Treatment patterns and outcomes for patients with newly diagnosed glioblastoma multiforme: a retrospective cohort study

Author:

Annavarapu Srinivas1ORCID,Gogate Anagha2,Pham Trang3,Davies Kalatu3,Singh Prianka2,Robert Nicholas1

Affiliation:

1. Ontada, Irving, TX 75039, USA

2. Bristol Myers Squibb, Lawrenceville, NJ 08648, USA

3. McKesson Specialty Health, The Woodlands, TX 77380, USA

Abstract

Aim: Investigate real-world outcomes and healthcare utilization of patients with glioblastoma multiforme (GBM) related to O6-methylguanine DNA methyltransferase (MGMT) promoter testing and methylation. Patients & methods: US Oncology Network data were analyzed for patients receiving first-line (1L) treatment for GBM. Results: Most patients received 1L radiation with temozolomide. Unadjusted median overall survival (OS) was higher in tested versus untested (median:18.1 vs 11.8 months) and in methylated versus unmethylated (median: 25.5 vs 12.4 months). Untested status, unmethylated MGMT and older age were associated with reduced OS and longer 1L treatment with increased OS. Similar findings were observed for progression-free survival. Utilization was similar between cohorts. Conclusion: In community oncology practices, MGMT methylation and testing were predictive of better survival in GBM.

Funder

Bristol-Myers Squibb

Publisher

Future Medicine Ltd

Subject

General Medicine

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