult tissues. Immune tolerance is expected to be established against this protein and many of its variants. Almost all of the sequences belong to the cytoplasmic part of the molecule and are invisible to professional antigen presenting cells. The mutations affect only a small part of the EGFR molecule.
Unless defined otherwise, all terms used herein have the same meanings as commonly understood by a skilled artisan to which art this invention belongs.
The term “a level of said autoantibody representative for a human subject of a healthy population” refers to an estimate of the mean level of the autoantibody in serum of a population of patients who do not suffer from NSCLC.
The term “a level of said autoantibody representative for a NSCLC patient” refers to an estimate of the mean level of the autoantibody in serum of a population of patients who suffer from NSCLC.
The term “overall survival (OS)” refers to the length of time from diagnosis of disease during and after treatment the patient survives. As the skilled person will appreciate, a patient's overall survival is improved or enhanced, if the patient belongs to a subgroup of patients that has a statistically significant longer mean survival time as compared to another subgroup of patients.
The term “progression-free survival (PFS)” refers to the length of time from diagnosis of disease during and after treatment during which, according to the assessment of the treating physician or investigator, the patient's disease does not become worse, i.e., does not progress. As the skilled person will appreciate, a patient's progression-free survival is improved or enhanced if the patient belongs to a subgroup of patients that has a longer length of time during which the disease does not progress as compared to the average or mean progression free survival time of a control group of similarly situated patients.
The term “patient” refers to any single mammal for which treatment is desired. In particular, the “patient” is a human subject. More particularly, the patient is a human subject suffering from cancer, in particular NSCLC.
The term “autoantibody” is a type of protein manufactured by the immune system of a patient that is directed against one or more of the patient's own proteins.
The term “amino acid” denotes the group of naturally occurring carboxy a-amino acids comprising alanine (three letter code: ala, one letter code: A), arginine (arg, R), asparagine (asn, N), aspartic acid (asp, D), cysteine (cys, C), glutamine (gln, Q), glutamic acid (glu, E), glycine (gly, G), histidine (his, H), isoleucine (ile, I), leucine (leu, L), lysine (lys, K), methionine (met, M), phenylalanine (phe, F), proline (pro, P), serine (ser, S), threonine (thr, T), tryptophan (trp, W), tyrosine (tyr, Y), and valine (val, V).
As used herein, “therapy” or “treatment” (and grammatical variations thereof such as “treat” or “treating”) refers to clinical intervention in an attempt to alter the natural course of a disease in the individual being treated, and can be performed either for prophylaxis or during the course of clinical pathology. Desirable effects of treatment include, but are not limited to, preventing occurrence or recurrence of disease, alleviation of symptoms, diminishment of any direct or indirect pathological consequences of the disease, preventing metastasis, decreasing the rate of disease progression, amelioration or palliation of the disease state, and remission or improved prognosis.
The term “gene” as used herein comprises variants of the gene. The term “variant” relates to nucleic acid sequences which are substantially similar to the nucleic acid sequences given by the GenBank accession number. The term “substantially similar” is well understood by a person skilled in the art. In particular, a gene variant may be an allele which shows nucleotide exchanges compared to the nucleic acid sequence of the most prevalent allele in the human population. Preferably, such a substantially similar nucleic acid sequence has a sequence similarity to the most prevalent allele of at least 80%, preferably at least 85%, more preferably at least 90%, most preferably at least 95%. The term “variants” is also meant to relate to splice variants.
The term “mutation” refers to changes in a genomic sequence. These random sequences can be defined as sudden and spontaneous changes in the cell. Mutation can result in several different types of change in sequences; these can either have no effect, alter the product of a gene, or prevent the gene from functioning properly or completely. The term “somatic mutation” refers to a change in the genetic structure that is neither inherited nor passed to offspring.
The phrase “recommending a treatment” as used herein refers to using the information or data generated relating to the level or presence of a biomarker or an autoantibody in a sample of a patient to identify the patient as suitably treated or not suitably treated with a therapy. In some embodiment the therapy may comprise a drug. The information or data may be in any form, written, oral or electronic. In some embodiments, using the information or data generated includes communicating, presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof. In some embodiments, communicating, presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof are performed by a computing device, analyzer unit or combination thereof. In some further embodiments, communicating, presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof are performed by a laboratory or medical professional. In some embodiments, the information or data includes a comparison of the level of said biomarker or autoantibody to a reference level. In some embodiments, the information or data includes an indication that said biomarker or autoantibody is present or absent in the sample. In some embodiments, the information or data includes an indication that the patient is suitably treated or not suitably treated with a therapy comprising said drug. In some embodiments, the therapy is erlotinib.
The phrase “providing a diagnosis” as used herein refers to using the information or data generated relating to the level or presence of a biomarker or an autoantibody in a sample of a patient to diagnose a disease in the patent. The information or data may be in any form, written, oral or electronic. In some embodiments, using the information or data generated includes presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof. In some embodiments, presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof are performed by a computing device, analyzer unit or combination thereof. In some embodiments, presenting, reporting, storing, sending, transferring, supplying, transmitting, delivering, dispensing, or combinations thereof are performed by a laboratory or medical professional. In some embodiments, the information or data includes a comparison of the level of said biomarker or autoantibody to a reference level. In some embodiments, the information or data includes an indication that said biomarker or autoantibody is present or absent in the sample. In some embodiments, the information or data includes an indication that the patient is diagnosed with said disease. In some embodiments, said disease is non-small cell lung cancer.
During the TASK study, biopsy material had been collected and the tumor cells have been tested for the presence of the most frequent somatic mutations, i.e. a deletion at exon 19, and a point mutation at exon 21. During the TASK study serum samples had been collected at various time points (pre-dose, day 8, day 22 and progression) from all patients and were assessed for autoantibodies against EGFR.
In these patients, autoantigenic peptide sequences that predict development of rash, or prolonged progression free or overall survival inevitably include a set of sequences that are derived from the EGFR sequence starting at position 737 and extending through 756. These peptides include a number of sequence variants, but inevitably include sequences that have a deletion at position 746-750 or close nearby (Table 2).
This corresponds exactly to the position of the deletion in the exon 19 somatic mutation, known to be predictive for outstanding efficacy from treatment with TKI (Rosell et al. 20099, Mok et al. 200910). 9Rosell et al., N Engl J Med 2009; 361:958-96710Mok et al., N Engl J Med 2009; 361:947-957
The presence of a somatic EGFR mutation in exon 19 in tumor tissue leads to protein variant against that the immune system has not developed tolerance. The somatic mutation occurs only in the tumor, and therefore, if it induces an autoantibody which can be detected in the patient's serum it can be used to draw conclusions about the presence of an exon 19 mutation or exon 21 mutation in the NSCLC tissue, which is well known to predict increased progression free survival and superiority of tyrosine kinase monotherapy over chemotherapy (Heigener and Reck 201111). 11Heigener, D. and M. Reck (2011). “Mutations in the epidermal growth factor receptor gene in non-small cell lung cancer: Impact on treatment beyond gefitinib and erlotinib.” Advances in Therapy 28(2): 126-133
The autoantibody can be detected using a standard blood sample from the patient without the need to obtain tumor cells with a biopsy. This is a large advantage over the current practice, as recovery rates of useful tumor samples even in clinical studies do not exceed 50% (Reck, Hermes et al. 201112). 12Reck, M., A. Hermes, et al. (2011). “Tissue sampling in lung cancer: A review in light of the MERIT experience.” Lung Cancer 74(1): 1-6
Anti-EGFR autoantibodies can be detected in blood samples of NSCLC patients at higher concentrations than in healthy controls (
The above sequences can be used for the early diagnosis of NSCLC.
