BTK and PLCG2 hotspot mutations in relapsed and responsive cohorts, assessed by both HaloPlex NGS and ddPCR analysis
Patient ID . | Cohort . | % CD19+ in sample . | BTK hotspot mutations . | PLCG2 hotspot mutations . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Coding DNA description . | Protein description . | Standard NGS VAF (%) . | Per base NGS VAF (%) . | ddPCR VAF (%) . | Coding DNA description . | Protein description . | Standard NGS VAF (%) . | Per base NGS VAF (%) . | Time on ibrutinib at sampling (months) . | |||
1 | Relapsed | 99 | c.1442G>C | p.C481S | 79.5 | 79.5 | 85.0 | c.3418G>A | p.D1140N | 3.9 | 3.9 | 46 |
c.1441T>A | p.C481S | 2.6 | 2.6 | 11 | ||||||||
c.1442G>A | p.C481Y | ND | 0.5 | not tested | ||||||||
c.1441T>C | p.C481R | ND | 0.3 | not tested | c.2977G>T | p.D993Y | ND | 0.9 | ||||
c.3422T>A | p.M1141K | ND | 0.4 | |||||||||
2 | Relapsed | >90 | c.1441T>A | p.C481S | 53.4 | 53.7 | 65 | c.2978A>G | p.D993G | 7.9 | 7.8 | 12 |
c.1442G>C | p.C481S | 12.8 | 12.8 | 30.7 | c.2977G>T | p.D993Y | 4.8 | 4.8 | ||||
3 | Relapsed | 85 | c.1442G>C | p.C481S | 2.7 | 2.7 | 2.8 | c.3418G>A | p.D1140N | ND | 0.4 | 36 |
c.1441T>A | p.C481S | 2.4 | 2.5 | 2.2 | c.3422T>G | p.M1141R | ND | 0.3 | ||||
4 | Relapsed | unknown | c.1441T>C | p.C481R | 40.3 | 40.1 | not tested | None | None | NA | NA | 17 |
5 | Relapsed | >90 | c.1442G>C | p.C481S | 32.0 | 32.0 | 32.7 | None | None | NA | NA | 47 |
c.1441T>A | p.C481S | ND | ND | 0.9 | ||||||||
6 | Relapsed | unknown | c.1442G>C | p.C481S | 6.1 | 6.1 | 7.1 | c.3412_3414del | p.1138_1138del | 13.0 | 13.0 | 11 |
c.1441T>A | p.C481S | ND | ND | 0.5 | c.2543T>G | p.L848R | 9.3 | 9.3 | ||||
c.3422T>A | p.M1141K | 2.0 | 2.0 | |||||||||
c.3418G>A | p.D1140N | ND | 1.0 | |||||||||
c.3422T>G | p.M1141R | ND | 1.7 | |||||||||
7-BM | Relapsed | >95 | c.1442G>C | p.C481S | 7.1 | 7.1 | 8.0 | c.2978A>G | p.D993G | ND | 0.8 | 9 |
7-PBMC | >95 | c.1442G>C | p.C481S | 23.3 | 23.3 | 18.2 | c.2978A>G | p.D993G | ND | 1.3 | ||
8 | Relapsed | >95 | c.1442G>C | p.C481S | 31.2 | 31.2 | 29.6 | c.3422T>G | p.M1141R | 4.0 | 4.0 | 15 |
c.1441T>A | p.C481S | ND | ND | 0.3 | ||||||||
9 | Relapsed | 85 | c.1442G>C | p.C481S | 33.2 | 33.2 | 35.6 | None | None | NA | NA | 43 |
10 | Relapsed | 95 | c.1442G>C | p.C481S | 7.8 | 7.8 | 10.0 | c.2977G>T | p.D993Y | 32.7 | 32.7 | 40 |
c.1441T>A | p.C481S | ND | ND | inconclusive | c.2977G>C | p.D993H | 2.0 | 2.0 | ||||
c.2978A>G | p.D993G | ND | 1.3 | |||||||||
