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. 2020 Jun 25;10:894. doi: 10.3389/fonc.2020.00894

Table 1.

Overview of selected studies describing the incidence of resistance-associated mutations in CLL patients treated with ibrutinib including selected studies describing resistance-associated mutations in patients with Richter transformation#.

References Number of patients Genetic characteristics of patients Number of previous treatment lines, median (min-max) Frequency of patients with resistance-associated mutations BTK mutation PLCG2 mutation
Variant(s) VAF Variant(s) VAF
Woyach et al. (10) 6 3/6 del(17p) + CK 1/6 del(17p) + trisomy 12 1/6 CK 1/6 del(11q) 4 (29) 100% (6/6) C481S 17–60% R665W S707Y L845F 8–38%
Burger et al. (23) 5 4/5 del(17p) + del(13q) 1/5 del(11q) 4 (16) 40% (2/5) C481S NA S707F D993H M1141K/R 12–35%
Sharma et al. (19)# 1* 1/1 del(17p) 1 100% (1/1) T316A 75% 0 0
Ahn et al. (12)# 10 10/10 del(17p)/mutation TP53 NA 80% (8/10) C481S/R 2–78% P664S R665W S707Y L845F 6 nt del 0.1–18%
Woyach et al. (13) 54 40% del(17p)**58% CK 3 (0–16) 89% (48/54) C481S/R/F 0.2–100% R665W S707Y/P/F L845F D993Y L845-846del 4–44%
Kadri et al. (14)# 9*** 8/9 del(17p) 2 (14) 56% (5/9) C481S/R T316A 3–90% 0 0
Quinquenel et al. (11) 30 15/30 mutation TP534/30 mutated IGHV 2 (NA-NA) 57% (17/30) C481S/Y/R/G 0.2–73% R665W L845G C849R D993H 1–11%
Gángó et al. (21)# 20**** 7/20 del(17p) 10/20 del(13q) 6/20 trisomy 12 3/20 del(11q) 3 (15) 40% (8/20) R28S G164D R490H C481S/Y Q516K 2.7–27.3% F82S R694H D993H S1192G 2.6–4.9%

NA, not available; CK, complex karyotype; VAF, variant allele frequency.

*

Mutation status of a patient with Richter transformation was described; resistance-associated mutation was found in peripheral blood, not in lymph nodes (19).

**

Patient characteristics for a complete set of 308 patients (13).

***

6/9 patients with Richter transformation were included (14).

****

3/20 patients with Richter transformation were included (21).