Regression analysis has identified significant evidence that the presence of antibodies to the peptides influence both, progression free survival (PFS) and overall survival (OS) (
EGFR peptide sequences selected from Seq. Id. No. 1-Seq. Id. No. 15 are consecutive sequences with high autoantigenicity in NLSCL patients.
EGFR peptide sequences selected from Seq. Id. No. 16-Seq. Id. No. 517 are useful for predicting the occurrence and grade of adverse events like rash to erlotinib treatment.
EGFR peptide sequences selected from Seq. Id. No. 518-Seq. Id. No. 602 are antigenic sequences influencing, in particular extending, progression free and overall survival of NSCLC patients, in particular mutated EGFR peptide sequences Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 556, Seq. Id. No. 557, Seq. Id. No. 558, Seq. Id. No. 559 and Seq. Id. No. 560, as well as EGFR peptide sequences Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521 and Seq. Id. No. 561.
EGFR peptide sequences selected from Seq. Id. No. 603-Seq. Id. No. 619 have high predictive potential for prolonged progression free survival in patients with EGFR mutations that develop rash.
Antibodies against these peptide sequences most likely influence PFS and OS if they are present in patients. Tests that detect the presence of these antibodies in patient sera could be used to guide treatment and stratify patients into treatment groups.
Present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing mutated human EGFR, wherein an increased level of said autoantibody selected from the group of autoantibodies recognizing mutated human EGFR in the blood sample of the human subject compared to a level of said autoantibody representative for a human subject of a healthy population is indicative for non-small cell lung cancer.
Present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
a) measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing mutated human EGFR,
b) comparing the level of said autoantibody to a reference level, and
c) providing a diagnosis of non-small cell lung cancer when the level of said autoantibody is above the reference level.
Present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
a) measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing mutated human EGFR,
b) comparing the level of said autoantibody to a reference level, and
c) recommending a treatment when the level of said autoantibody is above the reference level.
A certain embodiment of the present invention provides a method as described above, wherein said treatment is erlotinib.
A certain embodiment of present invention provides a method as described herein, wherein the level of an autoantibody recognizing mutated human EGFR is measured.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide is selected from the group consisting of Seq. Id. No. 1, Seq. Id. No. 2, Seq. Id. No. 4, Seq. Id. No. 5, Seq. Id. No. 6, Seq. Id. No. 7, Seq. Id. No. 15, Seq. Id. No. 16, Seq. Id. No. 17, Seq. Id. No. 18, Seq. Id. No. 19, Seq. Id. No. 20, Seq. Id. No. 21, Seq. Id. No. 22, Seq. Id. No. 23, Seq. Id. No. 24, Seq. Id. No. 25, Seq. Id. No. 26, Seq. Id. No. 27, Seq. Id. No. 28, Seq. Id. No. 29, Seq. Id. No. 30, Seq. Id. No. 31, Seq. Id. No. 32, Seq. Id. No. 33, Seq. Id. No. 34, Seq. Id. No. 35, Seq. Id. No. 36, Seq. Id. No. 37, Seq. Id. No. 38, Seq. Id. No. 39, Seq. Id. No. 40, Seq. Id. No. 41, Seq. Id. No. 42, Seq. Id. No. 43, Seq. Id. No. 44, Seq. Id. No. 45, Seq. Id. No. 46, Seq. Id. No. 47, Seq. Id. No. 48, Seq. Id. No. 49, Seq. Id. No. 50, Seq. Id. No. 51, Seq. Id. No. 52, Seq. Id. No. 53, Seq. Id. No. 54, Seq. Id. No. 55, Seq. Id. No. 56, Seq. Id. 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A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the groups consisting of Seq. Id. No. 1, Seq. Id. No. 2, Seq. Id. No. 4, Seq. Id. No. 5, Seq. Id. No. 6, Seq. Id. No. 7 and Seq. Id. No. 15.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 16, Seq. Id. No. 17, Seq. Id. No. 18, Seq. Id. No. 19, Seq. Id. No. 20, Seq. Id. No. 21, Seq. Id. No. 22, Seq. Id. No. 23, Seq. Id. No. 24, Seq. Id. No. 25, Seq. Id. No. 26, Seq. Id. No. 27, Seq. Id. No. 28, Seq. Id. No. 29, Seq. Id. No. 30, Seq. Id. No. 31, Seq. Id. No. 32, Seq.
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A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 518, Seq. Id. No. 522, Seq. Id. No. 523, Seq. Id. No. 524, Seq. Id. No. 526, Seq. Id. No. 527, Seq. Id. No. 528, Seq. Id. No. 529, Seq. Id. No. 530, Seq. Id. No. 531, Seq. Id. No. 532, Seq. Id. No. 533, Seq. Id. No. 534, Seq. Id. No. 535, Seq. Id. No. 536, Seq. Id. No. 537, Seq. Id. No. 538, Seq. Id. No. 539, Seq. Id. No. 540, Seq. Id. No. 541, Seq. Id. No. 542, Seq. Id. No. 543, Seq. Id. No. 544, Seq. Id. No. 545, Seq. Id. No. 546, Seq. Id. No. 547, Seq. Id. No. 548, Seq. Id. No. 549, Seq. Id. No. 550, Seq. Id. No. 551, Seq. Id. No. 552, Seq. Id. No. 553, Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 557, Seq. Id. No. 559, Seq. Id. No. 560, Seq. Id. No. 562, Seq. Id. No. 563, Seq. Id. No. 564, Seq. Id. No. 565, Seq. Id. No. 567, Seq. Id. No. 568, Seq. Id. No. 569, Seq. Id. No. 570, Seq. Id. No. 571, Seq. Id. No. 572, Seq. Id. No. 573, Seq. Id. No. 574, Seq. Id. No. 575, Seq. Id. No. 576, Seq. Id. No. 577, Seq. Id. No. 578, Seq. Id. No. 579, Seq. Id. No. 580, Seq. Id. No. 581, Seq. Id. No. 582, Seq. Id. No. 583, Seq. Id. No. 584, Seq. Id. No. 585, Seq. Id. No. 586, Seq. Id. No. 587, Seq. Id. No. 588, Seq. Id. No. 589, Seq. Id. No. 590, Seq. Id. No. 591, Seq. Id. No. 592, Seq. Id. No. 593, Seq. Id. No. 594, Seq. Id. No. 595, Seq. Id. No. 596, Seq. Id. No. 597, Seq. Id. No. 598, Seq. Id. No. 599 and Seq. Id. No. 601.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 604, Seq. Id. No. 605, Seq. Id. No. 606, Seq. Id. No. 607, Seq. Id. No. 608, Seq. Id. No. 609, Seq. Id. No. 610, Seq. Id. No. 611, Seq. Id. No. 612, Seq. Id. No. 613, Seq. Id. No. 614, Seq. Id. No. 615, Seq. Id. No. 616, Seq. Id. No. 617, Seq. Id. No. 618 and Seq. Id. No. 619.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from the group consisting of Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, and Seq. Id. No. 561.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 556, Seq. Id. No. 557, Seq. Id. No. 558, Seq. Id. No. 559, and Seq. Id. No. 560.
