Clinical utility of target capture‐based panel sequencing in hematological malignancies: A multicenter feasibility study

Although next‐generation sequencing‐based panel testing is well practiced in the field of cancer medicine for the identification of target molecules in solid tumors, the clinical utility and clinical issues surrounding panel testing in hematological malignancies have yet to be fully evaluated. We co...

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Veröffentlicht in:Cancer science 2020-09, Vol.111 (9), p.3367-3378
Hauptverfasser: Yasuda, Takahiko, Sanada, Masashi, Nishijima, Dai, Kanamori, Takashi, Iijima, Yuka, Hattori, Hiroyoshi, Saito, Akiko, Miyoshi, Hiroaki, Ishikawa, Yuichi, Asou, Norio, Usuki, Kensuke, Hirabayashi, Shinsuke, Kato, Motohiro, Ri, Masaki, Handa, Hiroshi, Ishida, Tadao, Shibayama, Hirohiko, Abe, Masahiro, Iriyama, Chisako, Karube, Kennosuke, Nishikori, Momoko, Ohshima, Koichi, Kataoka, Keisuke, Yoshida, Kenichi, Shiraishi, Yuichi, Goto, Hiroaki, Adachi, Souichi, Kobayashi, Ryoji, Kiyoi, Hitoshi, Miyazaki, Yasushi, Ogawa, Seishi, Kurahashi, Hiroki, Yokoyama, Hisayuki, Manabe, Atsushi, Iida, Shinsuke, Tomita, Akihiro, Horibe, Keizo
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container_end_page 3378
container_issue 9
container_start_page 3367
container_title Cancer science
container_volume 111
creator Yasuda, Takahiko
Sanada, Masashi
Nishijima, Dai
Kanamori, Takashi
Iijima, Yuka
Hattori, Hiroyoshi
Saito, Akiko
Miyoshi, Hiroaki
Ishikawa, Yuichi
Asou, Norio
Usuki, Kensuke
Hirabayashi, Shinsuke
Kato, Motohiro
Ri, Masaki
Handa, Hiroshi
Ishida, Tadao
Shibayama, Hirohiko
Abe, Masahiro
Iriyama, Chisako
Karube, Kennosuke
Nishikori, Momoko
Ohshima, Koichi
Kataoka, Keisuke
Yoshida, Kenichi
Shiraishi, Yuichi
Goto, Hiroaki
Adachi, Souichi
Kobayashi, Ryoji
Kiyoi, Hitoshi
Miyazaki, Yasushi
Ogawa, Seishi
Kurahashi, Hiroki
Yokoyama, Hisayuki
Manabe, Atsushi
Iida, Shinsuke
Tomita, Akihiro
Horibe, Keizo
description Although next‐generation sequencing‐based panel testing is well practiced in the field of cancer medicine for the identification of target molecules in solid tumors, the clinical utility and clinical issues surrounding panel testing in hematological malignancies have yet to be fully evaluated. We conducted a multicenter prospective clinical sequencing study to verify the feasibility of a panel test for hematological tumors, including acute myeloid leukemia, acute lymphoblastic leukemia, multiple myeloma, and diffuse large B‐cell lymphoma. Out of 96 eligible patients, 79 patients (82%) showed potentially actionable findings, based on the clinical sequencing assays. We identified that genetic alterations with a strong clinical significance were found at a higher frequency in terms of diagnosis (n = 60; 63%) and prognosis (n = 61; 64%) than in terms of therapy (n = 8; 8%). Three patients who harbored a germline mutation in either DDX41 (n = 2) or BRCA2 (n = 1) were provided with genetic counseling. At 6 mo after sequencing, clinical actions based on the diagnostic (n = 5) or prognostic (n = 3) findings were reported, but no patients were enrolled in a clinical trial or received targeted therapies based on the sequencing results. These results suggest that panel testing for hematological malignancies would be feasible given the availability of useful diagnostic and prognostic information. This study is registered with the UMIN Clinical Trial Registry (UMIN000029879, multiple myeloma; UMIN000031343, adult acute myeloid leukemia; UMIN000033144, diffuse large B‐cell lymphoma; and UMIN000034243, childhood leukemia). This multicenter prospective study investigated feasibility of target capture‐based panel testing, focusing on hematological malignancies. Our results suggest that panel testing for hematological malignancies is feasible given the availability of useful diagnostic and prognostic information.
