RAS testing in metastatic colorectal cancer:excellent reproducibility amongst 17 Dutch pathology centers

In 2013 the European Medicine Agency (EMA) restricted the indication for anti-EGFR targeted therapy to metastatic colorectal cancer (mCRC) with a wild-type RAS gene, increasing the need for reliable RAS mutation testing. We evaluated the completeness and reproducibility of RAS-testing in the Netherlands. From 17 laboratories, tumor DNA of the first 10 CRC cases tested in 2014 in routine clinical practice was re-tested by a reference laboratory using a custom next generation sequencing panel. In total, 171 CRC cases were re-evaluated for hotspot mutations in KRAS, NRAS and BRAF. Most laboratori... Mehr ...

Verfasser: Boleij, Annemarie
Tops, Bastiaan B. J.
Rombout, Paul D. M.
Dequeker, Elizabeth M.
Ligtenberg, Marjolijn J. L.
van Krieken, J. Han
Dokumenttyp: Artikel
Erscheinungsdatum: 2015
Reihe/Periodikum: Boleij , A , Tops , B B J , Rombout , P D M , Dequeker , E M , Ligtenberg , M J L , van Krieken , J H & Dutch RAS EQA Initiative 2015 , ' RAS testing in metastatic colorectal cancer : excellent reproducibility amongst 17 Dutch pathology centers ' , Oncotarget , vol. 6 , no. 17 , pp. 15681-15689 . https://doi.org/10.18632/oncotarget.3804
Schlagwörter: RAS / colorectal cancer / metastasis / quality control / next generation sequencing / EXTERNAL-QUALITY-ASSESSMENT / WILD-TYPE KRAS / PANITUMUMAB / PERCENTAGE / TRIAL / MUTATIONS / ASSURANCE / CETUXIMAB / THERAPY / CELLS
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27058732
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/6318e2a2-e5dc-4f0d-82d2-81003d57416b

In 2013 the European Medicine Agency (EMA) restricted the indication for anti-EGFR targeted therapy to metastatic colorectal cancer (mCRC) with a wild-type RAS gene, increasing the need for reliable RAS mutation testing. We evaluated the completeness and reproducibility of RAS-testing in the Netherlands. From 17 laboratories, tumor DNA of the first 10 CRC cases tested in 2014 in routine clinical practice was re-tested by a reference laboratory using a custom next generation sequencing panel. In total, 171 CRC cases were re-evaluated for hotspot mutations in KRAS, NRAS and BRAF. Most laboratories had introduced complete RAS-testing (65%) and BRAF-testing (71%) by January 2014. The most employed method for all hotspot regions was Sanger sequencing (range 35.7 - 49.2%). The reference laboratory detected all mutations that had been found in the participating laboratories (n = 92), plus 10 additional mutations. This concerned three RAS and seven BRAF mutations that were missed due to incomplete testing of the participating laboratory. Overall, the concordance of tests performed by both the reference and participating laboratory was 100% (163/163; kappa-static 1.0) for RAS and 100% (144/144; kappa-static 1.0) for BRAF. Our study shows that RAS and BRAF mutations can be reproducibly assessed using a variety of testing methods.