A pilot study evaluating concordance between blood-based and patient-matched tumor molecular testing within pancreatic cancer patients participating in the Know Your Tumor (KYT) initiative

作者: Michael J. Pishvaian , R. Joseph Bender , Lynn M. Matrisian , Lola Rahib , Andrew Hendifar

DOI: 10.18632/ONCOTARGET.13225

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摘要: // Michael J. Pishvaian 1,2,* , R. Joseph Bender 1,* Lynn M. Matrisian 3 Lola Rahib Andrew Hendifar 4 William A. Hoos Sam Mikhail 5 Vincent Chung 6 Picozzi 7 Craig Heartwell 1 Kimberly Mason Katelyn Varieur Metasebia Aberra Subha Madhavan 1,2 Emanuel Petricoin III and Jonathan Brody 1,8 Perthera, Inc, McLean, VA, USA 2 Lombardi Comprehensive Cancer Center, Georgetown University Medical Washington, DC, The Pancreatic Action Network, Manhattan Beach, CA, Cedars-Sinai Los Angeles, Ohio State University, Columbus, OH, City of Hope Duarte, Virginia Seattle, WA, 8 Jefferson Pancreatic, Related Kimmel Thomas Philadelphia, PA, * These authors have contributed equally to this work Correspondence to: Brody, email: Keywords : cfDNA, pancreatic cancer, blood-based NGS Received June 15, 2016 Accepted September 25, Published November 08, Abstract Recent improvements in next-generation sequencing (NGS) technology enabled detection biomarkers cell-free DNA blood may ultimately replace invasive tissue biopsies. However, a better understanding the performance assays is needed prior routine clinical use. As part an IRB-approved molecular profiling registry trial ductal adenocarcinoma (PDA) patients, we facilitated testing 34 patients from multiple community-based high-volume academic oncology practices. 23 these also underwent traditional tumor tissue-based testing. cfDNA was not detected 9/34 (26%) patients. Overall concordance between low, with only 25% sensitivity for NGS. Mutations KRAS, major PDA oncogene, were 10/34 (29%) samples, compared 20/23 (87%) presence mutations circulating associated reduced overall survival (54% mutation-positive versus 90% mutation-negative). Our results suggest that setting previously treated, advanced PDA, liquid biopsies are yet adequate substitute Further refinement defining optimal patient population timing sampling improve value test.

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