doi_str_mv 10.1111/cas.14552
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These results suggest that panel testing for hematological malignancies would be feasible given the availability of useful diagnostic and prognostic information. This study is registered with the UMIN Clinical Trial Registry (UMIN000029879, multiple myeloma; UMIN000031343, adult acute myeloid leukemia; UMIN000033144, diffuse large B‐cell lymphoma; and UMIN000034243, childhood leukemia). This multicenter prospective study investigated feasibility of target capture‐based panel testing, focusing on hematological malignancies. 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We conducted a multicenter prospective clinical sequencing study to verify the feasibility of a panel test for hematological tumors, including acute myeloid leukemia, acute lymphoblastic leukemia, multiple myeloma, and diffuse large B‐cell lymphoma. Out of 96 eligible patients, 79 patients (82%) showed potentially actionable findings, based on the clinical sequencing assays. We identified that genetic alterations with a strong clinical significance were found at a higher frequency in terms of diagnosis (n = 60; 63%) and prognosis (n = 61; 64%) than in terms of therapy (n = 8; 8%). Three patients who harbored a germline mutation in either DDX41 (n = 2) or BRCA2 (n = 1) were provided with genetic counseling. At 6 mo after sequencing, clinical actions based on the diagnostic (n = 5) or prognostic (n = 3) findings were reported, but no patients were enrolled in a clinical trial or received targeted therapies based on the sequencing results. These results suggest that panel testing for hematological malignancies would be feasible given the availability of useful diagnostic and prognostic information. This study is registered with the UMIN Clinical Trial Registry (UMIN000029879, multiple myeloma; UMIN000031343, adult acute myeloid leukemia; UMIN000033144, diffuse large B‐cell lymphoma; and UMIN000034243, childhood leukemia). This multicenter prospective study investigated feasibility of target capture‐based panel testing, focusing on hematological malignancies. Our results suggest that panel testing for hematological malignancies is feasible given the availability of useful diagnostic and prognostic information.</description><subject>Acute lymphoblastic leukemia</subject><subject>Acute myeloid leukemia</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomarkers, Tumor</subject><subject>BRCA2 protein</subject><subject>Cancer</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>clinical sequencing</subject><subject>Computational Biology - methods</subject><subject>Consortia</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Feasibility studies</subject><subject>feasibility study</subject><subject>Female</subject><subject>Gene amplification</subject><subject>Genetic Association Studies - methods</subject><subject>Genetic counseling</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic Testing</subject><subject>Genomes</subject><subject>Genomics</subject><subject>Germ-Line Mutation</subject><subject>Hematologic Neoplasms - diagnosis</subject><subject>Hematologic Neoplasms - genetics</subject><subject>Hematologic Neoplasms - therapy</subject><subject>hematological malignancy</subject><subject>Hematology</subject><subject>High-Throughput Nucleotide Sequencing</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Leukemia</subject><subject>Lymphatic leukemia</subject><subject>Lymphoma</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple myeloma</subject><subject>Mutation</subject><subject>Myeloid leukemia</subject><subject>Original</subject><subject>panel testing</subject><subject>Pediatrics</subject><subject>potentially actionable finding</subject><subject>Reproducibility of Results</subject><subject>Solid tumors</subject><subject>Tumors</subject><subject>Young 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utility