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    Home > Active Ingredient News > Antitumor Therapy > Clin Cancer Res: Does the detection of low-frequency mutations in cfDNA have any significance for castration-resistant prostate cancer?

    Clin Cancer Res: Does the detection of low-frequency mutations in cfDNA have any significance for castration-resistant prostate cancer?

    • Last Update: 2021-09-29
    • Source: Internet
    • Author: User
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    Although next-generation sequencing (NGS) of tumor tissue is the best method for whole-genome analysis, it is a challenge to obtain metastatic sites for tissue biopsy in castration-resistant prostate cancer (CRPC)
    .


    In addition, analyzing only one area of ​​tumor tissue may not capture tumor heterogeneity within an individual


    Cell-free DNA (cfDNA) testing is becoming an important tool to promote precise cancer treatment
    .


    cfDNA can be obtained only through blood draw, simple operation, little harm to patients, and can be repeated; circulating free tumor DNA (ctDNA) can capture the real-time gene profile of the tumor, including its heterogeneity


    Precise

    This study aims to identify the genomic profile of CRPC patients, including low-frequency variants in ctDNA, and to evaluate the clinical significance of detecting variants with a variant allele frequency (VAF) of less than 1%
    .

    This is a prospective multicenter cohort study that recruited CRPC patients who are suitable for treatment with abiraterone or enzalutamide
    .


    The researchers performed targeted sequencing on the cfDNA and paired white blood cell DNA of the test patients before treatment, and screened ctDNA variants with VAF ≥ 0.


    Progression-free survival and overall survival when using different ctDNA tests to predict

    Progression-free survival and overall survival when using different ctDNA tests to predict

    A total of 100 patients were recruited (median follow-up was 10.
    7 months)
    .


    Even in samples with a ctDNA score of less than 2%, the researchers detected harmful ATM, BRCA2, and TP53 variants


    Even in samples with a ctDNA score of less than 2%, the researchers detected harmful ATM, BRCA2, and TP53 variants


    Detecting low-frequency ctDNA variants with VAF<1% is very important for identifying genomic changes with clinical information in patients with castration-resistant prostate cancer.


    Original source:

    Kei Mizuno, et al.


    Clinical impact of detecting low-frequency variants in cell-free DNA on treatment of castration-resistant prostate cancer in this message
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