American Association for Cancer Research
10780432ccr160318-sup-162031_1_supp_3425785_54tch5.docx (39.21 kB)

Supplemental material from Use of Liquid Biopsies in Clinical Oncology: Pilot Experience in 168 Patients

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journal contribution
posted on 2023-03-31, 19:33 authored by Maria Schwaederle, Hatim Husain, Paul T. Fanta, David E. Piccioni, Santosh Kesari, Richard B. Schwab, Sandip P. Patel, Olivier Harismendy, Megumi Ikeda, Barbara A. Parker, Razelle Kurzrock

Supplemental Table 1. Guardant360 54 gene cell-free DNA NGS panel. Complete exon coverage for genes in bold. Unbolded genes had critical exon coverage. Supplemental Table 2. Frequency of patients with metastatic/recurrent/advanced unresectable disease Supplemental Table 3. List of the 12 evaluable patients treated with a matched therapy targeting {greater than or equal to} 1 alteration detected by the ctDNA test. Supplemental Figure 1. Diagram of the population analyzed for treatment outcome


Joan and Irwin Jacobs Fund



Purpose: There is a growing interest in using circulating tumor DNA (ctDNA) testing in patients with cancer.Experimental Design: A total of 168 patients with diverse cancers were analyzed. Patients had digital next-generation sequencing (54 cancer-related gene panel including amplifications in ERBB2, EGFR, and MET) performed on their plasma. Type of genomic alterations, potential actionability, concordance with tissue testing, and patient outcome were examined.Results: Fifty-eight percent of patients (98/168) had ≥1 ctDNA alteration(s). Of the 98 patients with alterations, 71.4% had ≥ 1 alteration potentially actionable by an FDA-approved drug. The median time interval between the tissue biopsy and the blood draw was 2.7 months for patients with ≥ 1 alteration in common compared with 14.4 months (P = 0.006) for the patients in whom no common alterations were identified in the tissue and plasma. Overall concordance rates for tissue and ctDNA were 70.3% for TP53 and EGFR, 88.1% for PIK3CA, and 93.1% for ERBB2 alterations. There was a significant correlation between the cases with ≥ 1 alteration with ctDNA ≥ 5% and shorter survival (median = 4.03 months vs. not reached at median follow-up of 6.1 months; P < 0.001). Finally, 5 of the 12 evaluable patients (42%) matched to a treatment targeting an alteration(s) detected in their ctDNA test achieved stable disease ≥ 6 months/partial remission compared with 2 of 28 patients (7.1%) for the unmatched patients, P = 0.02.Conclusions: Our initial study demonstrates that ctDNA tests provide information complementary to that in tissue biopsies and may be useful in determining prognosis and treatment. Clin Cancer Res; 22(22); 5497–505. ©2016 AACR.