Journal article

Circulating tumor DNA as an early marker of therapeutic response in patients with metastatic colorectal cancer

J Tie, I Kinde, Y Wang, HL Wong, J Roebert, M Christie, M Tacey, R Wong, M Singh, CS Karapetis, J Desai, B Tran, RL Strausberg, LA Diaz, N Papadopoulos, KW Kinzler, B Vogelstein, P Gibbs

Annals of Oncology | Published : 2015

Abstract

Background: Early indicators of treatment response in metastatic colorectal cancer (mCRC) could conceivably be used to optimize treatment. We explored early changes in circulating tumor DNA (ctDNA) levels as a marker of therapeutic efficacy. Patients and methods: This prospective study involved 53 mCRC patients receiving standard first-line chemotherapy. Both ctDNA and CEA were assessed in plasma collected before treatment, 3 days after treatment and before cycle 2. Computed tomography (CT) scans were carried out at baseline and 8-10 weeks and were centrally assessed using RECIST v1.1 criteria. Tumors were sequenced using a panel of 15 genes frequently mutated in mCRC to identify candidate m..

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