TABLE 1.
Genomic Dynamics in Gene Alterations at Each Time Point
Specimen | Pre-Pemigatinib (6 weeks before pemigatinib) | PR Post-Pemigatinib (2 weeks after peimigatinib) | PD Post-Pemigatinib (8 weeks after pemigatinib) | PD Post-Erdafitinib (13 weeks after pemigatinib) | ||||
---|---|---|---|---|---|---|---|---|
Liquid | Caris Assure | Caris Assure | Guardant360 | Guardant360 | ||||
Amplification | pCN | Amplification | pCN | Amplification | pCN | Amplification | pCN | |
FGFR2 | 16.6 | FGFR2 | 5.2 | FGFR2 | 110.1 | FGFR2 | 34.3 | |
Mutation | VAF | Mutation | VAF | MYC | 45.4 | MYC | 11.2 | |
CDH1, L214P | 46 | CDH1, L214P | 0.6 | KRAS | 3.0 | KRAS | ND | |
FGFR2, C382R | 0.1 | CDH1, W409* | 0.6 | Mutation | VAF | Mutation | VAF | |
FGFR2, L617V | 8.4 | FGFR2, L617V | 7.4 | |||||
FGFR2, E565A | 7.1 | FGFR2, E565A | 11.6 | |||||
FGFR2, V564L | 2.3 | FGFR2, V564L | 6.6 | |||||
FGFR2, N549H | 0.8 | FGFR2, N549H | 1.1 | |||||
FGFR2, N549K | 0.7 | FGFR2, N549K | 0.8 | |||||
FGFR2, V564F | 0.2 | FGFR2, V564F | 0.2 | |||||
Fusion | FGFR2, V564I | 0.3 | ||||||
FGFR2-PRNCR1 | 0.08 | FGFR2, E565G | 1.3 | |||||
FGFR2, N549D | 0.7 | |||||||
FGFR2, E565K | 0.6 | |||||||
TP53, E339fs | 12.5 | |||||||
Fusion | ||||||||
FGFR2-PRNCR1 | 0.05 | |||||||
Tissuea | MI Profile | |||||||
Amplification | CN | |||||||
FGFR2 | 264 | |||||||
Mutation | VAF | |||||||
CDH1, L214P | 58 | |||||||
SMAD4, E330K | 44 | |||||||
TP53, E339fs | 46 |
Abbreviations: CN, copy number; FGFR, fibroblast growth factor receptor; ND, not detected; PD, progressive disease; pCN, plasma CN; PR, partial response; VAF, variant allele frequency.
Tumor tissue resected at surgery.