A certain embodiment of present invention provides a method as described herein, wherein the level of an autoantibody in the blood sample of the human subject is 5 times higher than the level of said autoantibody representative for a human subject of a healthy population.
A certain embodiment of present invention provides erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride, for use in treating a NSCLC patient identified by a method as described herein comprising administering erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride to the patient.
A certain embodiment of present invention provides the use of an autoantibody for predicting the response of a NSCLC patient to erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride, treatment, which antibody was identified by a method as described herein.
A certain embodiment of present invention provides a kit for detecting in a blood sample of the human subject a level of one or more autoantibodies selected from the group of autoantibodies recognizing mutated human EGFR, wherein an increased level of said autoantibodies selected from the group of autoantibodies recognizing mutated human EGFR in the blood sample of the human subject compared to a level of said autoantibodies representative for a human subject of a healthy population is indicative for non-small cell lung cancer.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 1, Seq. Id. No. 2, Seq. Id. No. 4, Seq. Id. No. 5, Seq. Id. No. 6, Seq. Id. No. 7 and Seq. Id. No. 15.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 16, Seq. Id. No. 17, Seq. Id. No. 18, Seq. Id. No. 19, Seq. Id. No. 20, Seq. Id. No. 21, Seq. Id. No. 22, Seq. Id. No. 23, Seq. Id. No. 24, Seq. Id. No. 25, Seq. Id. No. 26, Seq. Id. No. 27, Seq. Id. No. 28, Seq. Id. No. 29, Seq. Id. No. 30, Seq. Id. No. 31, Seq. Id. No. 32, Seq. Id. No. 33, Seq. Id. No. 34, Seq. Id. No. 35, Seq. Id. No. 36, Seq. Id. No. 37, Seq. Id. No. 38, Seq. Id. No. 39, Seq. Id. No. 40, Seq. Id. No. 41, Seq. Id. No. 42, Seq. Id. No. 43, Seq. Id. No. 44, Seq. Id. No. 45, Seq. Id. No. 46, Seq. Id. No. 47, Seq. Id. No. 48, Seq. Id. No. 49, Seq. Id. No. 50, Seq. Id. No. 51, Seq. Id. No. 52, Seq. Id. No. 53, Seq. Id. No. 54, Seq. Id. No. 55, Seq. Id. No. 56, Seq. Id. No. 57, Seq. Id. No. 58, Seq. Id. No. 59, Seq. Id. No. 60, Seq. Id. No. 61, Seq. Id. No. 62, Seq. Id. No. 63, Seq. Id. No. 65, Seq. Id. No. 66, Seq. Id. No. 67, Seq. Id. No. 68, Seq. Id. No. 69, Seq. Id. No. 70, Seq. Id. No. 71, Seq. Id. No. 72, Seq. Id. No. 73, Seq. Id. No. 74, Seq. Id. No. 75, Seq. Id. No. 76, Seq. Id. No. 77, Seq. Id. No. 78, Seq. Id. No. 79, Seq. Id. No. 80, Seq. Id. No. 81, Seq. Id. No. 82, Seq. Id. No. 83, Seq. Id. No. 84, Seq. Id. No. 85, Seq. Id. No. 86, Seq. Id. No. 87, Seq. Id. No. 88, Seq. Id. No. 89, Seq. Id. No. 90, Seq. Id. No. 91, Seq. Id. No. 92, Seq. Id. No. 93, Seq. Id. No. 94, Seq. Id. No. 95, Seq. Id. No. 96, Seq. Id. No. 97, Seq. Id. No. 98, Seq. Id. No. 99, Seq. Id. No. 100, Seq. Id. No. 101, Seq. Id. No. 103, Seq. Id. No. 104, Seq. Id. No. 105, Seq. Id. No. 106, Seq. Id. No. 107, Seq. Id. No. 108, Seq. Id. No. 109, Seq. Id. No. 110, Seq. Id. No. 111, Seq. Id. No. 112, Seq. Id. No. 113, Seq. Id. No. 114, Seq. Id. No. 115, Seq. Id. No. 116, Seq. Id. No. 117, Seq. Id. No. 118, Seq. Id. No. 119, Seq. Id. No. 120, Seq. Id. No. 121, Seq. Id. No. 122, Seq. Id. No. 123, Seq. Id. No. 124, Seq. Id. No. 125, Seq. Id. No. 126, Seq. Id. No. 127, Seq. Id. No. 128, Seq. Id. No. 129, Seq. Id. No. 130, Seq. Id. No. 131, Seq. Id. No. 132, Seq. Id. No. 133, Seq. Id. No. 134, Seq. Id. No. 135, Seq. Id. No. 136, Seq. Id. No. 137, Seq. Id. No. 138, Seq. Id. No. 139, Seq. Id. No. 140, Seq. Id. No. 141, Seq. Id. No. 142, Seq. Id. No. 143, Seq. Id. No. 144, Seq. Id. No. 145, Seq. Id. No. 146, Seq. Id. No. 147, Seq. Id. No. 148, Seq. Id. No. 149, Seq. Id. No. 150, Seq. Id. No. 151, Seq. Id. No. 152, Seq. Id. No. 153, Seq. Id. No. 154, Seq. Id. No. 155, Seq. Id. No. 156, Seq. Id. No. 157, Seq. Id. No. 158, Seq. Id. No. 159, Seq. Id. No. 160, Seq. Id. No. 161, Seq. Id. No. 162, Seq. Id. No. 163, Seq. Id. No. 164, Seq. Id. No. 165, Seq. Id. No. 166, Seq. Id. No. 167, Seq. Id. No. 168, Seq. Id. No. 169, Seq. Id. No. 170, Seq. Id. No. 171, Seq. Id. No. 172, Seq. Id. No. 173, Seq. Id. No. 174, Seq. Id. No. 175, Seq. Id. No. 176, Seq. Id. No. 177, Seq. Id. No. 178, Seq. Id. No. 179, Seq. Id. No. 180, Seq. Id. No. 181, Seq. Id. No. 182, Seq. Id. No. 183, Seq. Id. No. 184, Seq. Id. No. 185, Seq. Id. No. 186, Seq. Id. No. 187, Seq. Id. No. 188, Seq. Id. No. 189, Seq. Id. No. 190, Seq. Id. No. 191, Seq. Id. No. 192, Seq. Id. No. 193, Seq. Id. No. 194, Seq. Id. No. 195, Seq. Id. No. 196, Seq. Id. No. 197, Seq. Id. No. 198, Seq. Id. No. 199, Seq. Id. No. 200, Seq. Id. No. 201, Seq. Id. No. 202, Seq. Id. No. 203, Seq. Id. No. 204, Seq. Id. No. 205, Seq. Id. No. 206, Seq. Id. No. 207, Seq. Id. No. 208, Seq. Id. No. 209, Seq. Id. No. 210, Seq. Id. No. 211, Seq. Id. No. 212, Seq. Id. No. 213, Seq. Id. No. 214, Seq. Id. No. 215, Seq. Id. No. 216, Seq. Id. No. 217, Seq. Id. No. 218, Seq. Id. No. 219, Seq. Id. No. 220, Seq. Id. No. 