Time points and genetic characteristics of patients with CLL and disease progression
Patient-identifying code . | Time point∗ . | Sample ID . | Drug . | Days from Dx . | WBC count . | Absolute lymphocyte count . | BTK mutations, CCF (%) (whole-exome sequencing) . | BTK mutations, VAF (%) (RNA) . |
---|---|---|---|---|---|---|---|---|
CLL Pt 6 | CLL Pt 6 #1 | Pretreatment | 97 | 139.6 | Not available | No BTK mutation detected | No BTK mutation detected | |
CLL Pt 6 #2 | After BR+L, before Acala | 868 | 181.45 | 163.31 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #3 | Acala | 1184 | 64.46 | 59.95 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #4 | Acala | 1533 | 19.48 | 14.81 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #5 | Acala | 1878 | 21.42 | 16.06 | p.C481S, 16 | p.C481S, 8 | ||
CLL Pt 6 #6 | Acala | 2037 | 20.14 | 13.89 | p.C481S, 47; p.T474I, 3 | p.C481S, 64; p.T474I, 2 | ||
CLL Pt 6 #7 | Acala | 2212 | 51.4 | 40.61 | p.C481S, 92; p.T474I, 4 | |||
CLL Pt 6 #8 | Veca | 2261 | 102.61 | 96.46 | p.C481S, 100; p.T474I, 9 | p.C481S, 93; p.T474I, 3 | ||
CLL Pt 6 #9 | Veca | 2345 | 237.38 | 227.88 | p.C481S, 93; p.T474I, 3 | p.C481S, 91; p.T474I, 2 | ||
CLL Pt 6 #10 | Veca | 2429 | 356.2 | 338.39 | p.C481S, 97; p.T474I, 2 | p.C481S, 91; p.T474I, 2 | ||
CLL Pt 6 #11 | Veca | 2492 | 359.32 | 341.36 | p.C481S, 97; p.T474I, 3 | p.C481S, 86; p.T474I, 6 | ||
D 0 | CLL Pt 6 #12 | Pirto | 2599 | 363.47 | 341.66 | p.C481S, 95; p.T474I, 5 | p.C481S, 87; p.T474I, 7 | |
3 mo | CLL Pt 6 #13 | Pirto | 2681 | 148.37 | 139.47 | p.C481S, 69; p.T474I, 24 | p.C481S, 40; p.T474I, 32 | |
6 mo | CLL Pt 6 #14 | Pirto | 2765 | 74.81 | 65.08 | p.C481S, 31; p.T474I, 62; p.T474L, 3 | p.C481S, 12; p.T474I, 71; p.T474L, 2 | |
9 mo | CLL Pt 6 #15 | Pirto | 2856 | 61.58 | 54.81 | p.C481S, 6; p.T474I, 89; p.T474L, 4; p.M477I, 2 | p.C481S, <1; p.T474I, 85; p.T474L, 6 | |
12 mo | CLL Pt 6 #16 | Pirto | 2941 | 105.72 | 97.26 | p.C481S, 2; p.T474I, 99; p.T474L, 5; p.M477I, 2 | p.C481S, <1; p.T474I, 87; p.T474L, 8 | |
CLL Pt 7 | CLL Pt 7 #1 | After FCR | 2109 | 9.5 | 4.93 | No BTK mutation detected | ||
CLL Pt 7 #2 | Ibr | 3266 | 4.48 | 2.52 | No BTK mutation detected | |||
CLL Pt 7 #3 | Ibr | 4484 | 21.32 | 17.51 | p.C481S, 6; p.C481R, 33 | p.C481S, 7; p.C481R, 18 | ||
CLL Pt 7 #4 | Ibr after progression | 4532 | 70.97 | 38.32 | p.C481S, 11; p.C481R, 34 | p.C481S, 14; p.C481R, 40 | ||
CLL Pt 7 #5 | KTE-X19 CAR-T therapy | 4800 | 12.86 | 8.33 | p.C481S, 16; p.C481R, 31; p.L528W, 1 | p.C481S, 25; p.C481R, 24; p.L528W, 2 | ||
CLL Pt 7 #6 | KTE-X19 CAR-T | 4813 | 27.53 | 23.18 | p.C481S, 4; p.C481R, 29; p.L528W, 1 | p.C481S, 21; p.C481R, 27; p.L528W, 2 | ||
D 0 | CLL Pt 7 #7 | Pirto | 4918 | 26.71 | 21.9 | p.C481S, 18; p.C481R, 25; p.L528W, 2 | p.C481S, 23; p.C481R, 51 | |
3 mo | CLL Pt 7 #8 | Pirto | 5009 | 54.04 | 50.69 | p.C481S, 37; p.C481R, 28; p.L528W, 4 | p.C481S, 22; p.C481R, 11; p.L528W, 43 | |
5.8 mo | CLL Pt 7 #9 | Pirto | 5094 | 27.2 | 19.72 | p.C481S, 41; p.C481R, 22; p.L528W, 7 | p.C481S, 7; p.C481R, 5; p.L528W, 82 | |
8 mo | CLL Pt 7 #10 | Pirto after progression | 5161 | 30.85 | 26.99 | p.C481S, 28; p.C481R, 20; p.L528W, 30 | p.C481S, 5; p.C481R, 2; p.L528W, 91 |
Patient-identifying code . | Time point∗ . | Sample ID . | Drug . | Days from Dx . | WBC count . | Absolute lymphocyte count . | BTK mutations, CCF (%) (whole-exome sequencing) . | BTK mutations, VAF (%) (RNA) . |
