Breast cancer |
ctDNA-based detection preceded clinical detection of metastasis in 86% of patients |
[47] |
Breast cancer |
55 non-metastatic breast cancer patients on neo-adjuvant chemotherapy; in the immediate post-operative period, 19% of available patients had detectible ctDNA, representing minimal residual disease (MRD), and 86% of these women went on to relapse during the study period |
[40,48] |
Colorectal cancer |
metastatic colorectal cancer demonstrated 100% diagnostic sensitivity and specificity for mutant BRAF detection and 92% sensitivity/98% specificity for seven tested KRAS point mutations |
[41] |
Lung cancer |
With tumor tissue DNA used as a reference, ctDNA demonstrated a specificity of 86% for PI3KCA exon 9, 88% for EGFR exon 19, and 100% for other measured amplicons, with an 87% (62%–96%) overall average specificity. Certain PIK3CA and EGFR hot-spot mutations were detected in ctDNA but not in the tissue DNA |
[49] |
Prostate cancer |
Tumor DNA samples from the blood of 97 patients with castration-resistant prostate cancer at different times during the course of treatment with abiraterone revealed androgen receptor amplifications were present from the beginning and correlated with abiraterone resistance |
[50,51] |