TY - JOUR T1 - Biomarkers for efficacy of adjuvant chemotherapy following complete resection in NSCLC stages I–IIIA JF - European Respiratory Review JO - EUROPEAN RESPIRATORY REVIEW SP - 340 LP - 355 DO - 10.1183/16000617.00005814 VL - 24 IS - 136 AU - Sandra Wallerek AU - Jens Benn Sørensen Y1 - 2015/06/01 UR - http://err.ersjournals.com/content/24/136/340.abstract N2 - Biomarkers may be useful when deciding which nonsmall cell lung cancer (NSCLC) patients may benefit from adjuvant chemotherapy following complete resection and which chemotherapeutic agents may be used preferably in individual patients in order to maximise survival. A literature search covering the period from 2003 to May, 2014 was conducted using PubMed and the following search terms: “non-small cell lung cancer”, “NSCLC”, “adjuvant chemotherapy”, “randomized”, “randomised”, “biomarkers”, “prognostic”, “predictive”. This review focuses on current knowledge of biomarkers for prognosis or efficacy of adjuvant treatment following complete resection in stage I–IIIA NSCLC patients. This review includes results on 18 different biomarkers and five gene profiles. A statistically significant prognostic impact was reported for: iNTR, TUBB3, RRM1, ERCC1, BRCA1, p53, MRP2, MSH2, TS, mucin, BAG-1, pERK1/2, pAkt-1, microRNA, TopIIA, 15-gene profile, 92-gene profile, 31-gene profile and 14-gene profile. A statistically significant predictive impact was reported for: ERCC1, p53, MSH2, p27, TUBB3, PARP1, ATM, 37-gene profile, 31-gene profile, 15-gene profile and 92-gene profile. Uncertainties regarding the optimal analysis method and cut-off levels for the individual markers may blur the prognostic or predictive signals. None of the possible predictive markers have been validated in prospective trials. Thus, there are no biomarkers ready to use in an adjuvant setting in NSCLC. Further investigation and validation is required to explore biomarkers in completely resected NSCLC stage I–IIIA http://ow.ly/M0leE ER -