221, Seq. Id. No. 222, Seq. Id. No. 223, Seq. Id. No. 224, Seq. Id. No. 225, Seq. Id. No. 226, Seq. Id. No. 227, Seq. Id. No. 228, Seq. Id. No. 229, Seq. Id. No. 230, Seq. Id. No. 231, Seq. Id. No. 232, Seq. Id. No. 233, Seq. Id. No. 234, Seq. Id. No. 235, Seq. Id. No. 236, Seq. Id. No. 237, Seq. Id. No. 238, Seq. Id. No. 239, Seq. Id. No. 240, Seq. Id. No. 241, Seq. Id. No. 242, Seq. Id. No. 243, Seq. Id. No. 244, Seq. Id. No. 245, Seq. Id. No. 246, Seq. Id. No. 247, Seq. Id. No. 248, Seq. Id. No. 249, Seq. Id. No. 250, Seq. Id. No. 251, Seq. Id. No. 252, Seq. Id. No. 253, Seq. Id. No. 254, Seq. Id. No. 255, Seq. Id. No. 256, Seq. Id. No. 257, Seq. Id. No. 258, Seq. Id. No. 259, Seq. Id. No. 260, Seq. Id. No. 261, Seq. Id. No. 262, Seq. Id. No. 263, Seq. Id. No. 264, Seq. Id. No. 265, Seq. Id. No. 266, Seq. Id. No. 267, Seq. Id. No. 268, Seq. Id. No. 269, Seq. Id. No. 270, Seq. Id. No. 271, Seq. Id. No. 272, Seq. Id. No. 273, Seq. Id. No. 274, Seq. Id. No. 275, Seq. Id. No. 276, Seq. Id. No. 277, Seq. Id. No. 278, Seq. Id. No. 279, Seq. Id. No. 280, Seq. Id. No. 281, Seq. Id. No. 282, Seq. Id. No. 283, Seq. Id. No. 284, Seq. Id. No. 285, Seq. Id. No. 286, Seq. Id. No. 287, Seq. Id. No. 288, Seq. Id. No. 289, Seq. Id. No. 290, Seq. Id. No. 291, Seq. Id. No. 292, Seq. Id. No. 293, Seq. Id. No. 294, Seq. Id. No. 295, Seq. Id. No. 296, Seq. Id. No. 297, Seq. Id. No. 298, Seq. Id. No. 299, Seq. Id. No. 300, Seq. Id. No. 301, Seq. Id. No. 302, Seq. Id. No. 303, Seq. Id. No. 304, Seq. Id. No. 305, Seq. Id. No. 306, Seq. Id. No. 307, Seq. Id. No. 308, Seq. Id. No. 310, Seq. Id. No. 311, Seq. Id. No. 312, Seq. Id. No. 313, Seq. Id. No. 314, Seq. Id. No. 315, Seq. Id. No. 316, Seq. Id. No. 317, Seq. Id. No. 318, Seq. Id. No. 319, Seq. Id. No. 320, Seq. Id. No. 321, Seq. Id. No. 322, Seq. Id. No. 323, Seq. Id. No. 324, Seq. Id. No. 325, Seq. Id. No. 326, Seq. Id. No. 327, Seq. Id. No. 328, Seq. Id. No. 329, Seq. Id. No. 330, Seq. Id. No. 331, Seq. Id. No. 332, Seq. Id. No. 333, Seq. Id. No. 334, Seq. Id. No. 335, Seq. Id. No. 336, Seq. Id. No. 337, Seq. Id. No. 338, Seq. Id. No. 339, Seq. Id. No. 340, Seq. Id. No. 341, Seq. Id. No. 342, Seq. Id. No. 343, Seq. Id. No. 344, Seq. Id. No. 345, Seq. Id. No. 346, Seq. Id. No. 347, Seq. Id. No. 348, Seq. Id. No. 349, Seq. Id. No. 350, Seq. Id. No. 351, Seq. Id. No. 352, Seq. Id. No. 353, Seq. Id. No. 354, Seq. Id. No. 355, Seq. Id. No. 356, Seq. Id. No. 357, Seq. Id. No. 358, Seq. Id. No. 359, Seq. Id. No. 360, Seq. Id. No. 361, Seq. Id. No. 362, Seq. Id. No. 363, Seq. Id. No. 364, Seq. Id. No. 365, Seq. Id. No. 366, Seq. Id. No. 367, Seq. Id. No. 368, Seq. Id. No. 369, Seq. Id. No. 371, Seq. Id. No. 372, Seq. Id. No. 374, Seq. Id. No. 375, Seq. Id. No. 376, Seq. Id. No. 377, Seq. Id. No. 378, Seq. Id. No. 379, Seq. Id. No. 380, Seq. Id. No. 381, Seq. Id. No. 382, Seq. Id. No. 383, Seq. Id. No. 384, Seq. Id. No. 385, Seq. Id. No. 386, Seq. Id. No. 387, Seq. Id. No. 388, Seq. Id. No. 389, Seq. Id. No. 390, Seq. Id. No. 391, Seq. Id. No. 392, Seq. Id. No. 393, Seq. Id. No. 394, Seq. Id. No. 395, Seq. Id. No. 396, Seq. Id. No. 397, Seq. Id. No. 398, Seq. Id. No. 399, Seq. Id. No. 400, Seq. Id. No. 401, Seq. Id. No. 402, Seq. Id. No. 403, Seq. Id. No. 404, Seq. Id. No. 405, Seq. Id. No. 406, Seq. Id. No. 407, Seq. Id. No. 408, Seq. Id. No. 409, Seq. Id. No. 410, Seq. Id. No. 411, Seq. Id. No. 412, Seq. Id. No. 413, Seq. Id. No. 414, Seq. Id. No. 415, Seq. Id. No. 416, Seq. Id. No. 417, Seq. Id. No. 418, Seq. Id. No. 419, Seq. Id. No. 420, Seq. Id. No. 421, Seq. Id. No. 422, Seq. Id. No. 423, Seq. Id. No. 424, Seq. Id. No. 425, Seq. Id. No. 426, Seq. Id. No. 427, Seq. Id. No. 428, Seq. Id. No. 429, Seq. Id. No. 430, Seq. Id. No. 431, Seq. Id. No. 432, Seq. Id. No. 433, Seq. Id. No. 434, Seq. Id. No. 435, Seq. Id. No. 436, Seq. Id. No. 437, Seq. Id. No. 438, Seq. Id. No. 439, Seq. Id. No. 440, Seq. Id. No. 441, Seq. Id. No. 442, Seq. Id. No. 443, Seq. Id. No. 444, Seq. Id. No. 445, Seq. Id. No. 446, Seq. Id. No. 447, Seq. Id. No. 448, Seq. Id. No. 449, Seq. Id. No. 450, Seq. Id. No. 451, Seq. Id. No. 452, Seq. Id. No. 453, Seq. Id. No. 454, Seq. Id. No. 455, Seq. Id. No. 456, Seq. Id. No. 457, Seq. Id. No. 458, Seq. Id. No. 459, Seq. Id. No. 460, Seq. Id. No. 461, Seq. Id. No. 462, Seq. Id. No. 463, Seq. Id. No. 464, Seq. Id. No. 465, Seq. Id. No. 466, Seq. Id. No. 467, Seq. Id. No. 468, Seq. Id. No. 469, Seq. Id. No. 470, Seq. Id. No. 471, Seq. Id. No. 472, Seq. Id. No. 473, Seq. Id. No. 474, Seq. Id. No. 475, Seq. Id. No. 476, Seq. Id. No. 477, Seq. Id. No. 478, Seq. Id. No. 479, Seq. Id. No. 480, Seq. Id. No. 481, Seq. Id. No. 482, Seq. Id. No. 483, Seq. Id. No. 484, Seq. Id. No. 485, Seq. Id. No. 486, Seq. Id. No. 487, Seq. Id. No. 488, Seq. Id. No. 489, Seq. Id. No. 490, Seq. Id. No. 491, Seq. Id. No. 492, Seq. Id. No. 493, Seq. Id. No. 494, Seq. Id. No. 495, Seq. Id. No. 496, Seq. Id. No. 497, Seq. Id. No. 498, Seq. Id. No. 499, Seq. Id. No. 500, Seq. Id. No. 501, Seq. Id. No. 502, Seq. Id. No. 503, Seq. Id. No. 504, Seq. Id. No. 505, Seq. Id. No. 506, Seq. Id. No. 507, Seq. Id. No. 508, Seq. Id. No. 509, Seq. Id. No. 510, Seq. Id. No. 511, Seq. Id. No. 512, Seq. Id. No. 513, Seq. Id. No. 514, Seq. Id. No. 515, Seq. Id. No. 516 and Seq. Id. No. 517.