Ethnic disparities in biomarker testing and targeted therapy use in metastatic lung adenocarcinoma: A 2014-2021 analysis.

Authors

Alyssa Pereslete

Alyssa Pereslete

Florida International University, Herbert Wertheim College of Medicine, Miami, FL

Alyssa Pereslete , Ahmad Ozair , Atulya Aman Khosla , Shreyas S Bellur , Charlie Hurmiz , Suresh Marada , Andrea McCracken , Mark Layton Watson , Manmeet Singh Ahluwalia

Organizations

Florida International University, Herbert Wertheim College of Medicine, Miami, FL, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, Guardian Research Network, Spartanburg, SC

Research Funding

Conquer Cancer Foundation of the American Society of Clinical Oncology
Conquer Cancer Foundation of the American Society of Clinical Oncology

Background: Racial and ethnic disparities have been demonstrated to be widespread in lung cancer, including in the US. Despite insurance coverage for standard biomarker testing, testing rates remain low in minority populations. This work sought to analyze institutional data to assess whether there existed ethnic disparities in biomarker testing rates and receipt of targeted therapy between Hispanic/Latino and non-Hispanic/Latino patients of metastatic lung adenocarcinoma (mAdenoCa). Methods: A retrospective study was conducted and reported following ‘strengthening the reporting of observational studies in epidemiology’ (STROBE) guidelines. All Hispanic white and non-Hispanic white patients of mAdenoCa seen at our tertiary care institution in South Florida from 01/2014 to 12/2021 were identified and included through Guardian Research Network (GRN) platform. Socio-demographic, clinicopathological, and tumor molecular features along with treatment-related characteristics were analyzed via descriptive and comparative statistics. Results: A total of 268 mAdenoCa patients were included, of which 179 patients were Hispanic or Latino and 89 were not Hispanic or Latino. Biomarker testing data is reported in the table. Data of MET, KRASG12C, VKIRAS, and HER3 was not available in all cases. The unadjusted product-limit survival analysis indicated worse outcomes for Hispanic whites as compared to non-Hispanic counterparts. There were no differences found regarding targeted therapy use in either population. Conclusions: While metastatic lung adenocarcinoma patients at our center showed no differences in biomarker testing or targeted therapy use, the non-availability of data regarding several key mutations indicates a major dearth of testing. Future studies need to evaluate actionable strategies for improving the existing low testing rates in patients with mAdenoCa, particularly in racial and ethnic minorities.

Hispanic (N = 179)Not Hispanic (N = 89)Total (N = 268)P-value
EGFR0.75
Negative93 (52.0%)50 (56.2%)143 (53.4%)
Not Available52 (29.1%)25 (28.1%)77 (28.7%)
Positive34 (19.0%)14 (15.7%)48 (17.9%)
ALK0.88
Negative101 (56.4%)53 (59.6%)154 (57.5%)
Not Available72 (40.2%)33 (37.1%)105 (39.2%)
Positive6 (3.4%)3 (3.4%)9 (3.4%)
ROS10.11
Negative106 (59.2%)55 (61.8%)161 (60.1%)
Not Available73 (40.8%)32 (36.0%)105 (39.2%)
Positive0 (0.0%)2 (2.2%)2 (0.7%)
RET0.33
Negative26 (14.5%)8 (9.0%)34 (12.7%)
Not Available152 (84.9%)81 (91.0%)233 (86.9%)
Positive1 (0.6%)0 (0.0%)1 (0.4%)
BRAF600E0.29
Negative5 (2.8%)6 (6.7%)11 (4.1%)
Not Available171 (95.5%)82 (92.1%)253 (94.4%)
Positive3 (1.7%)1 (1.1%)4 (1.5%)
PDL10.04
< 124 (13.4%)18 (20.2%)42 (15.7%)
> = 5062 (34.6%)20 (22.5%)82 (30.6%)
1 to 4958 (32.4%)24 (27.0%)82 (30.6%)
Not Available35 (19.6%)27 (30.3%)62 (23.1%)

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

2023 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Lung Cancer—Non-Small Cell Metastatic

Track

Lung Cancer

Sub Track

Metastatic Non–Small Cell Lung Cancer

Citation

J Clin Oncol 41, 2023 (suppl 16; abstr e21216)

DOI

10.1200/JCO.2023.41.16_suppl.e21216

Abstract #

e21216

Abstract Disclosures

Funded by Conquer Cancer

Similar Abstracts

First Author: Benjamin B. Morris

Abstract

2022 ASCO Quality Care Symposium

Racial and gender disparities in metastatic lung and bronchial cancer (LC) across the United States.

First Author: Devashish Desai