Parameters at index date | Eligible population N = 2175 | Index date (year) of first line of therapy | ||||||
---|---|---|---|---|---|---|---|---|
2016, n = 102 | 2017, n = 376 | 2018, n = 586 | 2019, n = 717 | 2020, n = 394 | 2016 to 2017, n = 478 | 2018 to 2020, n = 1697 | ||
Median age (range), years | 68.0 (19.0, 88.0) | 68.0 (37.0, 84.0) | 68.0 (26.0, 85.0) | 68.0 (24.0, 86.0) | 67.0 (19.0, 87.0) | 68.0 (40.0, 88.0) | 68.0 (26.0, 85.0) | 68.0 (19.0, 88.0) |
Age group, years, n (%) | ||||||||
<65 | 846 (38.9) | 37 (36.3) | 148 (39.4) | 222 (37.9) | 298 (41.6) | 141 (35.8) | 185 (38.7) | 661 (39.0) |
≥65 to <75 | 759 (34.9) | 38 (37.3) | 128 (34.0) | 205 (35.0) | 238 (33.2) | 150 (38.1) | 166 (34.7) | 593 (34.9) |
≥75 | 570 (26.2) | 27 (26.5) | 100 (26.6) | 159 (27.1) | 181 (25.2) | 103 (26.1) | 127 (26.6) | 443 (26.1) |
Sex, n (%) | ||||||||
Male | 1169 (53.7) | 43 (42.2) | 207 (55.1) | 305 (52.0) | 404 (56.3) | 210 (53.3) | 250 (52.3) | 919 (54.2) |
Female | 1006 (46.3) | 59 (57.8) | 169 (44.9) | 281 (48.0) | 313 (43.7) | 184 (46.7) | 228 (47.7) | 778 (45.8) |
Race, n (%) | ||||||||
White | 1670 (76.8) | 82 (80.4) | 283 (75.3) | 444 (75.8) | 563 (78.5) | 298 (75.6) | 365 (76.4) | 1305 (76.9) |
Black or African American | 288 (13.2) | 16 (15.7) | 56 (14.9) | 69 (11.8) | 92 (12.8) | 55 (14.0) | 72 (15.1) | 216 (12.7) |
Asian | 53 (2.4) | 1 (1.0) | 11 (2.9) | 22 (3.8) | 12 (1.7) | 7 (1.8) | 12 (2.5) | 41 (2.4) |
American Indian or Alaska Native | 24 (1.1) | 0 (0) | 3 (0.8) | 6 (1.0) | 9 (1.3) | 6 (1.5) | 3 (0.6) | 21 (1.2) |
Native Hawaiian or Other Pacific Islander | 2 (0.1) | 0 (0) | 0 (0) | 1 (0.2) | 1 (0.1) | 0 (0) | 0 (0) | 2 (0.1) |
Other or Unknown Race | 138 (6.3) | 3 (2.9) | 23 (6.1) | 44 (7.5) | 40 (5.6) | 28 (7.1) | 26 (5.4) | 112 (6.6) |
Ethnicity, n (%) | ||||||||
Hispanic or Latino | 50 (2.3) | 0 (0) | 9 (2.4) | 14 (2.4) | 17 (2.4) | 10 (2.5) | 9 (1.9) | 41 (2.4) |
Not Hispanic or Latino | 1924 (88.5) | 88 (86.3) | 333 (88.6) | 523 (89.2) | 634 (88.4) | 346 (87.8) | 421 (88.1) | 1503 (88.6) |
Unknown | 201 (9.2) | 14 (13.7) | 34 (9.0) | 49 (8.4) | 66 (9.2) | 38 (9.6) | 48 (10.0) | 153 (9.0) |
Smoking status, n (%) | ||||||||
Yes (current or former smoker) | 1912 (87.9) | 85 (83.3) | 313 (83.2) | 501 (85.5) | 647 (90.2) | 366 (92.9) | 398 (83.3) | 1514 (89.2) |
No (never smoker) | 263 (12.1) | 17 (16.7) | 63 (16.8) | 85 (14.5) | 70 (9.8) | 28 (7.1) | 80 (16.7) | 183 (10.8) |
