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SPARC Expression Correlates with Tumor Response to Albumin-Bound Paclitaxel in Head and Neck Cancer Patients

Open access
Desai, Neil, Trieu, Vuong, Damascelli, Bruno, Soon-Shiong, Patrick·2009·Translational Oncology

Abstract

SPARC up-regulation is a poor prognostic factor in head and neck cancer. It was hypothesized that because of a SPARC-albumin interaction, tumoral SPARC facilitates the accumulation of albumin in the tumor and increases the effectiveness of albumin-bound paclitaxel (nab-paclitaxel). This hypothesis was tested by correlating the response to nab-paclitaxel and SPARC tumor expression in a retrospective analysis of a 60-patient clinical study of nab-paclitaxel as monotherapy against head and neck cancer. Sixteen tumor specimens were available for analysis. There were 11 responders (CR/PR) and 5 nonresponders (SD/PD) among the 16 nab-paclitaxel-treated patients (12/16 SPARC-positive, 75%). Response to nab-paclitaxel was higher for SPARC-positive patients (10/12, 83%) than SPARC-negative patients (1/4, 25%). The SPARC-negative patients exhibited significantly lower response than the overall response rate among all 60 patients (1/4, 25% vs 45/60, 75%). Although preliminary, data are supportive of the hypothesis that SPARC overexpression may correlate with response to nab-paclitaxel. If confirmed in larger studies, treatment with nab-paclitaxel may convert a poor prognosis SPARC-positive patient population into a group with better clinical outcomes.

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Metadata

Authors
Desai, N., Trieu, V., Damascelli, B., & Soon-Shiong, P.
Venue
Translational Oncology
Publisher
Elsevier BV
Published
2009-06
Volume
2
Issue
2
Pages
59-64
ISSN
1936-5233 (ISSN-L)
OpenAlex
W2088895925
Cited by
396
References
16
FWCI
10.15
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: SPARC Expression Correlates with Tumor Response to Albumin-Bound Paclitaxel in Head and Neck Cancer Patients. https://app.cochat.ai/papers/10.1593/tlo.09109
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Desai, N., Trieu, V., Damascelli, B., & Soon-Shiong, P. (2009). SPARC Expression Correlates with Tumor Response to Albumin-Bound Paclitaxel in Head and Neck Cancer Patients. Translational Oncology. https://doi.org/10.1593/tlo.09109

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