Biomarker signatures for primary radiochemotherapy of locally advanced HNSCC - hypothesis generation on a multicentre cohort of the DKTK-ROG

Research output: Contribution to journalResearch articleContributedpeer-review


  • University of Basel
  • University Hospital Frankfurt
  • Freiburg University of Education
  • Innsbruck Medical University
  • Institute of Radiation Medicine (IRM)
  • University Hospital Tübingen


PURPOSE: To develop prognostic biomarker signatures for patients with locally advanced head and neck squamous cell carcinoma (HNSCC) treated by primary radiochemotherapy (RCTx) based on previously published molecular analyses of the retrospective biomarker study of the German Cancer Consortium - Radiation Oncology Group (DKTK-ROG).

MATERIAL AND METHODS: In previous studies on the retrospective DKTK-ROG HNSCC cohort treated with primary RCTx, the following clinical parameters and biomarkers were evaluated and found to be significantly associated with loco-regional tumour control (LRC) or overall survival (OS): tumour volume, p16 status, expression of cancer stem cell markers CD44 and SLC3A2, expressions of hypoxia-associated gene signatures, tumour mutational burden (TMB), single nucleotide polymorphisms (SNPs) in the ERCC2 gene (rs1799793, rs13181) and ERCC5 gene (rs17655) as well as the expression of CXCR4, SDF-1 and CD8. These biomarkers were combined in multivariable modelling using Cox-regression with backward variable selection.

RESULTS: A baseline signature containing the widely accepted parameters tumour volume, p16 status, cancer stem cell marker expression (CD44) and hypoxia-associated gene expression has been defined, representing the main hypothesis of the study. Furthermore, the baseline signature was extended by additional prognostic biomarkers and a data-driven signature without any pre-hypothesis was generated for both endpoints. In these signatures, the SNPs rs1799793 and rs17655 as well as CXCR4, SDF-1 and SLC3A2 expression were additionally included. The signatures showed significant patient stratifications for LRC and OS.

CONCLUSION: Three biomarker signatures were defined for patients with locally advanced HNSCC treated with primary RCTx for the endpoints LRC and OS. These signatures will be validated in the prospective HNprädBio study of the DKTK-ROG that recently completed recruitment, before potential application in an interventional trial.


Original languageEnglish
Pages (from-to)8-14
Number of pages7
JournalRadiotherapy and Oncology
Early online date16 Feb 2022
Publication statusPublished - Apr 2022

External IDs

Scopus 85125125151
WOS 000784304400002
Mendeley 464f7740-faa1-3a43-a571-62882bc7a3f2
unpaywall 10.1016/j.radonc.2022.02.009
ORCID /0000-0002-7017-3738/work/142253922


Research priority areas of TU Dresden

Subject groups, research areas, subject areas according to Destatis

Sustainable Development Goals


  • Biomarkers, Tumor/genetics, Chemoradiotherapy, Head and Neck Neoplasms/genetics, Humans, Hypoxia, Prognosis, Prospective Studies, Retrospective Studies, Squamous Cell Carcinoma of Head and Neck/genetics, Xeroderma Pigmentosum Group D Protein, Validation, Primary radiochemotherapy, HNSCC, Signature, Biomarkers, Hnscc

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