e14573 Background: Chemoradiotherapy is an effective treatment in esophageal cancer p; however, there are no reliable pretreatment clinical parameters to predict the efficacy of this multimodal approach. BRCA1 plays a crucial role in DNA repair pathways, and decreased BRCA1 mRNA expression has been associated with sensitivity to cisplatin and to radiotherapy in several tumors. Methods: We analyzed BRCA1 mRNA expr ession by quantitative PCR in pretreatment endoscopic biopsies from 43 locally advanced esophageal cancer p treated with cisplatin plus fluorouracil and concurrent with radiotherapy, followed by esophagectomy when feasible. p were divided into groups according to tercil es of BRCA1 expression levels. Since the sample size was relatively small, outcomes for those in the lowest tercile were compared to those in the intermediate and high est tercil es together. Results: Eight of 43 p were classified as adenocarcinomas and 35 as squamous cell carcinomas. Nine p had stage II and 34 stage III disease. Of 23 p who underwent esophagectomy after chemoradiotherapy, 10 (43.5%) attained a significant pathological r esponse (pR) (pT0-2N0M0). Of 6 p in the lowest tercile of BRCA1 undergoing surgery, 4 (66%) had a significant pR, while of 17 p in the intermediate and highest tercil es, only 6 (36%) attained a significant pR (p = 0.3). 5-year survival was 18% for all 43 p, 21% for p in the low est tercile of BRCA1, and 17% for p in the intermediate and highest terciles (p = 0.8). Conclusions: Low BRCA1 expr ession is associated with a trend towards better pR in p treated with preoperative chemoradiotherapy. The fact that this association did not reach significance may be due to the small number of patients, and additional patients are currently being included in this analysis to further confirm these results. No significant financial relationships to disclose.