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Table 2 Treatable genetic variants and level of clinical utility

From: Genetic profiling of primary and secondary tumors from patients with lung adenocarcinoma and bone metastases reveals targeted therapy options

Patient

Gene

Tumor genetic variants (copy number)

Treatment options

1° tumor

2° tumor

Druga

Level of clinical utility

P1

EGFR

E746_A750delELREA (1)

E746_A750delELREA (1)

Gefitinib

Level A

P2

EGFR

E746_A750delELREA (1)

E746_A750delELREA (2)

Gefitinib

Level A

P3

EGFR

E746_A750delELREA (6)

E746_A750delELREA (5)

Gefitinib

Level A

 

Amplification

Amplification

Erlotinib

Level B

P4

EGFR

L747_A750delinsP (1)

L747_A750delinsP (1)

Gefitinib

Level A

P5

EGFR

E746_A750delELREA (0.1)

E746_A750delELREA (2)

Gefitinib

Level A

P6

EGFR

E746_A750delELREA (1)

E746_A750delELREA (9)

Gefitinib

Level A

  

No amplification

Amplification

Erlotinib

Level B

 

TP53

Negative

Q331X (2)

AZD1775

Level D

P7

EGFR

L858R (2)

L858R (3)

Gefitinib

Level A

P8

EGFR

L858R (5)

L858R (4)

Gefitinib

Level A

P9

EGFR

L858R (5)

L858R (6)

Erlotinib

Level A

  

Amplification

Amplification

Erlotinib

Level B

 

ATM

W3052X (2)

W3052X (2)

Olaparib

Level D

P10

EGFR

Negative

L858R (4)

Osimertinib

Level A

 

CDK4

No amplification

Amplification (17)

Abemaciclib

Level B

P11

EGFR

Negative

L858R (2)

Gefitinib

Level A

P12

EGFR

G719S (5)

G719S (5)

Osimertinib

Level B

 

Amplification

Amplification

Erlotinib

Level B

TP53

R196X (2)

R196X (2)

AZD1775

Level D

P13

EGFR

L861Q (2)

L861Q (3)

Gefitinib

Level A

TP53

R248W (2)

R248W (2)

AZD1775

Level D

P14

ALK

Fusion (0.3)

Fusion (0.2)

Crizotinib

Level A

P15

TP53

F134Pfs (1)

F134Pfs (1)

AZD1775

Level D

FGFR1

Amplification (5)

Amplification (6)

Dovitinib

Level D

P16

FGFR3

R248C (0.1)

Negative

Dovitinib

Level D

KRAS

Negative

G12D (1)

Cobimetinib

Level D

P17

KRAS

G12C (1)

G12C (1)

AMG-510

Level B

  1. aDrugs shown in normal text represent the initial therapy based on ARMS-PCR genetic test. Drugs shown in bold text represent potential alternative therapies revealed by capSMART test. Amplification of gene variants or normal gene sequences was defined by a copy number of > 5