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Table 2 ctDNA plasma detection of EGFR mutation

From: The value of cell-free circulating tumour DNA profiling in advanced non-small cell lung cancer (NSCLC) management

Reference

Method of detection

Study type/ Sample size

Sensitivity/ PPA

Specificity/NPA

Concordance/ OPA between tissue and liquid biopsy

Douillard J et al. [65]

QUIAGEN therascreen® EGFR RGQ PCR Kit

Prospective, single-arm phase IV study (IFUM study); N = 652

65.7%

99.8%

94.3%

Reck M et al. [54]

QUIAGEN therascreen® EGFR RGQ PCR Kit; Cobas® EGFR mutations test version 2; Cycleave®; PNA-LNA PCR Clamp; other

Multicenter (ASSESS study); N = 1162

46%

97%

89%

Han B et al. [55]

Cobas® EGFR mutations test version 2

Multicenter (IGNITE study); N = 2561

46.9%

95.6%

80.5%

Wu YL et al. [148]

QUIAGEN therascreen® EGFR RGQ PCR Kit

Phase III, Prospective (Lux-Lung 3 and 6 studies); N = 334 (plasma); N = 287 (serum)

60.5% (plasma)

28.6% (serum)

n.r

n.r

Jenkins et al. [74]

Cobas® EGFR Mutation Test v2

AURA extension and AURA2 phase II studies; N = 210

T790M: 61%

L858R: 76%

Del19: 91%

T790M: 79%

L858R: 98%

Del19: 98%

T790M: 65%

L858R: 85%

Del19: 90%

Oxnard et al. [76]

BEAMing (Sysmex®)

Retrospective (AURA phase I)

N = 216

T790M: 70%

L858R: 86%

Del19: 82%

T790M: 69%

L858R: 97%

Del19: 98%

n.r

Karlovich et al. [73]

Cobas® EGFR mutations test; BEAMing (Symex® Inostics GmbH)

Prospective, multicentre, observational and phase-1 TIGER-X; N = 153

(Cobas/BEAMING)

Activating mutations: 73%/82%

T790M: 64%/73%

(Cobas/BEAMING)

Activating mutations: 100%

T790M: 98%/50%

(Cobas/BEAMING)

Activating mutations: 80%

T790M: 86%/67%

Sacher et al. [56]

Droplet digital PCR (ddPCR)

Prospective; N = 180 (120 newly diagnosed + 60 acquired resistance)

Del19: 82%

L858R: 74% T790M: 77%

Del19:100% L858R: 100% T790M: 63%

Del19: 91%

L858R: 80%

T790M: 40%

Zheng D et al. [57]

Droplet digital PCR (ddPCR)

N = 117

T790M: 81%

T790M: 100%

88%

  1. PPA Positive percent agreement, NPA Negative percent agreement, OPA overall percent agreement, n.r. not reported