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 518, Seq. Id. No. 522, Seq. Id. No. 523, Seq. Id. No. 524, Seq. Id. No. 526, Seq. Id. No. 527, Seq. Id. No. 528, Seq. Id. No. 529, Seq. Id. No. 530, Seq. Id. No. 531, Seq. Id. No. 532, Seq. Id. No. 533, Seq. Id. No. 534, Seq. Id. No. 535, Seq. Id. No. 536, Seq. Id. No. 537, Seq. Id. No. 538, Seq. Id. No. 539, Seq. Id. No. 540, Seq. Id. No. 541, Seq. Id. No. 542, Seq. Id. No. 543, Seq. Id. No. 544, Seq. Id. No. 545, Seq. Id. No. 546, Seq. Id. No. 547, Seq. Id. No. 548, Seq. Id. No. 549, Seq. Id. No. 550, Seq. Id. No. 551, Seq. Id. No. 552, Seq. Id. No. 553, Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 557, Seq. Id. No. 559, Seq. Id. No. 560, Seq. Id. No. 562, Seq. Id. No. 563, Seq. Id. No. 564, Seq. Id. No. 565, Seq. Id. No. 567, Seq. Id. No. 568, Seq. Id. No. 569, Seq. Id. No. 570, Seq. Id. No. 571, Seq. Id. No. 572, Seq. Id. No. 573, Seq. Id. No. 574, Seq. Id. No. 575, Seq. Id. No. 576, Seq. Id. No. 577, Seq. Id. No. 578, Seq. Id. No. 579, Seq. Id. No. 580, Seq. Id. No. 581, Seq. Id. No. 582, Seq. Id. No. 583, Seq. Id. No. 584, Seq. Id. No. 585, Seq. Id. No. 586, Seq. Id. No. 587, Seq. Id. No. 588, Seq. Id. No. 589, Seq. Id. No. 590, Seq. Id. No. 591, Seq. Id. No. 592, Seq. Id. No. 593, Seq. Id. No. 594, Seq. Id. No. 595, Seq. Id. No. 596, Seq. Id. No. 597, Seq. Id. No. 598, Seq. Id. No. 599 and Seq. Id. No. 601.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 604, Seq. Id. No. 605, Seq. Id. No. 606, Seq. Id. No. 607, Seq. Id. No. 608, Seq. Id. No. 609, Seq. Id. No. 610, Seq. Id. No. 611, Seq. Id. No. 612, Seq. Id. No. 613, Seq. Id. No. 614, Seq. Id. No. 615, Seq. Id. No. 616, Seq. Id. No. 617, Seq. Id. No. 618 and Seq. Id. No. 619.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from the group consisting of Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 556, Seq. Id. No. 557, Seq. Id. No. 558, Seq. Id. No. 559, and Seq. Id. No. 560.
A certain embodiment of present invention provides a kit as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from the group consisting of Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, and Seq. Id. No. 561.
A certain embodiment of present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing human EGFR, wherein an increased level of said autoantibody selected from the group of autoantibodies recognizing human EGFR in the blood sample of the human subject compared to a level of said autoantibody representative for a human subject of a healthy population is indicative for non-small cell lung cancer, in particular wherein the level of an autoantibody recognizing human EGFR is measured.
Present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
a) measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing human EGFR,
b) comparing the level of said autoantibody to a reference level, and
c) providing a diagnosis of non-small cell lung cancer when the level of said autoantibody is above the reference level.
Present invention provides a method of diagnosis of non-small cell lung cancer in a human subject comprising:
a) measuring in a blood sample of the human subject a level of an autoantibody selected from the group of autoantibodies recognizing mutated human EGFR,
b) comparing the level of said autoantibody to a reference level, and
c) recommending a treatment when the level of said autoantibody is above the reference level.
A certain embodiment of the present invention provides a method as described above, wherein said treatment is erlotinib.
A certain embodiment of present invention provides a method as described above, wherein the autoantibody recognizes an EGFR peptide is selected from the group consisting of Seq. Id. No. 1, Seq. Id. No. 2, Seq. Id. No. 3, Seq. Id. No. 4, Seq. Id. No. 5, Seq. Id. No. 6, Seq. Id. No. 7, Seq. Id. No. 8, Seq. Id. No. 9, Seq. Id. No. 10, Seq. Id. No. 11, Seq. Id. No. 12, Seq. Id. No. 13, Seq. Id. No. 14, Seq. Id. No. 15, Seq. Id. No. 16, Seq. Id. No. 17, Seq. Id. No. 18, Seq. Id. No. 19, Seq. Id. No. 20, Seq. Id. No. 21, Seq. Id. No. 22, Seq. Id. No. 23, Seq. Id. No. 24, Seq. Id. No. 25, Seq. Id. No. 26, Seq. Id. No. 27, Seq. Id. No. 28, Seq. Id. No. 29, Seq. Id. No. 30, Seq. Id. No. 31, Seq. Id. No. 32, Seq. Id. No. 33, Seq. Id. No. 34, Seq. Id. No. 35, Seq. Id. No. 36, Seq. Id. No. 37, Seq. Id. No. 38, Seq. Id. No. 39, Seq. Id. No. 40, Seq. Id. No. 41, Seq. Id. No. 42, Seq. Id. No. 43, Seq. Id. No. 44, Seq. Id. No. 45, Seq. Id. No. 46, Seq. Id. No. 47, Seq. Id. No. 48, Seq. Id. No. 49, Seq. Id. No. 50, Seq. Id. No. 51, Seq. Id. No. 52, Seq. Id. No. 53, Seq. Id. No. 54, Seq. Id. No. 55, Seq. Id. No. 56, Seq. Id. No. 57, Seq. Id. No. 58, Seq. Id. No. 59, Seq. Id. No. 60, Seq. Id. No. 61, Seq. Id. No. 62, Seq. Id. No. 63, Seq. Id. No. 64, Seq. Id. No. 65, Seq. Id. No. 66, Seq. Id. No. 67, Seq. Id. No. 68, Seq. Id. No. 69, Seq. Id. No. 70, Seq. Id. No. 71, Seq. Id. No. 72, Seq. Id. No. 73, Seq. Id. No. 74, Seq. Id. No. 75, Seq. Id. No. 76, Seq.
