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Table 4 Frequency of detected variants by FDA level of supporting evidence (as of June 2017)

From: Treatment recommendations to cancer patients in the context of FDA guidance for next generation sequencing

Tests with variants supported by level 1 evidence as the most actionable (n = 89)

Gene

Tumor Type

Number of Detected Variants (n = 92)

Variants

KRAS

Colorectal

32

Codon 12, 13, 61, 146 single nucleotide variants

EGFR

Lung

17

L858R, T790 M, exon 19 deletions

BRAF

Melanoma

17

V600E, V600K

BRCA1

Ovarian

7

Multiple single nucleotide variants & indels*

BRAF

Lung

5

V600E

ALK

Lung

5

ALK (EML4) fusion

NRAS

Colorectal

3

Codon 12 & 61 single nucleotide variants

BRCA2

Ovarian

3

Multiple single nucleotide variants*

ERBB2

Breast

2

HER-2 amplification

ROS1

Lung

1

ROS1 (EZR) fusion

Tests with variants supported by level 2 evidence as the most actionable (n = 100)

Gene

Tumor Type

Number of Detected Variants (n = 109)

Detected Mutations

KRAS

Lung

71

Codon 12, 13, 61, 146 single nucleotide variants & insertions

EGFR

Lung

9

Atypical exon 19 indels, exon 20 insertions, G719C, S768I, L861Q

MET

Lung

7

MET amplification and exon 14 skip

NF1

Sarcoma (GIST)

5

Multiple single nucleotide variants*

KIT

Melanoma

4

Multiple exon 11 single nucleotide variants

ERBB2

Lung

3

E365K, Y742_A745dup

KIT

Sarcoma (GIST)

2

Exon 9 and 11 single nucleotide variants

BRAF

Colorectal

2

V600E

RET

Thyroid

1

M918 T

RET

Lung

1

RET (KIF5B) fusion

KRAS

Colorectal

1

V14I

NRAS

Colorectal

1

Q61R

KIT

Sarcoma

1

V559D (exon 11)

ALK

Sarcoma

1

ALK (TPM3) fusion