of target capture‐based panel sequencing in hematological malignancies: A multicenter feasibility study</title><author>Yasuda, Takahiko ; Sanada, Masashi ; Nishijima, Dai ; Kanamori, Takashi ; Iijima, Yuka ; Hattori, Hiroyoshi ; Saito, Akiko ; Miyoshi, Hiroaki ; Ishikawa, Yuichi ; Asou, Norio ; Usuki, Kensuke ; Hirabayashi, Shinsuke ; Kato, Motohiro ; Ri, Masaki ; Handa, Hiroshi ; Ishida, Tadao ; Shibayama, Hirohiko ; Abe, Masahiro ; Iriyama, Chisako ; Karube, Kennosuke ; Nishikori, Momoko ; Ohshima, Koichi ; Kataoka, Keisuke ; Yoshida, Kenichi ; Shiraishi, Yuichi ; Goto, Hiroaki ; Adachi, Souichi ; Kobayashi, Ryoji ; Kiyoi, Hitoshi ; Miyazaki, Yasushi ; Ogawa, Seishi ; Kurahashi, Hiroki ; Yokoyama, Hisayuki ; Manabe, Atsushi ; Iida, Shinsuke ; Tomita, Akihiro ; Horibe, Keizo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5332-d74fbc9fbddefbc1979f2a004b4bfa4d9cdab74084a207211f0fa3681ceb524c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute lymphoblastic leukemia</topic><topic>Acute myeloid leukemia</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biomarkers, Tumor</topic><topic>BRCA2 protein</topic><topic>Cancer</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>clinical sequencing</topic><topic>Computational Biology - methods</topic><topic>Consortia</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>Feasibility studies</topic><topic>feasibility study</topic><topic>Female</topic><topic>Gene amplification</topic><topic>Genetic Association Studies - methods</topic><topic>Genetic counseling</topic><topic>Genetic 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Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yasuda, Takahiko</creatorcontrib><creatorcontrib>Sanada, Masashi</creatorcontrib><creatorcontrib>Nishijima, Dai</creatorcontrib><creatorcontrib>Kanamori, Takashi</creatorcontrib><creatorcontrib>Iijima, Yuka</creatorcontrib><creatorcontrib>Hattori, Hiroyoshi</creatorcontrib><creatorcontrib>Saito, Akiko</creatorcontrib><creatorcontrib>Miyoshi, Hiroaki</creatorcontrib><creatorcontrib>Ishikawa, Yuichi</creatorcontrib><creatorcontrib>Asou, Norio</creatorcontrib><creatorcontrib>Usuki, Kensuke</creatorcontrib><creatorcontrib>Hirabayashi, Shinsuke</creatorcontrib><creatorcontrib>Kato, Motohiro</creatorcontrib><creatorcontrib>Ri, Masaki</creatorcontrib><creatorcontrib>Handa, Hiroshi</creatorcontrib><creatorcontrib>Ishida, Tadao</creatorcontrib><creatorcontrib>Shibayama, Hirohiko</creatorcontrib><creatorcontrib>Abe, Masahiro</creatorcontrib><creatorcontrib>Iriyama, 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Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yasuda, Takahiko</au><au>Sanada, Masashi</au><au>Nishijima, Dai</au><au>Kanamori, Takashi</au><au>Iijima, Yuka</au><au>Hattori, Hiroyoshi</au><au>Saito, Akiko</au><au>Miyoshi, Hiroaki</au><au>Ishikawa, Yuichi</au><au>Asou, Norio</au><au>Usuki, Kensuke</au><au>Hirabayashi, Shinsuke</au><au>Kato, Motohiro</au><au>Ri, Masaki</au><au>Handa, Hiroshi</au><au>Ishida, Tadao</au><au>Shibayama, Hirohiko</au><au>Abe, Masahiro</au><au>Iriyama, Chisako</au><au>Karube, Kennosuke</au><au>Nishikori, Momoko</au><au>Ohshima, Koichi</au><au>Kataoka, Keisuke</au><au>Yoshida, Kenichi</au><au>Shiraishi, Yuichi</au><au>Goto, Hiroaki</au><au>Adachi, Souichi</au><au>Kobayashi, Ryoji</au><au>Kiyoi, Hitoshi</au><au>Miyazaki, Yasushi</au><au>Ogawa, Seishi</au><au>Kurahashi, Hiroki</au><au>Yokoyama, Hisayuki</au><au>Manabe, Atsushi</au><au>Iida, Shinsuke</au><au>Tomita, Akihiro</au><au>Horibe, Keizo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical utility of target capture‐based panel sequencing in hematological malignancies: A multicenter feasibility study</atitle><jtitle>Cancer science</jtitle><addtitle>Cancer Sci</addtitle><date>2020-09</date><risdate>2020</risdate><volume>111</volume><issue>9</issue><spage>3367</spage><epage>3378</epage><pages>3367-3378</pages><issn>1347-9032</issn><issn>1349-7006</issn><eissn>1349-7006</eissn><abstract>Although