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Benign Breast Disease Team Project

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•   BRCA1 (PC) •   p16 (PC) •   APC (PC) •   RASSF1A (PC) •   HIN1 (PC) •   EZH2 (JM) •   CEACAM6 (AG/JM, Poola) •   MMP1 (JM, Poola) •   TP53 (JM) •   HYAL1(JM, Poola) •   ALDH1 (JM) •   Periplakin, Epiplakin and Desmuslin (AG) •   Vitronectin and alpha-5-integrin (AG) •   IQGAP2 (AG) •   C5, C8G, C9 (AG) •   Mucin1 (AG) •   Glutathione S-transferase Mu1 and Mu3 (AG) •   ALDH16A1 (AG)
Proteomics
Other, Specify
Breast and Gynecologic Cancers Research
1

This procedure applies to identification of the cohort and of cases and controls from the cohort of women with the diagnosis of benign breast conditions, and selection of formalin fixed paraffin embedded blocks.

Biomarkers expressed in benign breast disease tissue of women who progresse to invasive breast cancer are quantitatively and/or qualitatively different from those expressed in tissue of matched women who do not progress to invasive breast cancer. A nested case-control design will be used to determine if available proteomic and methylation biomarkers predict risk for future invasive cancer (IBC). Women with ADH who are disease-free will be matched 2:1 to women with ADH who progress to IBC.
The performance of each biomarker tested will be undertaken in three steps: A.   Relative Risks Associated with Biomarker Values    1.    Cox regression will be used. Time measured from BBD diagnosis. 2.    Relative risks beyond those conferred by other predictors including age, family history, and histology will be examined. 3.    Separate models will be fit for ADH versus UH versus NP if there are sufficient numbers; Analyses will be combined with stratification if appropriate. B.   Capacity for Discrimination between Cases and Controls 1.   Primary comparison groups: subjects who developed invasive breast cancer by 7 years versus controls who are alive and without cancer at 7 years after BBD 2.   Secondary comparison groups: incident DCIS, invasive cancer after 7 years 3.   ROC curves will be used to compare cases with primary controls. Calculations are complicated because they must handle varying follow-up and the quota method of selecting non-cases 4.   Separate ROCs for BBD with and without atypia will be estimated if possible and compared. We will compare ROC curves for different biomarkers 5.   We will develop a combination biomarker score based on markers that appear to perform well using Cox regression. We will calculate its ROC curve and compare with ROC for best individual biomarker C.   Absolute Risk of IBC for Individual Decision Making 1.   Calculate individual risk of IBC .5-7.0 years after BBD with and without biomarker 2.   Compare risk distributions. How many people classified as high risk (>.75%X4.5) with and without the biomarker 3.   Calculate risk distributions for subjects who develop IBC by 7 years (cases) and for subjects alive without IBC by 7years (controls) 4.   Of subjects who develop IBC by 7 years, how many classified as high risk? This is the sensitivity (TPR) 5.   Of subjects who are alive without IBC by 7 years, how many classified as low risk? This is the specificity (1-FPR) 6.   Calculate the standardized net benefit that combines TPR and FPR into a single index 7.   Compare for different biomarkers and for the most discriminating biomarker combination

There are currently no biomarkers annotated for this protocol.

No datasets are currently associated with this protocol.


Announcement 11/20/2014

New Round of EDRN FOAs

The RFAs for EDRN have been released:
- Biomarker Developmental Laboratories (U01),
- Clinical Validation Centers (U01),
- Biomarker Reference Laboratories (U24),
- Data Management and Coordinating Center (U24).

EDRN Renewal flyer NOTE-New receipt deadline for applications submitted for all EDRN FOAs is January 20, 2015, by 5:00 PM local time of applicant organization.

There will be a Pre-Application webinar to discuss each of the four individual EDRN FOAs on Tuesday, December 2nd, 2014, from 1pm-5pm (Eastern). Potential applicants interested in participating in the webinar should send a message to Dr. Sharmistha Ghosh (ghoshjanjigias@mail.nih.gov) no later than 5:00 p.m. (EST) November 21, 2014. Please mention the FOA of interest in the subject line.

Announcement 10/07/2014

EDRN Patient Advocates will host an EDRN Advocacy Educational Webinar, Biomarkers for Prostate Cancer Detection and Monitoring, on Monday, January 12th, 2015, at 1 p.m. EDT / 10 a.m. PDT. Registration is not required for this. Please click for more information.