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. 2017 Mar 20;28(6):1294–1301. doi: 10.1093/annonc/mdx112

Table 2.

Discordant samples

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?
a

Group A: mutations detected in plasma but not in tissue by SoC.

b

Group B: mutation detected in tissue by SoC but not in plasma.

c

Supplementary Table S2, available at Annals of Oncology online.

d

In those patients with plasma extraction during chemotherapy immediate response after extraction is reported between brackets.

e

Codon NRAS A59.

f

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.