Id. No. 77, Seq. Id. No. 78, Seq. Id. No. 79, Seq. Id. No. 80, Seq. Id. No. 81, Seq. Id. No. 82, Seq. Id. No. 83, Seq. Id. No. 84, Seq. Id. No. 85, Seq. Id. No. 86, Seq. Id. No. 87, Seq. Id. No. 88, Seq. Id. No. 89, Seq. Id. No. 90, Seq. Id. No. 91, Seq. Id. No. 92, Seq. Id. No. 93, Seq. Id. No. 94, Seq. Id. No. 95, Seq. Id. No. 96, Seq. Id. No. 97, Seq. Id. No. 98, Seq. Id. No. 99, Seq. Id. No. 100, Seq. Id. No. 101, Seq. Id. No. 102, Seq. Id. No. 103, Seq. Id. No. 104, Seq. Id. No. 105, Seq. Id. No. 106, Seq. Id. No. 107, Seq. Id. No. 108, Seq. Id. No. 109, Seq. Id. No. 110, Seq. Id. No. 111, Seq. Id. No. 112, Seq. Id. No. 113, Seq. Id. No. 114, Seq. Id. No. 115, Seq. Id. No. 116, Seq. Id. No. 117, Seq. Id. No. 118, Seq. Id. No. 119, Seq. Id. No. 120, Seq. Id. No. 121, Seq. Id. No. 122, Seq. Id. No. 123, Seq. Id. No. 124, Seq. Id. No. 125, Seq. Id. No. 126, Seq. Id. No. 127, Seq. Id. No. 128, Seq. Id. No. 129, Seq. Id. No. 130, Seq. Id. No. 131, Seq. Id. No. 132, Seq. Id. No. 133, Seq. Id. No. 134, Seq. Id. No. 135, Seq. Id. No. 136, Seq. Id. No. 137, Seq. Id. No. 138, Seq. Id. No. 139, Seq. Id. No. 140, Seq. Id. No. 141, Seq. Id. No. 142, Seq. Id. No. 143, Seq. Id. No. 144, Seq. Id. No. 145, Seq. Id. No. 146, Seq. Id. No. 147, Seq. Id. No. 148, Seq. Id. No. 149, Seq. Id. No. 150, Seq. Id. No. 151, Seq. Id. No. 152, Seq. Id. No. 153, Seq. Id. No. 154, Seq. Id. No. 155, Seq. Id. No. 156, Seq. Id. No. 157, Seq. Id. No. 158, Seq. Id. No. 159, Seq. Id. No. 160, Seq. Id. No. 161, Seq. Id. No. 162, Seq. Id. No. 163, Seq. Id. No. 164, Seq. Id. No. 165, Seq. Id. No. 166, Seq. Id. No. 167, Seq. Id. No. 168, Seq. Id. No. 169, Seq. Id. No. 170, Seq. Id. No. 171, Seq. Id. No. 172, Seq. Id. No. 173, Seq. Id. No. 174, Seq. Id. No. 175, Seq. Id. No. 176, Seq. Id. No. 177, Seq. Id. No. 178, Seq. Id. No. 179, Seq. Id. No. 180, Seq. Id. No. 181, Seq. Id. No. 182, Seq. Id. No. 183, Seq. Id. No. 184, Seq. Id. No. 185, Seq. Id. No. 186, Seq. Id. No. 187, Seq. Id. No. 188, Seq. Id. No. 189, Seq. Id. No. 190, Seq. Id. No. 191, Seq. Id. No. 192, Seq. Id. No. 193, Seq. Id. No. 194, Seq. Id. No. 195, Seq. Id. No. 196, Seq. Id. No. 197, Seq. Id. No. 198, Seq. Id. No. 199, Seq. Id. No. 200, Seq. Id. No. 201, Seq. Id. No. 202, Seq. Id. No. 203, Seq. Id. No. 204, Seq. Id. No. 205, Seq. Id. No. 206, Seq. Id. No. 207, Seq. Id. No. 208, Seq. Id. No. 209, Seq. Id. No. 210, Seq. Id. No. 211, Seq. Id. No. 212, Seq. Id. No. 213, Seq. Id. No. 214, Seq. Id. No. 215, Seq. Id. No. 216, Seq. Id. No. 217, Seq. Id. No. 218, Seq. Id. No. 219, Seq. Id. No. 220, Seq. Id. No. 221, Seq. Id. No. 222, Seq. Id. No. 223, Seq. Id. No. 224, Seq. Id. No. 225, Seq. Id. No. 226, Seq. Id. No. 227, Seq. Id. No. 228, Seq. Id. No. 229, Seq. Id. No. 230, Seq. Id. No. 231, Seq. Id. No. 232, Seq. Id. No. 233, Seq. Id. No. 234, Seq. Id. No. 235, Seq. Id. No. 236, Seq. Id. No. 237, Seq. Id. No. 238, Seq. Id. No. 239, Seq. Id. No. 240, Seq. Id. No. 241, Seq. Id. No. 242, Seq. Id. No. 243, Seq. Id. No. 244, Seq. Id. No. 245, Seq. Id. No. 246, Seq. Id. No. 247, Seq. Id. No. 248, Seq. Id. No. 249, Seq. Id. No. 250, Seq. Id. No. 251, Seq. Id. No. 252, Seq. Id. No. 253, Seq. Id. No. 254, Seq. Id. No. 255, Seq. Id. No. 256, Seq. Id. No. 257, Seq. Id. No. 258, Seq. Id. No. 259, Seq. Id. No. 260, Seq. Id. No. 261, Seq. Id. No. 262, Seq. Id. No. 263, Seq. Id. No. 264, Seq. Id. No. 265, Seq. Id. No. 266, Seq. Id. No. 267, Seq. Id. No. 268, Seq. Id. No. 269, Seq. Id. No. 270, Seq. Id. No. 271, Seq. Id. No. 272, Seq. Id. No. 273, Seq. Id. No. 274, Seq. Id. No. 275, Seq. Id. No. 276, Seq. Id. No. 277, Seq. Id. No. 278, Seq. Id. No. 279, Seq. Id. No. 280, Seq. Id. No. 281, Seq. Id. No. 282, Seq. Id. No. 283, Seq. Id. No. 284, Seq. Id. No. 285, Seq. Id. No. 286, Seq. Id. No. 287, Seq. Id. No. 288, Seq. Id. No. 289, Seq. Id. No. 290, Seq. Id. No. 291, Seq. Id. No. 292, Seq. Id. No. 293, Seq. Id. No. 294, Seq. Id. No. 295, Seq. Id. No. 296, Seq. Id. No. 297, Seq. Id. 