Table 2.
Case | Age/Sex | EGFR TKI/Line Before Resistance Biopsy | Genomic Alterations Pre-EGFR TKI (TGPS on Tissue) | Genomic Alterations on Tissue at EGFR TKI Progression (TGPS, CGH Array, and WES-RNAseq on Tissue) |
|
---|---|---|---|---|---|
Fusion | Other Alterations | ||||
MR 04 | 62/F | Gefitinib/2 | EGFR: L858R EGFR exon 18, I706Y CTNNB1: S33C NOTCH4: G1821E |
EIF4G2-GAB1a | EGFR: L858Ra,b EGFR: I706Ta,b MET: R988Cc EGFR: T790Mc NOTCH4: G1821Eb CTNNB1: G34Va FGFR3: S804Ac BRD4: R1329Qa GATA2: D184Aa WT1: S255Aa TSC1: T1020Pa PDPK1 ampd |
MR 211 | 57/F | Osimertinib/4 | EGFR exon 19 del EGFR: T790M TP53 lossd CDK4 ampd HMGA2 ampd MDM2 ampd |
FGFR3-TACC3a | EGFR exon 19 dela,b CDK4 ampa,d HMGA2 ampd MDM2 ampa,d TP53 lossd MAP3K7: p.Asp211Hisa GATA3: p.Thr156Proa |
MR 393 | 64/F | Osimertinib/1 | EGFR: L858R | FGFR3-TACC3a | EGFR exon 21, L858Ra PIK3R1 muta MYCN: Pro345Thra FANCA: p.Pro1220Arga |
MR 48 | 51/F | Osimertinib/8 | EGFR exon 19 del EGFR: T790M TP53: C238F |
KIF5B-RETa | EGFR exon 19 dela,b TP53: C238Fa,b |
MR 240 | 65/F | Osimertinib/2 | EGFR exon 19 del EGFR: T790Mc CDKN2A muta,c FGFR2: S252Sc TP53 mutc |
STRN-ALKa,d | EGFR exon 19 dela,b EGFR: T790Ma,b TP53: p.Lys132fa,b PTEN: F278Lb TERT ampd |
MR 01 | 54/M | Osimertinib/3 | EGFR exon 19 del EGFR: T790M TP53 mut |
DHHC20-BRAFa | EGFR exon 19 dela,b TP53: Cys135Serfsa,b ERBB2 ampa,d CDK12 ampa |
CGH, comparative genomic hybridization; ctDNA circulating tumor DNA; F, female; M, male; RNA-seq, RNA sequencing; TGPS, targeted gene panel sequencing; TKI, tyrosine kinase inhibitor; WES, whole-exome sequencing; Amp, amplification; MR, patient number.
Genomic alterations found in WES-RNAseq analyses.
Genomic alterations found in TGPS analyses.
Genomic alterations found only in the ctDNA analyses.
Genomic alterations found in cytoscan HD CGH array.