Tumor-agnostic circulating cell-free DNA biomarkers for longitudinal minimal residual disease monitoring in NSCLC
dentification of cancer patients who are at ongoing risk of relapse remains of high priority to direct effective adjuvant therapy. Plasma circulating cell-free DNA (cfDNA) analyses offer an unprecedented approach to identify patients with minimal residual disease (MRD) earlier than clinical or radiological evidence, detecting drug resistance, progression and relapse with relatively high sensitivity and specificity. Here we used longitudinal surveillance to profile cfDNA mutational landscape in NSCLC patients undergoing EGFR-TKI. We demonstrated how cutting-edge cfDNAbased NGS and digital qPCR technologies are defining new subgroups of patients with MRD for individually tailored treatment strategy much earlier, and provide new surrogate endpoints for early registration of these therapies.
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