First-line osimertinib for patients with EGFR-mutated advanced non-small cell lung cancer: efficacy and safety during the COVID-19 pandemic.

COVID-19 Osimertinib epidermal growth factor receptor (EGFR) lung cancer survival

Journal

Translational lung cancer research
ISSN: 2218-6751
Titre abrégé: Transl Lung Cancer Res
Pays: China
ID NLM: 101646875

Informations de publication

Date de publication:
31 Jul 2023
Historique:
received: 08 02 2023
accepted: 04 07 2023
medline: 14 8 2023
pubmed: 14 8 2023
entrez: 14 8 2023
Statut: ppublish

Résumé

The FLAURA trial demonstrated improved overall survival (OS) with first-line osimertinib for patients with epidermal growth factor receptor (EGFR)-mutated advanced non-small cell lung cancer (NSCLC). We studied the efficacy and safety of osimertinib in a cohort treated during the coronavirus disease 2019 (COVID-19) pandemic. Patients diagnosed with EGFR-mutated advanced NSCLC between 11 March 2020 to 31 December 2021 who received first-line osimertinib in British Columbia, Canada were identified retrospectively. Kaplan-Meier curves of OS and progression-free survival (PFS) from the start of osimertinib were plotted. The associations of baseline characteristics with PFS, and development of pneumonitis or dose reductions due to toxicity with OS were evaluated with hazard ratios estimated using univariable and multivariable Cox models. The cohort comprised 231 individuals. 58.7% of patients with In a cohort receiving first-line osimertinib during the COVID-19 pandemic, ECOG PS ≥2 was observed in nearly half of patients at treatment initiation contributing to a median OS shorter than in FLAURA. The incidence of severe adverse events was low and dose reduction for drug toxicity did not impact OS. Identifying and reducing barriers to the diagnosis of NSCLC during the COVID-19 pandemic are required.

Sections du résumé

Background UNASSIGNED
The FLAURA trial demonstrated improved overall survival (OS) with first-line osimertinib for patients with epidermal growth factor receptor (EGFR)-mutated advanced non-small cell lung cancer (NSCLC). We studied the efficacy and safety of osimertinib in a cohort treated during the coronavirus disease 2019 (COVID-19) pandemic.
Methods UNASSIGNED
Patients diagnosed with EGFR-mutated advanced NSCLC between 11 March 2020 to 31 December 2021 who received first-line osimertinib in British Columbia, Canada were identified retrospectively. Kaplan-Meier curves of OS and progression-free survival (PFS) from the start of osimertinib were plotted. The associations of baseline characteristics with PFS, and development of pneumonitis or dose reductions due to toxicity with OS were evaluated with hazard ratios estimated using univariable and multivariable Cox models.
Results UNASSIGNED
The cohort comprised 231 individuals. 58.7% of patients with
Conclusions UNASSIGNED
In a cohort receiving first-line osimertinib during the COVID-19 pandemic, ECOG PS ≥2 was observed in nearly half of patients at treatment initiation contributing to a median OS shorter than in FLAURA. The incidence of severe adverse events was low and dose reduction for drug toxicity did not impact OS. Identifying and reducing barriers to the diagnosis of NSCLC during the COVID-19 pandemic are required.

Identifiants

pubmed: 37577326
doi: 10.21037/tlcr-23-81
pii: tlcr-12-07-1454
pmc: PMC10413024
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1454-1465

Informations de copyright

2023 Translational Lung Cancer Research. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tlcr.amegroups.com/article/view/10.21037/tlcr-23-81/coif). PTT receives writing and royalty fees from UpToDate, Wolters Kluwer Health Publishing. SY has received consulting fees from Amgen, AstraZeneca, Bayer, Incyte, and Roche. DK has received a grant from the BC Cancer Foundation (Grant No. F22-05558) to support this manuscript and has received unrestricted educational grants from AstraZeneca and speaker honoraria from Merck and Bristol-Myers Squibb. The other authors have no conflicts of interest to declare.

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Auteurs

Suganija Lakkunarajah (S)

BC Cancer-Victoria, British Columbia, Canada.

Pauline T Truong (PT)

BC Cancer-Victoria, British Columbia, Canada.
University of British Columbia, Victoria, British Columbia, Canada.

Jeffrey N Bone (JN)

Biostatistics, Clinical Research Support Unit, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.

Curtis Hughesman (C)

BC Cancer-Vancouver, British Columbia, Canada.

Stephen Yip (S)

BC Cancer-Vancouver, British Columbia, Canada.

Deepu Alex (D)

BC Cancer-Vancouver, British Columbia, Canada.

Jason Hart (J)

BC Cancer-Victoria, British Columbia, Canada.
University of British Columbia, Victoria, British Columbia, Canada.

Philip Pollock (P)

BC Cancer-Victoria, British Columbia, Canada.

Sarah Egli (S)

BC Cancer-Victoria, British Columbia, Canada.

Melissa Clarkson (M)

BC Cancer-Victoria, British Columbia, Canada.

Mary Lesperance (M)

University of Victoria, Department of Mathematics and Statistics, Victoria, British Columbia, Canada.

Doran Ksienski (D)

BC Cancer-Victoria, British Columbia, Canada.
University of British Columbia, Victoria, British Columbia, Canada.

Classifications MeSH