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No. 408, Seq. Id. No. 409, Seq. Id. No. 410, Seq. Id. No. 411, Seq. Id. No. 412, Seq. Id. No. 413, Seq. Id. No. 414, Seq. Id. No. 415, Seq. Id. No. 416, Seq. Id. No. 417, Seq. Id. No. 418, Seq. Id. No. 419, Seq. Id. No. 420, Seq. Id. No. 421, Seq. Id. No. 422, Seq. Id. No. 423, Seq. Id. No. 424, Seq. Id. No. 425, Seq. Id. No. 426, Seq. Id. No. 427, Seq. Id. No. 428, Seq. Id. No. 429, Seq. Id. No. 430, Seq. Id. No. 431, Seq. Id. No. 432, Seq. Id. No. 433, Seq. Id. No. 434, Seq. Id. No. 435, Seq. Id. No. 436, Seq. Id. No. 437, Seq. Id. No. 438, Seq. Id. No. 439, Seq. Id. No. 440, Seq. Id. No. 441, Seq. Id. No. 442, Seq. Id. No. 443, Seq. Id. No. 444, Seq. Id. No. 445, Seq. Id. No. 446, Seq. Id. No. 447, Seq. Id. No. 448, Seq. Id. No. 449, Seq. Id. No. 450, Seq. Id. No. 451, Seq. Id. No. 452, Seq. Id. No. 453, Seq. Id. No. 454, Seq. Id. No. 455, Seq. Id. No. 456, Seq. Id. No. 457, Seq. Id. No. 458, Seq. Id. No. 459, Seq. Id. No. 460, Seq. Id. No. 461, Seq. Id. No. 462, Seq. Id. No. 463, Seq. Id. No. 464, Seq. Id. No. 465, Seq. Id. No. 466, Seq. Id. No. 467, Seq. Id. No. 468, Seq. Id. No. 469, Seq. Id. No. 470, Seq. Id. No. 471, Seq. Id. No. 472, Seq. Id. No. 473, Seq. Id. No. 474, Seq. Id. No. 475, Seq. Id. No. 476, Seq. Id. No. 477, Seq. Id. No. 478, Seq. Id. No. 479, Seq. Id. No. 480, Seq. Id. No. 481, Seq. Id. No. 482, Seq. Id. No. 483, Seq. Id. No. 484, Seq. Id. No. 485, Seq. Id. No. 486, Seq. Id. No. 487, Seq. Id. No. 488, Seq. Id. No. 489, Seq. Id. No. 490, Seq. Id. No. 491, Seq. Id. No. 492, Seq. Id. No. 493, Seq. Id. No. 494, Seq. Id. No. 495, Seq. Id. No. 496, Seq. Id. No. 497, Seq. Id. No. 498, Seq. Id. No. 499, Seq. Id. No. 500, Seq. Id. No. 501, Seq. Id. No. 502, Seq. Id. No. 503, Seq. Id. No. 504, Seq. Id. No. 505, Seq. Id. No. 506, Seq. Id. No. 507, Seq. Id. No. 508, Seq. Id. No. 509, Seq. Id. No. 510, Seq. Id. No. 511, Seq. Id. No. 512, Seq. Id. No. 513, Seq. Id. No. 514, Seq. Id. No. 515, Seq. Id. No. 516, Seq. Id. No. 517, Seq. Id. No. 518, Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, Seq. Id. No. 522, Seq. Id. No. 523, Seq. Id. No. 524, Seq. Id. No. 525, Seq. Id. No. 526, Seq. Id. No. 527, Seq. Id. No. 528, Seq. Id. No. 529, Seq. Id. No. 530, Seq. Id. No. 531, Seq. Id. No. 532, Seq. Id. No. 533, Seq. Id. No. 534, Seq. Id. No. 535, Seq. Id. No. 536, Seq. Id. No. 537, Seq. Id. No. 538, Seq. Id. No. 539, Seq. Id. No. 540, Seq. Id. No. 541, Seq. Id. No. 542, Seq. Id. No. 543, Seq. Id. No. 544, Seq. Id. No. 545, Seq. Id. No. 546, Seq. Id. No. 547, Seq. Id. No. 548, Seq. Id. No. 549, Seq. Id. No. 550, Seq. Id. No. 551, Seq. Id. No. 552, Seq. Id. No. 553, Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 556, Seq. Id. No. 557, Seq. Id. No. 558, Seq. Id. No. 559, Seq. Id. No. 560, Seq. Id. No. 561, Seq. Id. No. 562, Seq. Id. No. 563, Seq. Id. No. 564, Seq. Id. No. 565, Seq. Id. No. 566, Seq. Id. No. 567, Seq. Id. No. 568, Seq. Id. No. 569, Seq. Id. No. 570, Seq. Id. No. 571, Seq. Id. No. 572, Seq. Id. No. 573, Seq. Id. No. 574, Seq. Id. No. 575, Seq. Id. No. 576, Seq. Id. No. 577, Seq. Id. No. 578, Seq. Id. No. 579, Seq. Id. No. 580, Seq. Id. No. 581, Seq. Id. No. 582, Seq. Id. No. 583, Seq. Id. No. 584, Seq. Id. No. 585, Seq. Id. No. 586, Seq. Id. No. 587, Seq. Id. No. 588, Seq. Id. No. 589, Seq. Id. No. 590, Seq. Id. No. 591, Seq. Id. No. 592, Seq. Id. No. 593, Seq. Id. No. 594, Seq. Id. No. 595, Seq. Id. No. 596, Seq. Id. No. 597, Seq. Id. No. 598, Seq. Id. No. 599, Seq. Id. No. 600, Seq. Id. No. 601, Seq. Id. No. 602, Seq. Id. No. 603, Seq. Id. No. 604, Seq. Id. No. 605, Seq. Id. No. 606, Seq. Id. No. 607, Seq. Id. No. 608, Seq. Id. No. 609, Seq. Id. No. 610, Seq. Id. No. 611, Seq. Id. No. 612, Seq. Id. No. 613, Seq. Id. No. 614, Seq. Id. No. 615, Seq. Id. No. 616, Seq. Id. No. 617, Seq. Id. No. 618, and Seq. Id. No. 619.
A certain embodiment of present invention provides a method as described above, wherein the autoantibody recognizes an EGFR peptide that is selected from the group consisting of Seq. Id. No. 3, Seq. Id. No. 8, Seq. Id. No. 9, Seq. Id. No. 10, Seq. Id. No. 11, Seq. Id. No. 12, Seq. Id. No. 13, Seq. Id. No. 14, Seq. Id. No. 64, Seq. Id. No. 102, Seq. Id. No. 309, Seq. Id. No. 370, Seq. Id. No. 373, Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, Seq. Id. No. 525, Seq. Id. No. 556, Seq. Id. No. 558, Seq. Id. No. 561, Seq. Id. No. 566, Seq. Id. No. 600, Seq. Id. No. 602 and Seq. Id. No. 603.
A certain embodiment of present invention provides a kit for detecting in a blood sample of the human subject a level of one or more autoantibodies selected from the group of autoantibodies recognizing human EGFR, wherein an increased level of said autoantibodies selected from the group of autoantibodies recognizing human EGFR in the blood sample of the human subject compared to a level of said autoantibodies representative for a human subject of a healthy population is indicative for non-small cell lung cancer.
