Comparison of the Dako EGFR pharmDx kit and Zymed EGFR antibody for assessment of EGFR status in colorectal adenocarcinoma.

Published

Journal Article

Immunohistochemistry is widely used to assess epidermal growth factor receptor (EGFR) expression on colorectal carcinomas to select patients for treatment with cetuximab, an anti-EGFR antibody. The data comparing different commercial EGFR antibodies is limited, and no cost comparisons have been made. We analyzed 65 advanced colorectal cancers from 36 patients using the EGFR pharmDx kit (DakoCytomation) and Clone 31G7 (Zymed Laboratories, Inc). EGFR expression was seen in 35 (53%) tumors (21 primary, 14 metastatic) with the Dako pharmDx kit. The Zymed antibody showed positive results in 41 (63%) tumors (25 primary, 16 metastatic). The cost per test was $40.00 with the pharmDx kit and $3.52 with the Zymed antibody. The Zymed antibody detects 10% more cases of colorectal cancer as EGFR positive, and is 10 times cheaper than the Dako pharmDx kit. There is little justification for the use of expensive kits for testing EGFR expression, when other available antibodies without the kit can give comparable or superior results.

Full Text

Duke Authors

Cited Authors

  • Buckley, AF; Kakar, S

Published Date

  • September 2007

Published In

Volume / Issue

  • 15 / 3

Start / End Page

  • 305 - 309

PubMed ID

  • 17721276

Pubmed Central ID

  • 17721276

Electronic International Standard Serial Number (EISSN)

  • 1533-4058

International Standard Serial Number (ISSN)

  • 1541-2016

Digital Object Identifier (DOI)

  • 10.1097/01.pai.0000213141.47277.bf

Language

  • eng