Real-World research study reveals less than half of NSCLC patients receive comprehensive biomarker testing prior to receiving 1st line therapy.

CONTEXT:  A retrospective chart review of metastatic NSCLC patients presented at ASCO reveals most people have one biomarker test result prior to initiation of 1st line therapy, whereas only half received all 5 tests available before treatment started.  The study conducted in the US reviewed 3474 patients electronic health records to look at which biomarkers were used and also the timing of the tests.  This analysis is part of the ongoing MYLUNG study which is designed to assess real-world biomarker testing patterns within the US Oncology Network (including some 1000 providers across the country).

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1. “In all, 79% of patients received 1 or more biomarker tests before first-line therapy, 10% received a result after first-line therapy, and 11% did not undergo biomarker testing.” 

2. “Most patients with untreated metastatic non-small cell lung cancer (NSCLC) receive at least 1 biomarker test before starting first-line therapy, but less than half of these patients receive comprehensive molecular testing, a real-world study suggests.” 

3. “Researchers assessed testing rates for ALK, BRAF, EGFR, ROS1, and PD-L1 biomarkers, the use of full next-generation sequencing (NGS), the time from metastatic NSCLC diagnosis to first-line therapy, and the turnaround time from biomarker testing orders to receipt of results.” 

4. ““[O]ur real-world study showed that most patients with metastatic non-small cell lung cancer had at least 1 biomarker test result prior to initiation of first-line therapy,” Dr Evangelist said.” 

5. “Biomarker tissue journey among patients (pts) with untreated metastatic non-small cell lung cancer (metastatic NSCLC) in the U.S. Oncology Network community practices.” 

Source URL: https://www.cancertherapyadvisor.com/home/news/conference-coverage/asco-2021/asco-2021-lung-cancer-in-depth/lung-cancer-nsclc-less-half-patients-received-biomarker-testing/