A certain embodiment of present invention provides a kit as described above, wherein the autoantibody recognizes an EGFR peptide that is selected from the group consisting of Seq. Id. No. 3, Seq. Id. No. 8, Seq. Id. No. 9, Seq. Id. No. 10, Seq. Id. No. 11, Seq. Id. No. 12, Seq. Id. No. 13, Seq. Id. No. 14, Seq. Id. No. 64, Seq. Id. No. 102, Seq. Id. No. 309, Seq. Id. No. 370, Seq. Id. No. 373, Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, Seq. Id. No. 525, Seq. Id. No. 556, Seq. Id. No. 558, Seq. Id. No. 561, Seq. Id. No. 566, Seq. Id. No. 600, Seq. Id. No. 602 and Seq. Id. No. 603.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes a mutated EGFR peptide that is selected from Seq. Id. No. 554, Seq. Id. No. 555, Seq. Id. No. 556, Seq. Id. No. 557, Seq. Id. No. 558, Seq. Id. No. 559, and Seq. Id. No. 560.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 518.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 519.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 520.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 521.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 522.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 523.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 524.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 525.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 526.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 527.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 528.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 529.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 530.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 531.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 532.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 533.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 534.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 535.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 536.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 537.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 538.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 539.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 540.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 541.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 542.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 543.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 544.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 545.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 546.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 547.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 548.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 549.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 550.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 551.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 552.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 553.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 554.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 555.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 556.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 557.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 558.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 559.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 560.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 561.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 562.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 563.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 564.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 565.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 566.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 567.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 568.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 569.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 570.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 571.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 572.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 573.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 574.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 575.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 576.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 577.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 578.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 579.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 580.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 581.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 582.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 583.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 584.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 585.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 586.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 587.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 588.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 589.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 590.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 591.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 592.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 593.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 594.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 595.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 596.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 597.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 598.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 599.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 600.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 601.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 602.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 603.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 604.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 605.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 606.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 607.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 608.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 609.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 610.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 611.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 612.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 613.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 614.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 615.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 616.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 617.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 618.
A certain embodiment of present invention provides a method as described herein, wherein the autoantibody recognizes an EGFR peptide of Seq. Id. No. 619.
A certain embodiment of present invention provides a method as described herein, wherein the level of an autoantibody recognizing p53 is measured.
A certain embodiment of present invention provides a method as described herein, wherein the level of an autoantibody in the blood sample of the human subject is 5 times higher than the level of said autoantibody representative for a human subject of a healthy population.
A certain embodiment of present invention provides a method for determining the EGFR mutation status in a tumor tissue of a human subject suffering from non-small cell lung cancer comprising:
detecting in a blood sample of a human being suffering from non-small cell lung cancer an autoantibody selected from the group of autoantibodies recognizing an human EGFR peptide as described herein, wherein the presence of said autoantibody is indicative for the presence of a mutation of exon 19 in the gene encoding EGFR in human tissue.
A certain embodiment of present invention provides a method for determining the EGFR mutation status in a tumor tissue of a human subject suffering from non-small cell lung cancer comprising:
detecting in a blood sample of a human being suffering from non-small cell lung cancer an autoantibody selected from the group of autoantibodies recognizing an human EGFR peptide as described herein, wherein the presence of said autoantibody is indicative for the presence of a deletion of exon 21 in the gene encoding EGFR in human tissue.
A certain embodiment of present invention provides erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride, for use in treating a NSCLC patient identified by a method as described herein comprising administering erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride to the patient.
A certain embodiment of present invention provides the use of an autoantibody for predicting the response of a NSCLC patient to erlotinib or a pharmaceutically acceptable salt thereof, in particular erlotinib hydrochloride, treatment, which antibody was identified by a method as described herein.
A certain embodiment of present invention provides a kit for detecting in a blood sample of the human subject a level of one or more autoantibodies selected from the group of autoantibodies recognizing human EGFR, wherein an increased level of said autoantibodies selected from the group of autoantibodies recognizing human EGFR in the blood sample of the human subject compared to a level of said autoantibodies representative for a human subject of a healthy population is indicative for non-small cell lung cancer.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from Seq. Id. No. 1-Seq. Id. No. 15.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from Seq. Id. No. 16-Seq. Id. No. 517.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from Seq. Id. No. 518-Seq. Id. No. 602.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from Seq. Id. No. 603-Seq. Id. No. 619.
A certain embodiment of present invention provides a kit according as described herein, wherein the autoantibody recognizes an EGFR peptide that is selected from Seq. Id. No. 519, Seq. Id. No. 520, Seq. Id. No. 521, and Seq. Id. No. 561.
Peptide arrays were created by PepStar™ (JPT Peptide Technologies GmbH, Berlin, Germany) peptide microarray platform to generate customized peptide microarrays on glass slides for biomarker discovery, immunomonitoring and detection and validation of protein interactions. Peptides are immobilized on glass slides via a flexible linker. Chemoselective coupling generates microarrays of directed and covalently attached peptides.
3661 specified native peptides with 500 scrambled control sequences covering the sequences of EGF-receptor, Arachidonate 15-lipoxygenase B (LX15B) and p53 and variants thereof were synthesized and arrays printed. A serum dilution 1:200 was used for the detection of EGFR binding in NSCLC patient samples. Incubation of microarrays was performed in an automated Hybridization Station HS4800 (Tecan) at 30° C. After washing, bound immunoglobine G (IgG) was detected with Cy5—labeled-anti-human secondary antibody (JIR, 0.1 μg/ml end-conc. in assay). Fluorescence was read using a Microarray Scanner GenePix with Autoloader 4200AL (Molecular Devices). Signal intensity is displayed as relative fluorescence units.
The following tables detail the wash and incubation conditions:
Samples were selected from patients belonging to the TASK study. TASK was a 200-patient randomized, open label, Phase II study of Tarceva® in combination with Avastin® (bevazizumab) compared to standard chemotherapy regimens (gemcitabine plus cisplatin or paclitaxel plus carboplatin) plus Avastin® in first-line NSCLC patients. Further enrollment on this study was halt after data from a pre-planned interim analysis of the first 120 patients. Occurrence of rash was recorded as adverse event. Biopsies from all patients were tested for the occurrence of EGFR mutations and the mutation status has been recorded.
For the peptide array study, a total of 49 patients from both arms (24 Avastin® and Tarceva® (A+T), 25 Avastin® and chemotherapy (A+C)) have been used. In the patients chosen for the A+T arm, rash occurred in 16 patients. In comparison, only 3 patients in the A+C arm developed rash. This corresponds to the expected frequency of rash, as rash is induced by erlotinib, but only to a very limited extend by chemotherapy.
Clinical data accessible included outcome data, e.g. response overall survival and progression free survival as well as the rash grade and the mutation status of EGFR as measured from a pre-treatment biopsy.
The following approach to model the data was applied:
Finally, various very similar peptide sequences that yield highly correlated antibody titers were used. For most of the reported peptide sequences, consensus sequence from a listing of all peptides with very high sequence similarity (Smith-Waterman alignment similarity score >50, using a PAM30 substitution matrix and a gap penalty of 1) was selected and antibody titers were correlated to the target titer (Spearman Rank correlation >0.75).
Number | Date | Country | Kind |
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12171126.1 | Jun 2012 | EP | regional |