Histology, n (%) | ||||||||
Nonsquamous | 1447 (66.5) | 65 (63.7) | 256 (68.1) | 400 (68.3) | 450 (62.8) | 276 (70.1) | 321 (67.2) | 1126 (66.4) |
Adenocarcinoma only | 1445 (66.4) | 64 (62.7) | 251 (66.8) | 403 (68.8) | 454 (63.3) | 273 (69.3) | 315 (65.9) | 1130 (66.6) |
Squamous | 457 (21.0) | 24 (23.5) | 70 (18.6) | 120 (20.5) | 167 (23.3) | 76 (19.3) | 94 (19.7) | 363 (21.4) |
Adeno-squamous carcinoma | 34 (1.6) | 0 (0) | 3 (0.8) | 12 (2.0) | 17 (2.4) | 2 (0.5) | 3 (0.6) | 31 (1.8) |
NSCLC NOS | 152 (7.0) | 9 (8.8) | 38 (10.1) | 32 (5.5) | 51 (7.1) | 22 (5.6) | 47 (9.8) | 105 (6.2) |
Stage, n (%) | ||||||||
3 | 78 (3.6) | 3 (2.9) | 15 (4.0) | 19 (3.2) | 26 (3.6) | 15 (3.8) | 18 (3.8) | 60 (3.5) |
4 | 2097 (96.4) | 99 (97.1) | 361 (96.0) | 567 (96.8) | 691 (96.4) | 379 (96.2) | 460 (96.2) | 1637 (96.5) |
Number of metastatic sites, n (%) | ||||||||
0 | 23 (1.1) | 2 (2.0) | 4 (1.1) | 6 (1.0) | 7 (1.0) | 4 (1.0) | 6 (1.3) | 17 (1.0) |
1 | 1404 (64.6) | 64 (62.7) | 239 (63.6) | 361 (61.6) | 443 (61.8) | 297 (75.4) | 303 (63.4) | 1101 (64.9) |
2 | 504 (23.2) | 22 (21.6) | 90 (23.9) | 149 (25.4) | 173 (24.1) | 70 (17.8) | 112 (23.4) | 392 (23.1) |
≥3 | 173 (8.0) | 8 (7.8) | 32 (8.5) | 50 (8.5) | 69 (9.6) | 14 (3.6) | 40 (8.4) | 133 (7.8) |
Missing | 71 (3.3) | 6 (5.9) | 11 (2.9) | 20 (3.4) | 25 (3.5) | 9 (2.3) | 17 (3.6) | 54 (3.2) |
Location of metastases, n (%) | ||||||||
Lung | 433 (19.9) | 24 (23.5) | 81 (21.5) | 107 (18.3) | 141 (19.7) | 80 (20.3) | 105 (22.0) | 328 (19.3) |
Brain | 499 (22.9) | 18 (17.6) | 81 (21.5) | 156 (26.6) | 163 (22.7) | 81 (20.6) | 99 (20.7) | 400 (23.6) |
Bone | 649 (29.8) | 23 (22.5) | 113 (30.1) | 188 (32.1) | 228 (31.8) | 97 (24.6) | 136 (28.5) | 513 (30.2) |
Liver | 289 (13.3) | 15 (14.7) | 49 (13.0) | 72 (12.3) | 106 (14.8) | 47 (11.9) | 64 (13.4) | 225 (13.3) |
Skin | 11 (0.5) | 2 (2.0) | 2 (0.5) | 1 (0.2) | 3 (0.4) | 3 (0.8) | 4 (0.8) | 7 (0.4) |
Lymph nodes | 223 (10.3) | 11 (10.8) | 44 (11.7) | 62 (10.6) | 77 (10.7) | 29 (7.4) | 55 (11.5) | 168 (9.9) |
Other | 883 (40.6) | 41 (40.2) | 150 (39.9) | 243 (41.5) | 304 (42.4) | 145 (36.8) | 191 (40.0) | 692 (40.8) |
None | 23 (1.1) | 2 (2.0) | 4 (1.1) | 6 (1.0) | 7 (1.0) | 4 (1.0) | 6 (1.3) | 17 (1.0) |
Missing | 71 (3.3) | 6 (5.9) | 11 (2.9) | 20 (3.4) | 25 (3.5) | 9 (2.3) | 17 (3.6) | 54 (3.2) |
