ABOUT CANCER-ASSOCIATED LEMS SCLC

Progressive and debilitating, Cancer-Associated LEMS small cell lung cancer (SCLC) is the most common antibody-mediated neurologic paraneoplastic syndrome in SCLC.4,5,8

Because of reduced acetylcholine (ACh) release from presynaptic motor nerve terminals, patients with Cancer-Associated LEMS SCLC experience severe muscle weakness and other symptoms.9

  1. In patients with LEMS, autoantibodies target voltage-gated calcium channels on the presynaptic motor neuron, reducing calcium influx during an action potential9
  2. Reduced intracellular calcium limits presynaptic vesicle fusion and release of ACh9
  3. Disrupted ACh transmission results in decreased activation of receptors on the postsynaptic membrane9
  4. Reduced ACh signaling results in diminished muscle fiber contraction and muscle weakness9

A simple, readily available, and affordable VGCC-Ab blood test, both P/Q and N types, can confirm a Cancer-Associated LEMS SCLC diagnosis5,6

Even though Cancer-Associated LEMS SCLC affects a small percentage of people with small cell lung cancer (SCLC), a retrospective claims analysis suggests that >90% of Cancer-Associated LEMS SCLC cases may not receive a LEMS diagnosis.5,10

*Based on retrospective US claims (2014-2022), SCLC was inferred using treatment proxies, and LEMS was identified through diagnosis codes. The observed diagnosis rate was 0.16% (0.19% sensitivity analysis). While US prevalence data is limited, historical non-US prospective studies estimate SCLC-LEMS as app. 3%-6%.10

LEMS presents with symptoms SCLC patients commonly experience, such as fatigue, weakness, and restricted mobility11,12

  • If you suspect LEMS in an SCLC patient, a VGCC-Ab test can help confirm the diagnosis5,6,13
  • SCLC patients with suspected LEMS pattern of weakness (either on chemotherapy or not) may benefit from VGCC testing5,6,14

INCREASED LIFE EXPECTANCY

Patients with SCLC LEMS have longer median survival than those with SCLC alone.15

Median Survival15

Cancer-Associated LEMS SCLC diagnostic test available

A simple blood test can confirm the diagnosis of Cancer-Associated LEMS SCLC.5