Rapid and reliable testing for clinically actionable EGFR mutations in non-small cell lung cancer using the IdyllaTM platform : a real-world two-center experience in Greece

BACKGROUND: Limited information exists on epidermal growth factor receptor (EGFR) molecular epidemiology in Greece. Next-generation sequencing (NGS) is the recommended method for EGFR genotyping in NSCLC. The Idylla Biocartis platform is a fully automated system for actionable EGFR mutation detection.

RESEARCH DESIGN AND METHODS: We describe the prevalence of EGFR mutations in NSCLC patients in two high-volume clinical centers in Greece and compare key methods used for their determination. Eight hundred and fifty-seven FFPE samples from NSCLC patients were tested for EGFR mutations at University of Crete (UoC; n = 324) and at Evangelismos Hospital, Athens (Evangelismos; n = 503).

RESULTS: The prevalence of EGFR mutations was 11.1% in the whole cohort (11.5% in non-squamous). The detection rate was 11.0% by NGS, 9.8% by Sanger and 11.3% by Idylla for the whole cohort (12.0% in non-squamous). The agreement between Idylla and Sanger was 93.2%. A targetable EGFR mutation was detected in 10.0% using tissue NGS alone, and in 16.0% using concurrent Idylla ctEGFR testing.

CONCLUSION: The frequency of EGFR mutations was as expected for a Caucasian population. The Idylla EGFR test performance is comparable to reference methods and with a shorter TAT. Adding a concurrent plasma Idylla test to tissue NGS testing increases the detection rate of EGFR mutations in NSCLC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Expert review of molecular diagnostics - 24(2024), 1-2 vom: 21. Jan., Seite 89-98

Sprache:

Englisch

Beteiligte Personen:

Michaelidou, Kleita [VerfasserIn]
Karniadakis, Ioannis [VerfasserIn]
Pantelaion, Varvara [VerfasserIn]
Koutoulaki, Chara [VerfasserIn]
Boukla, Eleni [VerfasserIn]
Folinas, Konstantinos [VerfasserIn]
Dimaras, Pantelis [VerfasserIn]
Papadaki, Maria A [VerfasserIn]
Koutsopoulos, Anastasios V [VerfasserIn]
Mavroudis, Dimitrios [VerfasserIn]
Vourlakou, Christine [VerfasserIn]
Mavridis, Konstantinos [VerfasserIn]
Agelaki, Sofia [VerfasserIn]

Links:

Volltext

Themen:

Cartridge-based PCR system
Circulating cell-free DNA
EC 2.7.10.1
EGFR protein, human
Epidermal growth factor receptor mutations
ErbB Receptors
Journal Article
Liquid biopsy
NSCLC
Sanger sequencing

Anmerkungen:

Date Completed 22.02.2024

Date Revised 22.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14737159.2024.2303320

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366837699