Table 2.
ID | qPCR (SoC) tumor | BEAMing plasma | BEAMing tumor | Additional (SoC) tumorc | Historical (SoC) tumorc | Codon | MAF (BEAMing plasma) | adjMAF (BEAMing tumor) | Tissue source | Tissue tumor area (%) | Time tissue- plasma (month) | Previous chemo lines | Previous treatment receivedd | Anti-EGFR after plasma collection and best response | Possible explanation | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Group Aa | 1 | WT | MUT | MUT | MUT | WT | NRAS Q61 | 0.43 | 0.072 | Primary | 15 | 8 | 1 | Capox adyuvant | FOLFIRI+ Panitumumab 1L (PR) | SoC sensitivity |
2 | WT | MUT | MUT | MUT | WT | KRAS A146 | 0.0065 | 0.25 | Primary | 95 | 1 | 0 | FOLFOX+ Cetuximab 1L (SD) | |||
3 | WT | MUT | MUT | NA | NA | KRAS A146 | 0.0061 | 0.29 | Primary | 50 | 7 | 0 | No | |||
4 | WT | MUT | MUT | NA | MUT | KRAS G12 | 0.0006 | 0.058 | Primary | 20 | 108 | 2 | 5FU adyuvant, FOLFIRI 1L | No | ||
5 | WT | MUT | MUT | NA | MUT | NRAS Q61 | 0.0005 | 0.085 | Primary | 75 | 2 | 0 | No | |||
6 | WT | MUT | WT | NA | WT | KRAS G12 | 0.0005 | Metastasis | 45 | 4 | 1 | FOLFIRI+BVZ 1L | FOLFIRI+ Panitumumab 2L (PR) | Molecular heterogeneity | ||
7 | WT | MUT | WT | NA | WT | KRAS G12 | 0.0008 | Primary | 70 | 3 | 0 | No | ||||
8 | WT | MUT | WT | WT | WT | KRAS Q61 | 0.0015 | Primary | 70 | 1 | 0 | FOLFIRI+ Cetuximab 1L (PR) | ||||
9 | WT | MUT | WT | NA | WT | NRAS Q61 | 0.0005 | Primary | 100 | 10 | 1 | FOLFIRI 1L | FOLFIRI+ Panitumumab 2L (PD) | |||
Group Bb | 10 | MUT | WT | MUT | MUTe | MUT | KRAS G12 | 0,27 | Primary | 50 | 1 | 0 | No | Low tumor burden? | ||
11 | MUT | WT | MUT | MUT | MUT | KRAS G12 | 0,14 | Primary | 40 | 33 | 2 | FOLFOX 1L, FOLFIRI 2L | No | |||
12 | MUT | WT | MUT | NA | MUT | KRAS G12 | 0,12 | Primary | 95 | 3 | 0 | In course FOLFOX 1L (PR) | No | Chemotherapy effect? | ||
13 | NA | WT | MUT | NA | MUT | NRAS G13 | NA | Primary | 70 | 8 | 0 | In course FOLFOX + BVZ 1L (SD) | No | |||
14 | NA | WT | MUT | NA | MUT | NRAS Q61 | NA | Primary | 70 | 4 | 0 | In course FOLFOX 1L (PD) | No | |||
15 | MUT | WT | WT | NA | MUTf | KRAS Q61 | Primary | 60 | 3 | 0 | No | Technical issues? |
Group A: mutations detected in plasma but not in tissue by SoC.
Group B: mutation detected in tissue by SoC but not in plasma.
Supplementary Table S2, available at Annals of Oncology online.
In those patients with plasma extraction during chemotherapy immediate response after extraction is reported between brackets.
Codon NRAS A59.
Codon KRAS G13.
SoC, standard of care; MAF, mutant allele fraction; adjMAF, adjusted mutant allele fraction; Chemo, chemotherapy (adyuvant and/or metastatic setting); MUT, mutation; NA, not available; PR, partial response; SD, stable disease; PD, progression disease; 1L, frontline metastatic therapy; 2L, second line metastatic therapy; Capox, Capecitabine + oxaliplatin; 5FU, 5-fluorouracil; BVZ, Bevacizumab; FOLFIRI, 5FU + leucovorin + irinotecan; FOLFOX, 5FU + leucovorin + oxaliplatin.