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Table 2 Overview of patients analyzed based on panel data, only tumor samples were sequenced

From: SwissMTB: establishing comprehensive molecular cancer diagnostics in Swiss clinics

Patient

Cancer Type

Panel type

No. of actionable variants

No. of therapies (cancer-type specific, off-label, investigational)

No. of therapies lacking benefit

Comments

12

Fibroblastic osteosarcoma

Oncomine Comprehensive Panel

0

0

0

Only germline variants detected in sample.

13

Head and Neck Squamous cell carcinoma

Cancer HotSpot Panel 2.0

12

12 (6,6,0)

0

Various damaging variants in genes of MAPK signaling pathway detected. Tyrosine kinase inhibitor treatment recommended.

14

Lung neuroendocrine carcinoma

Cancer HotSpot Panel 2.0

1

1 (0,1,0)

0

Based on FBXW7 D440Y variant mTOR inhibitor treatment recommended.

15

Ovarian serous carcinoma

Cancer HotSpot Panel 2.0

1

1 (1,0,0)

1

Based on observed TP53 V173 L resistance variant doxorubicin treatment recommended and platinum-based treatment discouraged.

As indicated in SwissMTB analysis, progressive disease under carboplatin treatment.

16

Cutaneous melanoma

Cancer HotSpot Panel 2.0

2

3 (2,1,0)

0

Based on CDKN2A R80* loss-of-function variant off-label treatment with palbociclib recommended.

17

Chondrosarcoma

Oncomine Solid Tumor DNA Panel

10

9 (0,9,0)

3

Tyrosine kinase inhibitor treatment recommended.

Patient was treated with pazopanib, response status unknown.

Four resistance-associated variants found: ALK G1202R, KRAS S65 N, TP53 C275Y, and TP53 G245D.

18

Lung adenocarcinoma

Liquid Biopsy, Oncomine Solid Tumor DNA Panel

0

0

0

No tumor DNA contained in sample.

19

Lung adenocarcinoma

Liquid Biopsy, Oncomine Solid Tumor DNA Panel

1

0

1

Use of ALK inhibitors discouraged because of ALK G1202R resistance variant.

As indicated in SwissMTB analysis, progressive disease under crizotinib treatment.

20

Lung squamous cell carcinoma

Oncomine Solid Tumor DNA Panel

1

1 (1,0,0)

1

Paclitaxel recommended based on observed TP53 R342* variant.Contradictive case, as a second TP53 R248Q variant is associated with increased chemotherapy resistance.

21

Neuroectodermal sarcoma

Cancer HotSpot Panel 2.0

0

0

0

No variants identified.

22

Cutaneous melanoma

Cancer HotSpot Panel 2.0

5

11 (1,9,1)

1

Multi-kinase inhibitor treatment recommended, cisplatin treatment discouraged based on TP53 R273S resistance variant.

Summary: median (IQR)

1 (3)

1 (6)

0 (1)

 
  1. Note that the SwissMTB analysis of these samples was performed retrospectively. Abbreviations: IQR Interquartile range