Table 1.
Demographics and clinical characteristics of 29 patients with advanced TRK fusion-positive thyroid carcinoma treated with larotrectinib.
| Characteristics | All | PTC/FTC | ATC |
|---|---|---|---|
| n | 29 | 22 | 7 |
| Age at study enrolment, median (range), years | 60.0 (6.0–80.0) | 58.0 (6.0–80.0) | 64.0 (49.0–77.0) |
| Paediatric (<18 years) | 2 (7) | 2 (9) | 0 |
| Adult (≥18 years) | 27 (93) | 20 (91) | 7 (100) |
| Sex, n (%) | |||
| Female | 20 (69) | 15 (68) | 5 (71) |
| Male | 9 (31) | 7 (32) | 2 (29) |
| ECOG performance status, n (%) | |||
| 0 | 12 (41) | 11 (50) | 1 (14) |
| 1 | 12 (41) | 8 (36) | 4 (57) |
| 2 | 4 (14) | 3 (14) | 1 (14) |
| 3 | 1 (3) | 0 | 1 (14) |
| Cancer subtype, n (%) | |||
| Papillary* | 20 (69) | 20 (91) | 0 |
| Follicular | 2 (7) | 2 (9) | 0 |
| Anaplastic* | 7 (24) | 0 | 7 (100) |
| Brain metastases at baseline, n (%) | |||
| Yes | 4 (14) | 4 (18) | 0 |
| No | 25 (86) | - | - |
| Prior therapies†, n (%) | |||
| Surgery | 29 (100) | 22 (100) | 7 (100) |
| Radiotherapy | 17 (59) | 12 (55) | 5 (71) |
| RAI | 23 (79) | 21 (95) | 2 (29) |
| Systemic therapy†‡ | 16 (55) | 13 (59) | 3 (43) |
| Tyrosine kinase inhibitors | 11 (38) | 11 (50) | 0 |
| Immunotherapy | 2 (7) | 2 (9) | 0 |
| Chemotherapy | 3 (10) | 0 | 3 (43) |
| Number of prior systemic therapies, n (%) | |||
| 0 | 13 (45) | 9 (41) | 4 (57) |
| 1 | 7 (24) | 4 (18) | 3 (43) |
| 2 | 7 (24) | 7 (32) | 0 |
| ≥3 | 2 (7) | 2 (9) | 0 |
| NTRK gene, n (%) | |||
| NTRK1 | 13 (45) | 10 (45) | 3 (43) |
| NTRK3 | 16 (55) | 12 (55) | 4 (57) |
*One patient classified as PTC and two patients classified as ATC had PDTC. †Patients may be counted in more than 1 category. ‡Including cabozantinib, cisplatin, doxorubicin, ipilimumab, lenvatinib, paclitaxel, pazopanib, pembrolizumab, sorafenib, sunitinib and trametinib.
ATC, anaplastic thyroid carcinoma; ECOG, Eastern Cooperative Oncology Group; FTC, follicular thyroid carcinoma; NTRK, neurotrophic tyrosine receptor kinase; PDTC, poorly differentiated thyroid carcinoma; PTC, papillary thyroid carcinoma; RAI, radioactive iodine; TRK, tropomyosin receptor kinase.
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