Table 2.
Characteristic | All patients (n = 207) | Wildtype CYP3A4 patients (n = 173) | CYP3A4*22 carriers (n = 34) |
---|---|---|---|
Sex | |||
Female | 95 (46%) | 75 (43%) | 20 (59%) |
Male | 112 (54%) | 98 (57%) | 14 (41%) |
Ethnic origin | |||
White | 188 (91%) | 155 (90%) | 33 (97%) |
Asian | 6 (3%) | 6 (3%) | – |
Arabic | 6 (3%) | 6 (3%) | – |
Black | 3 (2%) | 3 (2%) | – |
Other | 4 (2%)a | 3 (2%)b | 1 (3%)c |
Age (at inclusion) | |||
Median [IQR] in years | 64 [55–73] | 65 [56–73] | 62 [55–72] |
WHO performance score | |||
0 | 96 (46%) | 79 (46%) | 17 (50%) |
1 | 89 (43%) | 75 (43%) | 14 (41%) |
2 | 22 (11%) | 19 (11%) | 3 (9%) |
CYP3A4*22 status | |||
No CYP3A4 *22 carrier | 173 (84%) | 173 (100%) | NA |
Heterozygote CYP3A4 *22 carrier | 31 (15%) | NA | 31 (91%) |
Homozygote CYP3A4 *22 carrier | 3 (1%) | NA | 3 (9%) |
Other CYP3A4 SNPs | |||
CYP3A4 *1/*1B | 14 (6.8%) | 14 (8%) | – |
CYP3A4 *1B/*1B | 1 (0.5%) | 1 (0.6%) | – |
CYP3A4 *1/*3 | 1 (0.5%) | 1 (0.6%) | – |
CYP3A4 *1/*12 | 1 (0.5%) | 1 (0.6%) | – |
CYP3A4 *3/*22 | 5 (2.4%) | NA | 5 (15%) |
No other SNPs | 185 (89%) | 156 (90%) | 29 (85%) |
Drug | |||
Cabozantinib | 9 (4%) | 6 (4%) | 3 (9%) |
Dabrafenib | 30 (15%) | 26 (15%) | 4 (12%) |
Imatinib (400 mg starting dose only) | 76 (37%) | 66 (38%) | 10 (29%) |
Osimertinib | 21 (10%) | 18 (10%) | 3 (9%) |
Pazopanib | 46 (22%) | 35 (20%) | 11 (32%) |
Sunitinib | 25 (12%) | 22 (13%) | 3 (9%) |
Primary malignancy | |||
GIST | 85 (41%) | 75 (43%) | 10 (29%) |
Sarcoma | 46 (22%) | 35 (20%) | 11 (32%) |
Melanoma | 26 (13%) | 23 (13%) | 3 (9%) |
Lung cancer | 25 (12%) | 21 (12%) | 4 (12%) |
Renal cell carcinoma | 24 (12%) | 18 (10%) | 6 (18%) |
Neuroendocrine tumor | 1 (1%) | 1 (1%) | 0 (0%) |
Metastatic disease | |||
Yes | 148 (71%) | 125 (72%) | 23 (68%) |
No | 59 (29%) | 48 (28%) | 11 (32%) |
Prior systemic treatment | |||
Yes | 87 (42%) | 71 (41%) | 16 (47%) |
No | 120 (58%) | 102 (59%) | 18 (53%) |
GIST gastro-intestinal stromal tumor, IQR interquartile range, NA not applicable, SNP single nucleotide polymorphism, WHO World Health Organization
aMixed racial parentage (n = 2), latino (n = 1), unknown ethnic origin (n = 1)
bMixed racial parentage (n = 1), latino (n = 1), unknown ethnic origin (n = 1)
cMixed racial parentage (n = 1)