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Case Rep Oncol. 2020 Jul 29;13(2):896-903. doi: 10.1159/000508932. eCollection 2020.

Baseline Plasma EGFR Circulating Tumour DNA Levels in a Pilot Cohort of EGFR-Mutant Limited-Stage Lung Adenocarcinoma Patients Undergoing Radical Lung Radiotherapy.

Case reports in oncology

Brendan Seng Hup Chia, Wen Long Nei, Sabanayagam Charumathi, Kam Weng Fong, Min-Han Tan

Affiliations

  1. Division of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
  2. Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.
  3. Institute of Bioengineering and Nanotechnology, ASTAR Singapore, Singapore, Singapore.

PMID: 32884537 PMCID: PMC7443655 DOI: 10.1159/000508932

Abstract

The use of circulating cell-free tumour DNA (ctDNA) is established in metastatic lung adenocarcinoma to detect and monitor sensitising EGFR mutations. In early-stage disease, there is very little data supporting its role as a potential biomarker. We report on a prospective cohort of 9 limited-stage EGFR mutant lung cancer patients who were treated with radical radiotherapy. We looked at baseline plasma EGFR ctDNA and noted the detection rates to be higher in locally advanced disease. At a median follow-up of 13.5 months, an association between a detectable pre-radiotherapy plasma EGFR ctDNA and early tumour relapse (155 days vs. NR,

Copyright © 2020 by S. Karger AG, Basel.

Keywords: Biomarker; Circulating tumour DNA; Lung adenocarcinoma; Plasma EGFR; Prognosis

Conflict of interest statement

Min-Han Tan is the founding CEO and Medical Director of Lucence Diagnostics. All remaining authors have declared no conflicts of interest.

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