Evidence of visceral metastasisa, n (%) | ||||||||
Present | 1716 (78.9) | 80 (78.4) | 301 (80.1) | 463 (79.0) | 568 (79.2) | 304 (77.2) | 381 (79.7) | 1335 (78.7) |
Absent | 459 (21.1) | 22 (21.6) | 75 (19.9) | 123 (21.0) | 149 (20.8) | 90 (22.8) | 97 (20.3) | 362 (21.3) |
Evidence of nonvisceral metastasis, n (%) | ||||||||
Present | 817 (37.6) | 33 (32.4) | 143 (38.0) | 232 (39.6) | 283 (39.5) | 126 (32.0) | 176 (36.8) | 641 (37.8) |
Absent | 1358 (62.4) | 69 (67.6) | 233 (62.0) | 354 (60.4) | 434 (60.5) | 268 (68.0) | 302 (63.2) | 1056 (62.2) |
ECOG PS groups, n (%) | ||||||||
0 or 1 | 1408 (64.7) | 66 (64.7) | 212 (56.4) | 358 (61.1) | 486 (67.8) | 286 (72.6) | 278 (58.2) | 1130 (66.6) |
2+ | 430 (19.8) | 23 (22.5) | 87 (23.1) | 105 (17.9) | 131 (18.3) | 84 (21.3) | 110 (23.0) | 320 (18.9) |
Unknown | 337 (15.5) | 13 (12.7) | 77 (20.5) | 123 (21.0) | 100 (13.9) | 24 (6.1) | 90 (18.8) | 247 (14.6) |
Patients by recorded line of therapy, n (%) | ||||||||
1 | 2175 (100.0) | 102 (100.0) | 376 (100.0) | 586 (100.0) | 717 (100.0) | 394 (100.0) | 478 (100.0) | 1697 (100.0) |
2 | 531 (24.4) | 27 (26.5) | 124 (33.0) | 170 (29.0) | 158 (22.0) | 52 (13.2) | 151 (31.6) | 380 (22.4) |
3 | 136 (6.3) | 7 (6.9) | 47 (12.5) | 48 (8.2) | 31 (4.3) | 3 (0.8) | 54 (11.3) | 82 (4.8) |
≥4 | 38 (1.7) | 1 (1.0) | 18 (4.8) | 13 (2.2) | 6 (0.8) | 0 (0) | 19 (4.0) | 19 (1.1) |
History of autoimmune disease, n (%) | ||||||||
Yes | 33 (1.5) | 2 (2.0) | 7 (1.9) | 8 (1.4) | 9 (1.3) | 7 (1.8) | 9 (1.9) | 24 (1.4) |
No | 2142 (98.5) | 100 (98.0) | 369 (98.1) | 578 (98.6) | 708 (98.7) | 387 (98.2) | 469 (98.1) | 1673 (98.6) |
Patient Immunocompromised, n (%)b,c | ||||||||
Yes | 240 (11.0) | 16 (15.7) | 46 (12.2) | 63 (10.8) | 73 (10.2) | 42 (10.7) | 62 (13.0) | 178 (10.5) |
No | 1935 (89.0) | 86 (84.3) | 330 (87.8) | 523 (89.2) | 644 (89.8) | 352 (89.3) | 416 (87.0) | 1519 (89.5) |
Use of immunosuppressive medication, n (%) | ||||||||
Any | ||||||||
Yes | 385 (17.7) | 26 (25.5) | 72 (19.1) | 109 (18.6) | 125 (17.4) | 53 (13.5) | 98 (20.5) | 287 (16.9) |
No | 1790 (82.3) | 76 (74.5) | 304 (80.9) | 477 (81.4) | 592 (82.6) | 341 (86.5) | 380 (79.5) | 1410 (83.1) |
Prednisone/prednisolone | ||||||||
Yes | 367 (16.9) | 25 (24.5) | 71 (18.9) | 106 (18.1) | 116 (16.2) | 49 (12.4) | 96 (20.1) | 271 (16.0) |
Short-term use (<30 days) | 200 (9.2) | 13 (12.7) | 39 (10.4) | 64 (10.9) | 69 (9.6) | 15 (3.8) | 52 (10.9) | 148 (8.7) |
