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Table 5 Clinical scenarios of metastatic cancer patients with no detectable ctDNA (i.e., MSAF = 0)

From: Clinical utility of tumor genomic profiling in patients with high plasma circulating tumor DNA burden or metabolically active tumors

Pt No.

Age (years old)

Gender

Race/ethnicity

Diagnosis

Cohort (A = frozen plasma; B=fresh blood)

cfDNA ng/mL

GA MAF (%)

MSAF

RECIST V1.1 (cm)

Total SUVmax

Clinical scenario

Pt 1

59

F

Not Hispanic, White

Breast, IDC

B

0.55

No reportable GA

0

1.8

N/A

CR

Pt 2

52

F

Not Hispanic, Asian

LUAD

B

4.20

No reportable GA

0

2.3

1.1

CR

Pt 3

68

M

Not Hispanic, White

LUAD

B

0.49

No reportable GA

0

2.5

2.6

CR

Pt 4

54

M

Not Hispanic, Filipino

LUAD

B

12.21

No reportable GA

0

6.2

5.8

CR

Pt 5

65

F

Not Hispanic, White

LUAD

B

0.75

No reportable GA

0

7.3

14.4

CR

Pt 6

68

M

Not Hispanic, White

LUSC

A

0.21

No reportable GA

0

20.5

52.9

*CR (ongoing at 3 years), pneumonitis

Pt 7

55

F

Not Hispanic, Asian

LUAD

B

2.94

TP53 E358V (49.1%)

0

2.3

4.3

PR

Pt 8

73

F

Not Hispanic, White

LUAD

B

7.25

BRCA2 S1121* (44.6%)

0

7.9

14.6

PD vs inflammation

Pt 9

68

F

Not Hispanic, White

LUAD

B

182.16

No reportable GA

0

5.8

34.1

PD vs inflammation

Pt 10

84

M

Not Hispanic, White

LUAD

B

9.04

No reportable GA

0

7.7

30.2

Small volume, indolent disease

Pt 11

67

F

Not Hispanic, Iran

Breast, inflammatory

B

5.93

No reportable GA

0

9.6

11.3

Small volume, indolent disease vs pneumonia

Pt 12

54

M

Not Hispanic, Filipino

LUAD

B

0.05

No reportable GA

0

10.8

32.0

Small volume, indolent disease vs pneumonia

  1. CR complete response, cfDNA cell free DNA, F female, GA genomic alteration, IDC invasive ductal carcinoma, LUAD lung adenocarcinoma, LUSC lung squamous cell carcinoma, M male, MAF mutation allele frequency, MSAF maximum somatic allele frequency, NA not available, PR partial response, Pt patient, RECIST Response Evaluation Criteria in Solid Tumors, SD stable disease, SUVmax maximum standardized uptake value
  2. *Biopsy proven new tumor without treatment effect and immune related pneumonitis in different areas of the lung