MA14.01 Distribution and Detectability of EGFR Exon 20 Insertion Variants in Non–Small Cell Lung Cancer

نویسندگان

چکیده

The population of EGFR exon 20 insertion (ex20ins) mutations includes a diverse array variants and represents 5%-10% in non–small cell lung cancer (NSCLC). Specific targeted therapies are not available for patients with ex20ins+ NSCLC, regardless variant status; however, mobocertinib amivantamab currently development. Identifying ex20ins is challenging due to the limited coverage polymerase chain reaction (PCR) assays relatively recent use next-generation sequencing (NGS). detection will become more important as drugs targeting being developed. Here we describe distribution NSCLC global clinical trial real-world data United States, Germany, Japan, evaluate ability PCR versus NGS identify NSCLC. A retrospective analysis was conducted whose were identified by NGS/sequencing testing from (NCT02716116; n=145) 3 sets: US COTA Electronic Health Record database (n=30; cutoff 30Nov2020), chart review study across 12 academic sites Germany (n=80), Japanese genome screening project (LC-SCRUM-Japan; n=95; 31Dec2019). Frequencies percentages calculated each unique variant. Proportions identifiable 6 commercially kits projected based on manufacturer-provided information. total 58 this study, 36 which found trial, COTA, 27 German LC-SCRUM. most common A767_V769dup S768_D770dup, accounting 33% 46% sets (Figure). Of variants, only 7 could have been tests. These tests detect 12.4% 51.0% 13.3% 46.7% 17.5% 50.0% set, 21.1% 58.9% Japan Although commonly used diagnosis, has detecting ex20ins. It that missed >40% harboring Given profile NGS-based genetic can substantially improve their identification

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ژورنال

عنوان ژورنال: Journal of Thoracic Oncology

سال: 2021

ISSN: ['1556-0864', '1556-1380']

DOI: https://doi.org/10.1016/j.jtho.2021.08.182