Article ; Online: Biomarker Testing Journey Among Patients with Advanced Solid Tumors and Treatment Patterns by Homologous Recombination Repair Status: A Clinico-Genomic Database Study.
2024 Volume 41, Issue 2, Page(s) 759–776
Abstract: Introduction: Defects in the homologous recombination repair (HRR) pathway can include mutations in BRCA1 and BRCA2 (BRCAm) and other HRR genes (HRRm). These mutations are associated with a homologous recombination deficiency (HRD) phenotype. We ... ...
Abstract | Introduction: Defects in the homologous recombination repair (HRR) pathway can include mutations in BRCA1 and BRCA2 (BRCAm) and other HRR genes (HRRm). These mutations are associated with a homologous recombination deficiency (HRD) phenotype. We evaluated testing journey and treatment patterns by BRCAm, HRRm, and HRD status in a real-world dataset. Methods: Deidentified data for patients who had undergone comprehensive genomic profiling using FoundationOne Results: Among 9457 patients included in the overall population with evaluable biomarker status, 7856 (83.1%) received ≥ 1 systemic therapy. Among the 7856 patients who received systemic therapy, 2324 (30.0%) underwent testing before first-line therapy, 4114 (52.4%) were tested after receiving first-line therapy and before receiving subsequent therapy (if any), 970 (12.3%) were tested after second-line therapy and before receiving subsequent therapy (if any), and 447 (5.7%) patients underwent testing after receiving third-line therapy. A higher proportion of patients with BRCAm, HRRm, or HRD-positive status were treated with poly(ADP-ribose) polymerase (PARP) inhibitors across all lines of therapy. There was no evidence of a meaningful difference in the proportion of patients who received other treatment (including chemotherapy and immunotherapy) by BRCAm, HRRm, or HRD status. Conclusion: The majority of patients from this real-world dataset underwent FoundationOne |
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MeSH term(s) | Humans ; Female ; Recombinational DNA Repair ; Neoplasms/drug therapy ; Neoplasms/genetics ; Mutation ; Biomarkers ; Genomics ; Ovarian Neoplasms/pathology |
Chemical Substances | Biomarkers |
Language | English |
Publishing date | 2024-01-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 632651-1 |
ISSN | 1865-8652 ; 0741-238X |
ISSN (online) | 1865-8652 |
ISSN | 0741-238X |
DOI | 10.1007/s12325-023-02734-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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