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. 2014 Oct 27;111(45):15964–15968. doi: 10.1073/pnas.1412075111

Table 1.

Comparison of predicted ratios of resistant clone sizes and ratios obtained from clinical data

Patient Y1* Y2 Y3 Y4 Y1/Y2 Y1/Y3 Y1/Y4
1 168 90 1.87
2 129 120 1.08
3 82 80 30 1.03 2.73
4 948 120 104 100 7.9 9.12 9.48
5 28 15 1.87
6 114 40 2.85
7 6,760 4,940 4,100 3,900 1.37 1.65 1.73
8 220 30 7.33
9 848 374 135 133 2.27 6.28 6.38
10 61 25 2.44
11 244 83 57 2.94 4.28
12 429 400 100 1.07 4.29
13 394 13 4 30.31 98.5
14 308 265 208 139 1.16 1.48 2.22
15 130 13 10
16 28 13 2.15
17 131 45 12 11 2.91 10.92 11.91
18 250 173 58 31 1.45 4.31 8.06
Median from patients 2.21 4.3 7.22
Predicted median 2.51 4.12 5.74
Predicted median (order by size) 2.05 3.63 5.25
*

Number of circulating tumor DNA (ctDNA) fragments per milliliter (Y1 to Y4) harboring different mutations associated with resistance to anti-EGFR agents in colorectal cancer patients treated with EGFR blockade (29). Ratio of resistant clone sizes is given by the ratio of the ctDNA counts for any two resistance-associated mutations. We assumed that mutations with higher ctDNA counts in the patient data appeared before mutations with smaller ctDNA counts. We also report predicted median ratios obtained from computer simulations when clones are ordered by size (parameters: b=0.25, d=0.181, M=109, u=42×109).