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. 2017 Aug 23;7:9192. doi: 10.1038/s41598-017-09078-4

Table 2.

Foundation ONE reports of CBL alterations with EGFR, MET, or KRAS alterations and patient treatment outcome.

Patient Tumor type CBL mutation EGFR/MET/KRAS mutation Chemo/Clinical Trial Outcome
1 Lung AD H37_H38insHH EGFR E746_A750del, T790M Erlotinib Was effective for a time but progressive disease
AP26113 1. Interval progression of disease with interval increase in the size of the left lung mass, hepatic metastases, also as metastases and left adrenal metastatic disease.
2. Interval development of right-sided pulmonary static disease.
2 Lung AD A848T EGFR E746_A750del, amplification Carboplatin Unknown. Tolerated Well
Paclitaxel Unknown. Tolerated Well
Erlotinib Good response but discontinued due to poor performance status
3 Lung AD T810S, amplification EGFR R429S Carboplatin 1. No new suspicious pulmonary nodules or masses.
2. Stable upper mediastinal right paratracheal soft tissue mass at the site of prior resection.
Paclitaxel 1. No new suspicious pulmonary nodules or masses.
2. Stable upper mediastinal right paratracheal soft tissue mass at the site of prior resection.
4 NSCLC (NOS) S80G Carboplatin Unknown
Gemcitabine Unknown
5 Lung AD A848T, E886K EGFR R1068*, P518L; KRAS G10R, K169N Carboplatin 1. No significant interval change in the large necrotic right anterior mediastinal mass with extension into the right hilum and right chest wall and sternal/pericardial/SVC invasion.
2. Mild interval improvement in number of pulmonary nodules, specifically in the right upper lobe.
3. Stable retroperitoneal lymphadenopathy.
4. Nonspecific sclerotic focus in vertebral body of T3.
Paclitaxel 1. No significant interval change in the large necrotic right anterior mediastinal mass with extension into the right hilum and right chest wall and sternal/pericardial/SVC invasion.
2. Mild interval improvement in number of pulmonary nodules, specifically in the right upper lobe.
3. Stable retroperitoneal lymphadenopathy. 4. Nonspecific sclerotic focus in vertebral body of T3.
6 Lung AD E366* CALGB 30303, Phase II IRB 13724 A trial of Docetaxel and Cisplatin Unknown
Carboplatin Marked improvement of disease.
7 Lung AD R420Q KRAS G12C No Chemotherapy/Trial
8 NSCLC (NOS) K54E Carboplatin 1. Good response.
2. Interval decrease in size of left upper lobe mass and left hilar/subsegmental lymph node.
3. Left upper lobe mass is now mostly cavitary.
Paclitaxel 1. Good response.
2. Interval decrease in size of left upper lobe mass and left hilar/subsegmental lymph node.
3. Left upper lobe mass is now mostly cavitary.
9 NSCLC (NOS) A757T KRAS amplification, G12V Cisplatin Clinically no evidence of disease
Docetaxel Clinically no evidence of disease
Carboplatin Response in some areas, but progression in right kidney (mixed response?)
Gemcitabine Response in some areas, but progression in right kidney (mixed response?)
10 Lung AD Amplification EGFR L858R Carboplatin 1. No evidence of acute pulmonary embolus.
2. New geographic areas of groundglass opacities in the right lung.
3. Differential diagnosis includes drug toxicity, atypical infection, and hemorrhage.
4. Stable left lingular mass, sclerotic osseous foci, and metastatic hepatic lesions.
Paclitaxel 1. No evidence of acute pulmonary embolus.
2. New geographic areas of groundglass opacities in the right lung.
3. Differential diagnosis includes drug toxicity, atypical infection, and hemorrhage.
4. Stable left lingular mass, sclerotic osseous foci, and metastatic hepatic lesions.
Erlotinib Good response but discontinued due to poor performance status

AD: adenocarcinoma; NOS: not otherwise specified.