Liquid Biopsy: It's the Bloody Truth!

Autor: Andrew J. Armstrong, Nathan M. Hawkey
Rok vydání: 2021
Předmět:
Zdroj: Clin Cancer Res
ISSN: 1557-3265
1078-0432
DOI: 10.1158/1078-0432.ccr-21-0531
Popis: Comprehensive genomic profiling (CGP) is of increasing value for patients with metastatic castration-resistant prostate cancer (mCRPC). mCRPC tends to metastasize to bone, making tissue biopsies challenging to obtain. We hypothesized CGP of cell-free circulating tumor DNA (ctDNA) could offer a minimally invasive alternative to detect targetable genomic alterations (GA) that inform clinical care.Using plasma from 3,334 patients with mCRPC (including 1,674 screening samples from TRITON2/3), we evaluated the landscape of GAs detected in ctDNA and assessed concordance with tissue-based CGP.A total of 3,129 patients (94%) had detectable ctDNA with a median ctDNA fraction of 7.5%;Genomic analysis of ctDNA from patients with mCRPC recapitulates the genomic landscape detected in tissue biopsies, with a high level of agreement in detection of
Databáze: OpenAIRE