Table 5.
Patient Age at Diagnosis (years) | Diagnosis | H3K27 Mutation Status | Tissue Source of Molecular Profiling (Biopsy and/or Autopsy) | Molecular Testing Performed | Molecular Profiling Results, Relevant to Cell Cycle, and PI3K/mTOR Pathways | Additional Alterations | Overall Survival (months) | Event-free Survival (months) for Patients With HGG | Number of Cycles | Post-study Re-irradiation | Post-study additional systemic therapy |
---|---|---|---|---|---|---|---|---|---|---|---|
HGG | |||||||||||
10 | HGG | Wildtype | Biopsy | Targeted sequencing | CDKN2A/B deletion | TP53 mutation, wildtype for IDH and BRAFV600 | 20 | 12 | 9 | Yes | Yes, details not known |
11 | HGG | H3K27M-mutant | Biopsy | Targeted sequencing | PTEN deletion (heterozygous) | Wildtype for IDH and BRAFV600 | 11 | 9 | 6 | No | Not known |
12 | HGG | Wildtype | Biopsy | Targeted sequencing | CDK4 amplification | TP53 mutation, wildtype for IDH and BRAFV600 | >37a | >18 | 17 | No | Yes, ribociclib and everolimus off-trial (came off study treatment due to non-compliance); temozolomide |
DIPG | |||||||||||
2 | DIPG | H3K27M-mutant (H3.3 [H3F3A]] |
Biopsy | Targeted sequencing | No relevant alterations identifiedc | N/A | >39a | >40b | N/A | N/A | |
5 | DIPG | H3K27M-mutant | Biopsy | Targeted sequencing | No relevant alterations identifiedc | MLL2 R185H mutation | 13 | 6 | Yes | No | |
7 | DIPG | H3K27M-mutant (H3.3 [H3F3A]] |
Autopsy | Whole exome and RNA sequencing | No relevant alterations identifiedc | TP53 mutation | 9 | 4 | No | Yes, bevacizumab | |
10 | DIPG | H3K27M-mutant (H3.3 [H3F3A]] |
Autopsy | Whole exome and RNA sequencing | PIK3R1 mutation | TP53 mutation | 10 | 5 | No | Yes, vorinostat | |
15 | DIPG | H3K27M-mutant | Biopsy | Targeted sequencing | No relevant alterations identifiedc | TP53 mutation, PDGFRA/KIT amplification | >21a | 1 | Yes | Yes, intraventricular radioimmunotherapy with omburtamab, avastin, etoposide, and “anti-neoplastins” |
aPatient is alive at the time of data capture for manuscript submission.
bPatient remains on active therapy at the time of data capture for manuscript submission.
cNo genetic alterations involving cell cycle (CDK4/6, CDKN2A/B) or PI3K/mTOR (PIK3R1, PIK3CA, PTEN) pathways were identified, based on available results from molecular testing performed. Note that molecular profiling assays were variable across patients and often focused targeted sequencing panels, most commonly by Foundation Medicine.