J 2021

Prognostic Value of EGFR Exon-20 Insertions in Czech Patients With Advanced Non-small Cell Lung Cancer

SKŘIČKOVÁ, Jana; M PESEK; P OPALKA; L KOUBKOVA; M ZEMANOVA et al.

Základní údaje

Originální název

Prognostic Value of EGFR Exon-20 Insertions in Czech Patients With Advanced Non-small Cell Lung Cancer

Autoři

SKŘIČKOVÁ, Jana; M PESEK; P OPALKA; L KOUBKOVA; M ZEMANOVA; M HRNCIARIK; J BLAZEK; M SVATON; J KREJCI; H COUPKOVA; D DOLEZAL; T TUZOVA; L HOLUBEC; P MAHADEVIA; K SANDSTROM; P KUNOVSZKI; M BARINOVA; K HURDALKOVA; O FISCHER; M CERNOVSKA a M BRATOVA

Vydání

Anticancer Research, Athens, International Institute of Anticancer Research, 2021, 0250-7005

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.435

Označené pro přenos do RIV

Ne

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

EGFR exon-20 insertions; NSCLC; prognostic values; RWE

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 6. 12. 2021 12:31, Mgr. Tereza Miškechová

Anotace

V originále

Background/Aim: Per literature, patients with epidermal growth factor receptor (EGFR) exon-20 insertions respond poorly to tyrosine kinase inhibitors (TKIs). This study analyzed real-world data to examine the prognostic and predictive value of these mutations. Patients and Methods: We conducted a retrospective cohort study using Czech TULUNG Registry data, with data on multiple mutation types, collected in 2011-2020. Results: We analyzed 554 (95.85%) patients with EGFR exon-19 deletions or exon-21 L858R substitutions and 24 (4.15%) patients with exon-20 insertions who received first-line high-value therapies. We summarized clinical characteristics and outcomes in all patients and by cohort. The risk of progression was statistically significantly higher (86%) in the exon-20 insertion cohort compared to the cohort with other mutations. Although not statistically significant, the risk of death was 44% higher in patients with exon-20 insertions. Conclusion: Advanced NSCLC patients with rare EGFR exon-20 insertions have a high risk of progression.