RT Journal Article SR Electronic T1 Molecular predictors of response to a humanized anti–insulin-like growth factor-I receptor monoclonal antibody in breast and colorectal cancer JF Molecular Cancer Therapeutics JO Mol Cancer Ther FD American Association for Cancer Research SP 2110 OP 2121 DO 10.1158/1535-7163.MCT-09-0381 VO 8 IS 8 A1 Zha, Jiping A1 O'Brien, Carol A1 Savage, Heidi A1 Huw, Ling-Yuh A1 Zhong, Fiona A1 Berry, Leanne A1 Lewis Phillips, Gail D. A1 Luis, Elizabeth A1 Cavet, Guy A1 Hu, Xiaolan A1 Amler, Lukas C. A1 Lackner, Mark R. YR 2009 UL http://mct.aacrjournals.org/content/8/8/2110.abstract AB The insulin-like growth factor-I receptor (IGF-IR) pathway is required for the maintenance of the transformed phenotype in neoplastic cells and hence has been the subject of intensive drug discovery efforts. A key aspect of successful clinical development of targeted therapies directed against IGF-IR will be identification of responsive patient populations. Toward that end, we have endeavored to identify predictive biomarkers of response to an anti-IGF-IR-targeting monoclonal antibody in preclinical models of breast and colorectal cancer. We find that levels of the IGF-IR itself may have predictive value in these tumor types and identify other gene expression predictors of in vitro response. Studies in breast cancer models suggest that IGF-IR expression is both correlated and functionally linked with estrogen receptor signaling and provide a basis for both patient stratification and rational combination therapy with antiestrogen-targeting agents. In addition, we find that levels of other components of the signaling pathway such as the adaptor proteins IRS1 and IRS2, as well as the ligand IGF-II, have predictive value and report on the development of a pathway-focused panel of diagnostic biomarkers that could be used to test these hypotheses during clinical development of IGF-IR-targeting therapies. [Mol Cancer Ther 2009;8(8):2110–21]