Long-term use (≥30 days) | 225 (10.3) | 16 (15.7) | 45 (12.0) | 61 (10.4) | 65 (9.1) | 38 (9.6) | 61 (12.8) | 164 (9.7) |
No | 18 (0.8) | 1 (1.0) | 1 (0.3) | 3 (0.5) | 9 (1.3) | 4 (1.0) | 2 (0.4) | 16 (0.9) |
Other immunosuppressive medications | ||||||||
Yes | 35 (1.6) | 2 (2.0) | 4 (1.1) | 6 (1.0) | 13 (1.8) | 10 (2.5) | 6 (1.3) | 29 (1.7) |
Short-term use (<30 days) | 8 (0.4) | 0 (0) | 0 (0) | 1 (0.2) | 7 (1.0) | 0 (0) | 0 (0) | 8 (0.5) |
Long-term use (≥30 days) | 23 (1.1) | 1 (1.0) | 4 (1.1) | 4 (0.7) | 6 (0.8) | 8 (2.0) | 5 (1.0) | 18 (1.1) |
No | 350 (16.1) | 24 (23.5) | 68 (18.1) | 103 (17.6) | 112 (15.6) | 43 (10.9) | 92 (19.2) | 258 (15.2) |
RET test recorded, n (%) | 1076 (49.5) | 39 (38.2) | 146 (38.8) | 242 (41.3) | 355 (49.5) | 294 (74.6) | 185 (38.7) | 891 (52.5) |
Positive | 73 (3.4) | 6 (5.9) | 10 (2.7) | 16 (2.7) | 17 (2.4) | 24 (6.1) | 16 (3.3) | 57 (3.4) |
BRAF test recorded, n (%) | 1280 (58.9) | 39 (38.2) | 171 (45.5) | 320 (54.6) | 440 (61.4) | 310 (78.7) | 210 (43.9) | 1070 (63.1) |
Positive | 108 (5.0) | 5 (4.9) | 15 (4.0) | 25 (4.3) | 37 (5.2) | 26 (6.6) | 20 (4.2) | 88 (5.2) |
MET exon 14 skipping mutation test, n (%) | 1062 (48.8) | 36 (35.3) | 142 (37.8) | 236 (40.3) | 354 (49.4) | 294 (74.6) | 178 (37.2) | 884 (52.1) |
Positive | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
RET, BRAF, or MET test recorded, n (%) | 1307 (60.1) | 40 (39.2) | 178 (47.3) | 330 (56.3) | 447 (62.3) | 312 (79.2) | 218 (45.6) | 1089 (64.2) |
Positive | 179 (8.2) | 10 (9.8) | 25 (6.6) | 41 (7.0) | 53 (7.4) | 50 (12.7) | 35 (7.3) | 144 (8.5) |
PD-1/PD-L1 test recorded, n (%) | 1566 (72.0) | 55 (53.9) | 258 (68.6) | 424 (72.4) | 517 (72.1) | 312 (79.2) | 313 (65.5) | 1253 (73.8) |
Unknown | 90 (4.1) | 1 (1.0) | 23 (6.1) | 38 (6.5) | 25 (3.5) | 3 (0.8) | 24 (5.0) | 66 (3.9) |
Negative | 498 (22.9) | 20 (19.6) | 72 (19.1) | 124 (21.2) | 159 (22.2) | 123 (31.2) | 92 (19.2) | 406 (23.9) |
Positive | 978 (45.0) | 34 (33.3) | 163 (43.4) | 262 (44.7) | 333 (46.4) | 186 (47.2) | 197 (41.2) | 781 (46.0) |
PD-1/PD-L1 expression level, n (%) | ||||||||
PD-1/PD-L1 expression 1–49%d | 62 (2.9) | 2 (2.0) | 17 (4.5) | 21 (3.6) | 19 (2.6) | 3 (0.8) | 19 (4.0) | 43 (2.5) |
PD-1/PD-L1 expression ≥50%d | 115 (5.3) | 4 (3.9) | 26 (6.9) | 36 (6.1) | 43 (6.0) | 6 (1.5) | 30 (6.3) | 85 (5.0) |