Prevalence and prognosis of DNA repair deficiency in squamous cell carcinoma (SCC) patients enrolled on the S1400 LungMAP study.

Authors

Taofeek Owonikoko

Taofeek Kunle Owonikoko

Emory University, Atlanta, GA

Taofeek Kunle Owonikoko , Mary Weber Redman , Lauren Averett Byers , Katie Griffin , Fred R. Hirsch , Philip C. Mack , David R. Gandara , Jeffrey D. Bradley , Tom Stinchcombe , Karen Kelly , Suresh S. Ramalingam , Roy S. Herbst , Vassiliki Papadimitrakopoulou

Organizations

Emory University, Atlanta, GA, Fred Hutchinson Cancer Research Center, Seattle, WA, The University of Texas MD Anderson Cancer Center, Houston, TX, University of Colorado Cancer Center, Denver, CO, UC Davis Comprehensive Cancer Center, Sacramento, CA, University of California, Davis, Sacramento, CA, Washington University School of Medicine in St. Louis, St. Louis, MO, University of North Carolina at Chapel Hill, Chapel Hill, NC, University of California Davis Comprehensive Cancer Center, Sacramento, CA, Winship Cancer Institute, Emory University, Atlanta, GA, Yale School of Medicine, New Haven, CT, Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX

Research Funding

NIH

Background: DNA homologous recombination repair deficiency (HRRD) is a vulnerability that has been exploited for PARP inhibitor therapy. This concept is currently being evaluated in S1400G substudy of LungMAP where HRRD(+) SCC patients are treated with a PARP inhibitor, talazoparib. We assessed the prevalence and characteristics of HRRD(+) SCC patients screened on LungMAP. Methods: All patients receive Foundation One NGS screening platform for enrollment on LungMAP sub-studies. HRRD is defined as genetic alteration predicted to have functional consequence in genes involved in HRR (ATM, ATR, BARD1, BRCA1, BRCA2, BRIP1, CHEK1, CHEK2, FANCA, FANCC, FANCD2, FANCF, FANCM, NBN (NBS1), PALB2, RAD51, RAD51B (RAD51L1), RAD54L, RPA1) but also define a key subgroup based on a set of the best clinically validated genes: ATM, ATR, BRCA1, BRCA2, and PALB2 . Survival was measured from the date of sub-study assignment. Results: Biomarker results were available for 1244 eligible patients screened between June 2014 and October 2017. HRRD was detected in 190 (15.3%) patients, higher than the 9% rate assumed for the design of S1400G substudy. HRRD(+) and HRRD(-) patients did not differ in terms of median age (67 vs. 66 years); male gender (68% vs. 67%); race (85% vs. 84% and 11% vs. 9% for White and Black) or tobacco exposure (94% vs. 95%). BRCA2 alteration was the most frequent of the HRRD gene alterations. Survival was not different by HRRD(+) versus HRRD(-) status (HR[95%CI]: 1.11 [0.91-1.37], p = 0.29). Alterations in BRIP1 (0.58 [0.28-1.23]; p = 0.16), CHK2 (0.43[0.16-1.15]; p = 0.09), FANCM (1.48[0.87-2.52]; p = 0.15) and FANC-A/C/D2 (1.70[1.07-2.72]; p = 0.03) showed a trend in prognostic association. Conclusions: HRRD is frequent in SCC and could define a large subset of SCC for targeted therapy if validated in the ongoing S1400G substudy of LungMAP.

Overall prevalencePrevalence among HRRD alterations
BRCA23.9%23.0%
FANCM2.0%11.7%
BRCA11.7%9.9%
BRIP11.3%7.5%
ATM1.1%6.6%
PALB21.1%6.6%
ATR1.0%6.1%
CHEK21.0%5.6%
FANCA0.8%4.7%
FANCC0.7%4.2%
FANCD20.4%2.3%
BARD10.3%1.9%
CHEK10.3%1.9%
FANCF0.2%1.4%
RAD51L10.2%1.4%
RAD510.2%1.4%
NBN0.2%0.9%
RAD51B0.2%0.9%
RAD54L0.2%0.9%
RPA10.2%0.9%

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Lung Cancer—Non-Small Cell Metastatic

Track

Lung Cancer

Sub Track

Metastatic Non–Small Cell Lung Cancer

Citation

J Clin Oncol 36, 2018 (suppl; abstr 9055)

DOI

10.1200/JCO.2018.36.15_suppl.9055

Abstract #

9055

Poster Bd #

378

Abstract Disclosures