next‐generation sequencing‐based panel testing is well practiced in the field of cancer medicine for the identification of target molecules in solid tumors, the clinical utility and clinical issues surrounding panel testing in hematological malignancies have yet to be fully evaluated. We conducted a multicenter prospective clinical sequencing study to verify the feasibility of a panel test for hematological tumors, including acute myeloid leukemia, acute lymphoblastic leukemia, multiple myeloma, and diffuse large B‐cell lymphoma. Out of 96 eligible patients, 79 patients (82%) showed potentially actionable findings, based on the clinical sequencing assays. We identified that genetic alterations with a strong clinical significance were found at a higher frequency in terms of diagnosis (n = 60; 63%) and prognosis (n = 61; 64%) than in terms of therapy (n = 8; 8%). Three patients who harbored a germline mutation in either DDX41 (n = 2) or BRCA2 (n = 1) were provided with genetic counseling. At 6 mo after sequencing, clinical actions based on the diagnostic (n = 5) or prognostic (n = 3) findings were reported, but no patients were enrolled in a clinical trial or received targeted therapies based on the sequencing results. These results suggest that panel testing for hematological malignancies would be feasible given the availability of useful diagnostic and prognostic information. This study is registered with the UMIN Clinical Trial Registry (UMIN000029879, multiple myeloma; UMIN000031343, adult acute myeloid leukemia; UMIN000033144, diffuse large B‐cell lymphoma; and UMIN000034243, childhood leukemia). This multicenter prospective study investigated feasibility of target capture‐based panel testing, focusing on hematological malignancies. Our results suggest that panel testing for hematological malignancies is feasible given the availability of useful diagnostic and prognostic information.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32619037</pmid><doi>10.1111/cas.14552</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-4951-960X</orcidid><orcidid>https://orcid.org/0000-0001-6382-9498</orcidid><orcidid>https://orcid.org/0000-0002-1205-858X</orcidid><orcidid>https://orcid.org/0000-0002-9617-486X</orcidid><orcidid>https://orcid.org/0000-0002-2356-3725</orcidid><orcidid>https://orcid.org/0000-0003-3219-3292</orcidid><orcidid>https://orcid.org/0000-0002-4686-0976</orcidid><orcidid>https://orcid.org/0000-0003-4171-2162</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1347-9032
ispartof Cancer science, 2020-09, Vol.111 (9), p.3367-3378
issn 1347-9032
1349-7006
1349-7006
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7469806
source MEDLINE; Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; PubMed Central
subjects Acute lymphoblastic leukemia
Acute myeloid leukemia
Adolescent
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor
BRCA2 protein
Cancer
Child
Child, Preschool
Children
clinical sequencing
Computational Biology - methods
Consortia
Deoxyribonucleic acid
DNA
Feasibility studies
feasibility study
Female
Gene amplification
Genetic Association Studies - methods
Genetic counseling
Genetic Predisposition to Disease
Genetic Testing
Genomes
Genomics
Germ-Line Mutation
Hematologic Neoplasms - diagnosis
Hematologic Neoplasms - genetics
Hematologic Neoplasms - therapy
hematological malignancy
Hematology
High-Throughput Nucleotide Sequencing
Humans
Infant
Infant, Newborn
Leukemia
Lymphatic leukemia
Lymphoma
Male
Middle Aged
Multiple myeloma
Mutation
Myeloid leukemia
Original
panel testing
Pediatrics
potentially actionable finding
Reproducibility of Results
Solid tumors
Tumors
Young Adult
title Clinical utility of target capture‐based panel sequencing in hematological malignancies: A multicenter feasibility study
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