Table 1 Demographics and clinical characteristics within each racial/ethnic group of advanced patients with NSCLC treated with osimertinib

From: Treatment adherence and clinical outcomes of osimertinib in minority patients with advanced EGFR mutated NSCLC

  

All patients (n = 174)

Non-Hispanic Whites (n = 46, 26.4%)

Non-Hispanic Blacks (n = 50, 28.7%)

Hispanics (n = 56, 32.2%)

Asian (n = 22, 12.6%)

P value

Age at start of osimertinib (years, median, range)

 

69 (30–92)

72.50 (46–89)

67.5 (30–88)

69 (32–90)

67 (42–92)

0.483

Gender, n (%)

Male

53 (30.5)

11 (23.9)

13 (26.0)

20 (35.7)

9 (40.9)

0.353

 

Female

121 (69.5)

35 (76.1)

37 (74.0)

36 (64.3)

13 (59.1)

 

Smoking, n (%)

Smoker (former or active)

77 (44.3)

31 (67.4)

22 (44.0)

20 (35.7)

4 (18.2)

0.001

 

Never smoker

97 (55.7)

15 (32.6)

28 (56.0)

36 (64.3)

18 (81.8)

 

Weight (kg, median, range)

 

63.8 (34–128)

58.3 (34–115)

69.5 (39.6–128)

63.6 (37.9–97.0)

58.4 (37.9–85.7)

0.002

BMI (kg/m2, median, range)

 

23.9 (12.4–45.6)

22.2 (12.4–37.4)

25.2 (14.2–45.6)

24.9 (15.8–38.0)

22.4 (16.1–33.5)

0.011

 

< 18.5

21 (12.1)

8 (17.4)

6 (12.0)

3 (5.4)

4 (18.2)

0.105

 

18.5–25

81 (46.6)

26 (56.5)

18 (36.0)

27 (48.2)

10 (45.5)

 
 

>25

72 (41.4)

12 (26.1)

26 (52.0)

26 (46.4)

8 (36.4)

 

Insurance (%)

Commercial

38 (21.8)

13 (28.3)

14 (28.0)

6 (10.7)

5 (22.7)

0.025

 

Medicare

95 (54.6)

29 (63.0)

20 (40.0)

36 (64.3)

10 (45.5)

 
 

Medicaid

35 (20.1)

4 (8.7)

12 (24.0)

12 (21.4)

7 (31.8)

 
 

Medicare and Medicaid

6 (3.4)

0 (0.0)

4 (8.0)

2 (3.6)

0 (0.0)

 

Household income (USD) by Zip Code (median, range)

 

56,279 (23,337–243,514)

88,795 (37,886–243,514)

47,831 (23,337–97,919)

37,886 (23,337–215,797)

56,410 (35,813–114,698)

<0.001

 

<$50,000

82 (47.1)

4 (8.7)

27 (54.0)

42 (75.0)

9 (40.9)

<0.001

 

≥$50,000

92 (52.9)

42 (91.3)

23 (46.0)

14 (25.0)

13 (59.1)

 

Actual out-of-pocket costa (USD, mean)

 

59.3

78.3

2.6

116.1

6.0

0.756

 

Not available (%)

111 (63.8)

38 (82.6)

26 (52.0)

30 (53.6)

17 (77.3)

 

Total costa (USD, median)

 

16,734

16,734

16,734

16,734

16,734

0.804

 

Not available (%)

111 (63.8)

38 (82.6)

26 (52.0)

30 (53.6)

17 (77.3)

 

Adherent to osimertinib (PDC ≥ 80%)

Yes

62 (35.6)

10 (21.7)

20 (40.0)

24 (42.9)

8 (36.4)

0.412

 

No

14 (8.0)

2 (4.3)

7 (14.0)

5 (8.9)

0 (0.0)

 
 

Not available

98 (56.3)

34 (73.9)

23 (46.0)

27 (48.2)

14 (63.6)

 

ECOG at start of osimertinib, n (%)

<2

129 (74.1)

36 (78.3)

36 (72.0)

43 (76.8)

14 (63.6)

0.573

 

≥2

45 (25.9)

10 (21.7)

14 (28.0)

13 (23.2)

8 (36.4)

 

Brain metastasis, n (%)

Yes

69 (39.7)

14 (30.4)

19 (38.0)

23 (41.1)

13 (59.1)

0.157

 

No

105 (60.3)

32 (69.6)

31 (62.0)

33 (58.9)

9 (40.9)

 

Histology, n (%)

Adenocarcinoma

168 (96.6)

46 (100.0)

48 (96.0)

54 (96.4)

20 (90.9)

0.284

 

Squamous

6 (3.4)

0 (0.0)

2 (4.0)

2 (3.6)

2 (9.1)

 

TRAEs present, n (%)

Yes

100 (57.5)

26 (56.5)

26 (52.0)

36 (64.3)

12 (54.5)

0.621

 

No

74 (42.5)

20 (43.5)

24 (48.0)

20 (35.7)

10 (45.5)

 

Initial EGFR mutation at diagnosis

del19

110 (63.2)

26 (56.5)

34 (68.0)

39 (69.6)

11 (50.0)

0.272

 

L858R

45 (25.9)

12 (26.1)

10 (20.0)

14 (25.0)

9 (40.9)

 
 

Uncommonb

19 (10.9)

8 (17.4)

6 (12.0)

3 (5.4)

2 (9.1)

 

Prior EGFR TKI (other than osimertinib)

Yes

49 (28.2)

16 (34.8)

11 (22.0)

17 (30.4)

5 (22.7)

0.496

 

No

125 (71.8)

30 (65.2)

39 (78.0)

39 (69.6)

17 (77.3)

 

Prior chemotherapy

Yes

31 (17.8)

9 (19.6)

6 (12.0)

12 (21.4)

4 (18.2)

0.625

 

No

143 (82.2)

37 (80.4)

44 (88.0)

44 (78.6)

18 (81.8)

 

Lines of therapy with osimertinib

First line

111 (63.8)

25 (54.3)

38 (76.0)

33 (58.9)

15 (68.2)

0.124

 

Second line or beyond

63 (36.2)

21 (45.7)

12 (24.0)

23 (41.1)

7 (31.8)

 
  1. PDC Proportion of Days Covered, USD United States Dollar, ECOG Eastern Cooperative Oncology Group, TRAE Treatment-Related Adverse Effect, TKI Tyrosine-Kinase Inhibitor.
  2. aCosts are per 30-day supply.
  3. bUncommon EGFR mutations include G719X, L861Q, S768I, and exon 20 insertions, alone or in compound mutations.