Table. Clonal Hematopoiesis in Solid Tumor Mutations With Treatment Implications Based on OncoKB Database.
Sex/Age at Blood Sampling, y | Gene | Amino Acid Change | VAF | Cancer Type | Highest OncoKB Levela | |
---|---|---|---|---|---|---|
Blood | Tumor | |||||
M/84 | BRCA2 | Q3156* | 0.344 | 0.118 | Melanoma | 2B |
M/74 | IDH2 | R140Q | 0.405 | 0.082 | Pancreatic | 2B |
F/72 | IDH2 | R140Q | 0.298 | 0.063 | NSCLC | 2B |
M/68 | IDH2 | R140Q | 0.162 | 0.048 | NSCLC | 2B |
M/76 | IDH2 | R140Q | 0.270 | 0.039 | NSCLC | 2B |
F/59 | BRCA1 | E1836Q | 0.332 | 0.036 | Endometrial | 2B |
F/74 | NRAS | G12R | 0.442 | 0.119 | NSCLC | 3B |
F/80 | NRAS | G12V | 0.081 | 0.037 | Uterine sarcoma | 3B |
F/83 | IDH1 | R132H | 0.077 | 0.033 | Melanoma | 3B |
F/70 | IDH1 | R132C | 0.048 | 0.022 | Melanoma | 3B |
M/43 | PTEN | D24G | 0.348 | 0.174 | Colorectal | 4 |
F/50 | NF1 | R2616* | 0.237 | 0.095 | Breast carcinoma | 4 |
M/68 | KRAS | G60D | 0.297 | 0.094 | Prostate | 4 |
M/55 | NF1 | X1554_splice | 0.105 | 0.049 | Melanoma | 4 |
M/79 | NF1 | F256Lfs* | 0.141 | 0.043 | Prostate | 4 |
M/78 | KRAS | A146P | 0.132 | 0.035 | Skin cancer, nonmelanoma | 4 |
F/77 | KRAS | G12R | 0.087 | 0.041 | Colorectal | R1 |
Abbreviations: FDA, US Food and Drug Administration; NSCLC, non–small cell lung cancer; VAF, variant allele fraction.
Level 2B indicates alterations that are standard-of-care biomarkers of response to an FDA-approved drug in another indication. Level 3B indicates compelling clinical evidence supporting the biomarker as being predictive of response to a drug in another indication. Level 4 indicates compelling biological evidence supporting the biomarker as being predictive of response to a drug. Level R1 indicates standard-of-care biomarker predictive of resistance to an FDA-approved drug in this indication.