Circulating tumour DNA in multiple myeloma – analysis of the KRAS/NRAS/BRAF mutation in a local cohort

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pp. S127
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Anne-Marie Marivel ◽  
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Silvia Ling
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...  

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Vol 33 (8) ◽  
pp. 2022-2033 ◽  
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Vol 31 ◽  
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2019 ◽  
Vol 11 (7) ◽  
pp. 917
Author(s):  
Sridurga Mithraprabhu ◽  
Jay Hocking ◽  
Malarmathy Ramachandran ◽  
Kawa Choi ◽  
Daniela Klarica ◽  
...  

Mutational characterisation utilising plasma (PL)-derived circulating tumour DNA (ctDNA) in multiple myeloma (MM) has been recently described. Mutational analyses of paired bone marrow (BM) MM cell DNA and ctDNA from 76 patients (n = 24, new diagnosis (ND), n = 52, relapsed/refractory (RR)) for (ras/raf signaling pathway) and tumour protein p53 (TP53) mutations using the OnTarget™ Mutation Detection (OMD) platform was performed. The total number and proportions of mutations in each of the compartments (BM-specific, PL-specific or shared) was significantly higher in RR patients compared to ND patients (p = 0.0002 and p < 0.0001, respectively). Patients with > 2 mutations or > 1% fractional abundance (FA) in the PL had significantly shorter overall survival (OS) (p = 0.04 and p = 0.0006, respectively). Patients with PL-specific TP53 mutations had significantly shorter OS compared to patients with no PL-TP53 mutations (p = 0.003), while no differences were observed in patients with (K-ras) KRAS mutations. Targeted deep amplicon sequencing (TAS) of matched PL and BM samples from 36 MM patients for DNA-repair and RAS-RAF pathway genes found that DNA-repair genes were present at significantly higher levels in the PL when compared to RAS-RAF mutations (p = 0.0095). We conclude that ctDNA analysis identifies a higher prevalence of potentially actionable DNA-repair gene mutated subclones than BM analysis.


2018 ◽  
Vol 19 (7) ◽  
pp. 1858 ◽  
Author(s):  
Sridurga Mithraprabhu ◽  
Shreerang Sirdesai ◽  
Maoshan Chen ◽  
Tiffany Khong ◽  
Andrew Spencer

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