Prevalence of targetable genomic alterations among a diverse population participating in the ASCO TAPUR Study

Pam K Mangat1, M Kelsey Kirkwood2, Dominique C Hinshaw2

  • 1American Society of Clinical Oncology, Alexandria, VA, USA. TAPURPublications@asco.org.

PubMed

Insights

The Targeted Agent and Profiling Utilization (TAPUR) study found that specific gene alterations, like PDGRFA and JAK2, are more common in certain ethnic groups. This highlights the need for diverse patient populations in clinical trials for tailored cancer treatments.

Area of Science:

  • Oncology
  • Genomics
  • Clinical Trials

Background:

  • The Targeted Agent and Profiling Utilization (TAPUR) Study (NCT02693535) is a Phase II basket trial.
  • It evaluates targeted therapies in advanced cancers with known drug targets.
  • Understanding genomic alterations across diverse populations is crucial for effective treatment.

Purpose of the Study:

  • To analyze the prevalence of targetable gene alterations in a diverse patient cohort.
  • To investigate the association of these alterations with demographic factors.
  • To inform the development of personalized cancer treatment strategies.

Main Methods:

  • Analysis of 978 gene alterations and biomarkers in 3448 registrants.
  • Assessment across various demographic factors including sex, age, race, ethnicity, BMI, smoking status, performance status, and cancer type.
  • Utilized data from the TAPUR Study (ClinicalTrials.gov NCT02693535).

Main Results:

  • Identified higher prevalence of PDGRFA in Hispanic versus non-Hispanic registrants.
  • Observed higher prevalence of JAK2 in Asian versus White registrants.
  • Demonstrated demographic variations in the occurrence of targetable genomic alterations.

Conclusions:

  • Recruiting diverse patient populations to clinical trials is essential.
  • Genomic target prevalence varies significantly across different demographic groups.
  • Treatment strategies may benefit from integrating patient demographics with tumor characteristics.

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