---|---|---|---|---|---|---|---|---|
CLL Pt 6 | CLL Pt 6 #1 | Pretreatment | 97 | 139.6 | Not available | No BTK mutation detected | No BTK mutation detected | |
CLL Pt 6 #2 | After BR+L, before Acala | 868 | 181.45 | 163.31 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #3 | Acala | 1184 | 64.46 | 59.95 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #4 | Acala | 1533 | 19.48 | 14.81 | No BTK mutation detected | No BTK mutation detected | ||
CLL Pt 6 #5 | Acala | 1878 | 21.42 | 16.06 | p.C481S, 16 | p.C481S, 8 | ||
CLL Pt 6 #6 | Acala | 2037 | 20.14 | 13.89 | p.C481S, 47; p.T474I, 3 | p.C481S, 64; p.T474I, 2 | ||
CLL Pt 6 #7 | Acala | 2212 | 51.4 | 40.61 | p.C481S, 92; p.T474I, 4 | |||
CLL Pt 6 #8 | Veca | 2261 | 102.61 | 96.46 | p.C481S, 100; p.T474I, 9 | p.C481S, 93; p.T474I, 3 | ||
CLL Pt 6 #9 | Veca | 2345 | 237.38 | 227.88 | p.C481S, 93; p.T474I, 3 | p.C481S, 91; p.T474I, 2 | ||
CLL Pt 6 #10 | Veca | 2429 | 356.2 | 338.39 | p.C481S, 97; p.T474I, 2 | p.C481S, 91; p.T474I, 2 | ||
CLL Pt 6 #11 | Veca | 2492 | 359.32 | 341.36 | p.C481S, 97; p.T474I, 3 | p.C481S, 86; p.T474I, 6 | ||
D 0 | CLL Pt 6 #12 | Pirto | 2599 | 363.47 | 341.66 | p.C481S, 95; p.T474I, 5 | p.C481S, 87; p.T474I, 7 | |
3 mo | CLL Pt 6 #13 | Pirto | 2681 | 148.37 | 139.47 | p.C481S, 69; p.T474I, 24 | p.C481S, 40; p.T474I, 32 | |
6 mo | CLL Pt 6 #14 | Pirto | 2765 | 74.81 | 65.08 | p.C481S, 31; p.T474I, 62; p.T474L, 3 | p.C481S, 12; p.T474I, 71; p.T474L, 2 | |
9 mo | CLL Pt 6 #15 | Pirto | 2856 | 61.58 | 54.81 | p.C481S, 6; p.T474I, 89; p.T474L, 4; p.M477I, 2 | p.C481S, <1; p.T474I, 85; p.T474L, 6 | |
12 mo | CLL Pt 6 #16 | Pirto | 2941 | 105.72 | 97.26 | p.C481S, 2; p.T474I, 99; p.T474L, 5; p.M477I, 2 | p.C481S, <1; p.T474I, 87; p.T474L, 8 | |
CLL Pt 7 | CLL Pt 7 #1 | After FCR | 2109 | 9.5 | 4.93 | No BTK mutation detected | ||
CLL Pt 7 #2 | Ibr | 3266 | 4.48 | 2.52 | No BTK mutation detected | |||
CLL Pt 7 #3 | Ibr | 4484 | 21.32 | 17.51 | p.C481S, 6; p.C481R, 33 | p.C481S, 7; p.C481R, 18 | ||
CLL Pt 7 #4 | Ibr after progression | 4532 | 70.97 | 38.32 | p.C481S, 11; p.C481R, 34 | p.C481S, 14; p.C481R, 40 | ||
CLL Pt 7 #5 | KTE-X19 CAR-T therapy | 4800 | 12.86 | 8.33 | p.C481S, 16; p.C481R, 31; p.L528W, 1 | p.C481S, 25; p.C481R, 24; p.L528W, 2 | ||
CLL Pt 7 #6 | KTE-X19 CAR-T | 4813 | 27.53 | 23.18 | p.C481S, 4; p.C481R, 29; p.L528W, 1 | p.C481S, 21; p.C481R, 27; p.L528W, 2 | ||
D 0 | CLL Pt 7 #7 | Pirto | 4918 | 26.71 | 21.9 | p.C481S, 18; p.C481R, 25; p.L528W, 2 | p.C481S, 23; p.C481R, 51 | |
3 mo | CLL Pt 7 #8 | Pirto | 5009 | 54.04 | 50.69 | p.C481S, 37; p.C481R, 28; p.L528W, 4 | p.C481S, 22; p.C481R, 11; p.L528W, 43 | |
5.8 mo | CLL Pt 7 #9 | Pirto | 5094 | 27.2 | 19.72 | p.C481S, 41; p.C481R, 22; p.L528W, 7 | p.C481S, 7; p.C481R, 5; p.L528W, 82 | |
8 mo | CLL Pt 7 #10 | Pirto after progression | 5161 | 30.85 | 26.99 | p.C481S, 28; p.C481R, 20; p.L528W, 30 | p.C481S, 5; p.C481R, 2; p.L528W, 91 |
p.C481S (c.1442G>C); p.C481R (c.1441T>C).
p.T474I (c.1421C>T); p.T474L (two nucleotide changes c.1420A>C; c.1421C>T).
p.M477I (c.1431G>C).
p.L528W (c.1583T>G).
BR + L, bendamustine, rituximab, and lenalidomide; KTE-X19 CAR-T, experimental anti-CD19 chimeric antigen receptor T-cell therapy (Kite); FCR, fludarabine, cyclophosphamide, and rituximab; Veca, vecabrutinib.
Time point indicates the sample time points (months after pirtobrutinib treatment), which correspond to those used in Figure 4.