428 Genomic instability metric concordance between oncoscan™, cytosnp and an fda-approved HRD test

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I whakaputaina i:International Journal of Gynecological Cancer vol. 30, no. Suppl 4 (Dec 2020), p. A130
Kaituhi matua: Cristescu, Razvan
Ētahi atu kaituhi: Xiao Qiao Liu, Arreaza, Gladys, Chen, Cai, Albright, Andrew, Qiu, Ping, Marton, Matthew
I whakaputaina:
Elsevier Limited
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022 |a 1048-891X 
022 |a 1525-1438 
024 7 |a 10.1136/ijgc-2020-ESGO.228  |2 doi 
035 |a 2552991157 
045 2 |b d20201201  |b d20201231 
100 1 |a Cristescu, Razvan 
245 1 |a 428 Genomic instability metric concordance between oncoscan™, cytosnp and an fda-approved HRD test 
260 |b Elsevier Limited  |c Dec 2020 
513 |a Journal Article 
520 3 |a Introduction/BackgroundVarious biomarkers have been investigated to identify patients likely to respond to PARP inhibition. PARP inhibitor olaparib plus bevacizumab is approved by the US FDA as maintenance therapy for homologous recombination deficiency (HRD)–positive advanced ovarian cancer; the FDA contemporaneously approved a commercial assay as a companion diagnostic for HRD assessment that includes a genomic instability biomarker. Other genomic platforms measuring HRD are available or in development, including single-nucleotide polymorphism (SNP) genotyping arrays designed to measure tumour-related copy number changes. We evaluated the performance of OncoScan™ (ThermoFisher) and Infinium CytoSNP-850K (CytoSNP; Illumina) for assessing HRD genomic instability.MethodologyDNA extracted from pretreatment archival tumour samples (N=126 across 20 indications) was evaluated with Oncoscan™, CytoSNP and an FDA-approved HRD test. ASCAT (v2.5.1), using log R ratio and B-allele frequency of autosomal markers with GC wave correction, was used to evaluate copy number variation (CNV) and loss of heterozygosity (LOH). The genomic metrics were further generated with default parameters using previously reported algorithms1 for LOH,2 number of telomeric-allelic imbalance (NTAI)3 and large-scale state transition (LST)4; the aggregate HRD metric was the sum of the three components. The association between genomic metrics (with BRCA deleterious alterations) and an FDA-approved HRD test metric (dichotomised at clinical cutoff) was calculated using AUROC. Correlations among continuous metrics were assessed using Spearman rank correlation coefficients.ResultsCNV segmentation and genomic metrics were successfully calculated for 120 (Oncoscan™), 106 (CytoSNP) and 126 (FDA-approved test) samples. Assessed by SNP genotyping arrays, the genomic metric as a continuous variable demonstrated good association with deleterious BRCA alterations (AUROC of HRD: Oncoscan™, 0.87; CytoSNP, 0.75) (<xref ref-type="table" rid="T1">table 1) and the FDA-approved test at cutoff 42 (AUROC of HRD: Oncoscan™, 0.92; CytoSNP, 0.91) (<xref ref-type="table" rid="T2">table 2). The genomic metric as a continuous variable showed good correlation with the FDA-approved HRD test metric (Spearman correlation of HRD: Oncoscan™, 0.82; CytoSNP, 0.81). The Spearman correlation of genomic metrics with the FDA-approved HRD test metric was 0.68 (LOH), 0.76 (TAI), 0.78 (LST) and 0.82 (HRD) for Oncoscan™ and 0.59 (LOH), 0.77 (TAI), 0.82 (LST) and 0.81 (HRD) for CytoSNP.<table-wrap id="T1" position="float" orientation="portrait">Abstract 428 Table 1Association of genomic metrics with BRCA</table-wrap><table-wrap id="T2" position="float" orientation="portrait">Abstract 428 Table 2Association of genomic metrics with an FDA-approved HRD test (cutoff 42)</table-wrap>ConclusionHRD as a continuous variable assessed by SNP genotyping arrays showed good correlation with an FDA-approved HRD test metric; SNP assays may potentially be able to identify most HRD-positive tumours if appropriate clinically relevant cutoffs can be determined.DisclosuresThis study was sponsored by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA.Razvan Cristescu is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, and has stock ownership interests in Merck & Co., Inc., Kenilworth, NJ, USA.Xiao Qiao Liu is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA.Gladys Arreaza is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, and has stock ownership interests in Merck & Co., Inc., Kenilworth, NJ, USA.Cai Chen is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA.Andrew Albright is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, and has stock ownership interests in Merck & Co., Inc., Kenilworth, NJ, USA.Ping Qiu is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, and has stock ownership interests in Merck & Co., Inc., Kenilworth, NJ, USA.Matthew Marton is an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, and has stock ownership interests in Merck & Co., Inc., Kenilworth, NJ, USA. 
610 4 |a Merck & Co Inc Food & Drug Administration--FDA Merck Sharp & Dohme 
651 4 |a United States--US 
653 |a Biomarkers 
653 |a Inhibitor drugs 
653 |a FDA approval 
653 |a Ovarian cancer 
653 |a Monoclonal antibodies 
700 1 |a Xiao Qiao Liu 
700 1 |a Arreaza, Gladys 
700 1 |a Chen, Cai 
700 1 |a Albright, Andrew 
700 1 |a Qiu, Ping 
700 1 |a Marton, Matthew 
773 0 |t International Journal of Gynecological Cancer  |g vol. 30, no. Suppl 4 (Dec 2020), p. A130 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2552991157/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/2552991157/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch