Genome-wide association with survival in stage II-III colon cancer clinical trials (NCCTG N0147, Alliance for Clinical Trials in Oncology; NSABP C-08, NRG Oncology).

Authors

null

Kathryn Penney

Harvard T.H. Chan School of Public Health, Boston, MA

Kathryn Penney , Barbara L. Banbury , Qian Shi , Carmen Joseph Allegra , Steven R. Alberts , Ulrike Peters , Greg Yothers , Frank A. Sinicrope , Wei Sun , Suresh Nair , Tabitha A. Harrison , Richard M. Goldberg , Peter C. Lucas , Linda H. Colangelo , James Norman Atkins , Polly A. Newcomb , Andrew T. Chan

Organizations

Harvard T.H. Chan School of Public Health, Boston, MA, Fred Hutchinson Cancer Research Center, Seattle, WA, Mayo Clinic, Rochester, MN, NSABP Foundation, and The University of Florida, Gainesville, FL, University of Pittsburgh, Pittsburgh, PA, University of Washington, Seattle, WA, Lehigh Valley Health Network, Allentown, PA, Ohio State University Comprehensive Cancer Center, Columbus, OH, NSABP/NRG Oncology, and The University of Pittsburgh School of Medicine, Pittsburgh, PA, National Surgical Adjuvant Breast and Bowel Project Biostatistical Center and University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, Southeast Clinical Oncology Research Consortium, Goldsboro, NC, Massachusetts General Hospital/Harvard Medical School, Boston, MA

Research Funding

NIH

Background: Many genetic variants have been identified as associated with colorectal cancer (CRC) risk; few have been associated with CRC survival. Identification of variants associated with survival may further explain the biology of disease progression and aid in outcome prediction. We performed a genome-wide association study (GWAS) in 2 CC clinical trials to identify genetic variants associated with overall survival (OS). Methods: We included patients from N0147, a phase III adjuvant trial in stage III CC patients, and C-08, a phase III trial comparing adjuvant therapy regimens for patients with stage II/III CC. 4974 samples were genotyped with the Illumina HumanOmniExpress + Exome array, consisting of 964,193 SNPs. Genotypes were imputed using 1000 Genomes Project data. We calculated OS as time from randomization to death from any cause and used Cox proportional hazards regression to evaluate association of each SNP with OS, adjusting for age, sex, treatment arm and principal components. Analysis was performed in N0147 and C-08 separately; results were combined in a fixed-effects meta-analysis. Results: Follow-up after diagnosis was similar for the 2 trials; median OS for N0147 and C-08 was 1678 days (IQR = 1238-2071) and 2224 days (IQR = 1901-2494), respectively. A locus on chromosome 7p15.2 was significantly associated with improved OS. The most significant variant at this locus, rs76766811 (p = 1.59e-8), is exceedingly rare in this primarily European American population but much more common in African Americans (AAs) (~19%). When the analysis is stratified by self-reported ancestry, the signal is only present in AAs (n = 359) (HR = 0.30, 95% CI: 0.21-0.43, p = 1.81e-10). Conclusions: This GWAS nested within 2 CC trials identified rs76766811 on 7p15.2 as significantly associated with OS among AA patients. This finding should be confirmed in additional study populations, particularly focusing on identifying variants associated with survival in AAs. Support: NIH R01 CA176272, U10CA-180868, -180821, -180822, UG1CA-189867, U24CA-196067, PA DoH (which disclaims certain responsibilities), Genentech, Inc., Sanofi-Synthelabo Inc.

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Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gastrointestinal (Colorectal) Cancer

Track

Gastrointestinal Cancer—Colorectal and Anal

Sub Track

Epidemiology/Outcomes

Citation

J Clin Oncol 36, 2018 (suppl; abstr 3582)

DOI

10.1200/JCO.2018.36.15_suppl.3582

Abstract #

3582

Poster Bd #

75

Abstract Disclosures