%0 Journal Article %A Fernandez-Mateos, J. %A Seijas-Tamayo, R. %A Mesia, R. %A Taberna, M. %A Pastor Borgonon, M. %A Perez-Ruiz, E. %A Klain, J. C. Adansa %A Vazquez Fernandez, S. %A del Barco Morillo, E. %A Lozano, A. %A Gonzalez Sarmiento, R. %A Cruz-Hernandez, J. J. %A Spanish Head Neck Canc Cooperative %T Epidermal growth factor receptor (EGFR) pathway polymorphisms as predictive markers of cetuximab toxicity in locally advanced head and neck squamous cell carcinoma (HNSCC) in a Spanish population %D 2016 %@ 1368-8375 %U https://hdl.handle.net/10668/26658 %X Objectives: To examine the relationship between polymorphisms of the epidermal growth factor receptor (EGFR) pathway and toxicity in head and neck squamous cell carcinoma (HNSCC) patients treated with cetuximab.Material and methods: Multicenter, retrospective, observational pilot study which included 110 patients with histologically-confirmed human papillomavirus (HPV) negative HNSCC in locally advanced stages (III-IVA-B) and who were treated with chemotherapy and radiotherapy plus cetuximab between 2003 and 2013. Genetic analyses for single nucleotide polymorphisms (SNP) in genes EGFR, CCDN1, FCGR2A, FCGR3A and KRAS-LCS6 were performed though available allelic discrimination assay and/or polymerase chain reaction-restriction fragment length polymorphism methods.Results: Acneiform rash was observed in 55.5% of patients, dry skin in 45.5% and pruritus in 20.9%. A significant association with dry skin and global cetuximab-related toxicity was observed for the KRAS-LCS6 (rs61764370) variant (p %K Head and neck squamous cell carcinoma (HNSCC) %K Epidermal growth factor receptor (EGFR) %K Polymorphism %K SNP %K EGFR %K CCDN1 %K FCGR2A %K FCGR3A %K KRAS-LCS6 %K Cetuximab %K Toxicity %K Platinum-based chemotherapy %K Phase-ii %K Plus cetuximab %K Skin toxicity %K Single-agent %K Lung-cancer %K Open-label %K Risk %K Epidemiology %K Combination %~