c.3418G>A | p.D1140N | ND | 0.6 | |||||||||
11 | Relapsed | 95 | c.1442G>C | p.C481S | 42.7 | 42.8 | 41.6 | c.2535A>T | p.L845F | ND | 0.8 | 43 |
c.1441T>A | p.C481S | ND | 0.8 | 2.2 | c.2977G>C | p.D993H | ND | 0.7 | ||||
12 | Relapsed | 94 | c.1442G>C | p.C481S | 62.5 | 62.5 | 62.7 | c.2977G>C | p.D993H | ND | 0.2 | 16 |
13 | Relapsed | 90 | c.1442G>C | p.C481S | 17.9 | 17.9 | 18.0 | None | None | NA | NA | 32 |
c.1441T>A | p.C481S | ND | ND | 0.2 | ||||||||
14 | Relapsed | 85 | c.1442G>C | p.C481S | 5.8 | 5.8 | 6.8 | None | None | NA | NA | 41 |
c.1441T>A | p.C481S | ND | 0.7 | 1.0 | ||||||||
15-PBMC | Relapsed | 70 | c.1442G>C | p.C481S | 41.9 | 41.8 | 43.8 | c.2535A>C | p.L845F | NA | 0.7 | 37 |
c.1441T>A | p.C481S | ND | 0.5 | 0.7 | c.2535A>T | p.L845F | NA | 0.7 | ||||
15-BM | 38 | c.1442G>C | p.C481S | 11.5 | 11.5 | 13.2 | None | None | NA | NA | ||
c.1441T>A | p.C481S | ND | ND | 0.1 | ||||||||
16 | Relapsed | 35 | c.1442G>C | p.C481S | 3.0 | 3.0 | not tested | None | None | NA | NA | 56 |
17 | Relapsed | unknown | c.1442G>C | p.C481S | 61.6 | 61.5 | 66.3 | None | None | NA | NA | 42 |
c.1441T>A | p.C481S | ND | ND | 0.3 | ||||||||
c.1442G>A | p.C481Y | ND | 0.5 | not tested | ||||||||
18 | Relapsed | 99 | c.1442G>C | p.C481S | 15.7 | 15.7 | 17.2 | c.2535A>T | p.L845F | NA | 0.3 | 62 |
c.1441T>A | p.C481S | ND | 0.1 | 0.2 | ||||||||
c.1442G>A | p.C481Y | ND | 1.4 | not tested | ||||||||
19 | Relapsed | unknown | c.1441T>A | p.C481S | 37.9 | 37.9 | 50.3 | None | None | NA | NA | 34 |
c.1442G>C | p.C481S | 23.4 | 23.4 | 39.2 | ||||||||
20-BM | Relapsed | 66 | c.1442G>C | p.C481S | 2.3 | 2.3 | 2.2 | c.3412_3414del | p.1138_1138del | 2.7 | 2.7 | 34 |
c.2535A>C | p.L845F | 3.4 | 3.4 | |||||||||
c.2535A>T | p.L845F | 2.7 | 2.6 | |||||||||
c.1442G>A | p.C481Y | ND | 0.2 | not tested | c.2977G>C | p.D993H | 1.7 | 1.7 | ||||
c.1993C>T | p.R665W | ND | 0.8 | |||||||||
c.2120C>T | p.S707F | ND | 0.3 | |||||||||
c.3418G>A | p.D1140N | ND | 0.7 | |||||||||
c.3422T>A | p.M1141K | ND | 0.7 | |||||||||
c.3422T>G | p.M1141R | ND | 0.2 | |||||||||
20-PBMC | 92 | c.1442G>C | p.C481S | ND | 1.4 | 1.8 | c.3412_3414del | p.1138_1138del | 12.7 | 12.7 | ||
c.2535A>C | p.L845F | 2.5 | 2.5 | |||||||||
c.2535A>T | p.L845F | 2.0 | 2.0 | |||||||||
c.2977G>C | p.D993H | 1.8 | 1.8 | |||||||||
c.1993C>T | p.R665W | ND | 0.9 | |||||||||
c.3418G>A | p.D1140N | ND | 0.4 | |||||||||
c.3422T>A | p.M1141K | ND | 0.6 | |||||||||
c.3422T>G | p.M1141R | ND | 0.6 | |||||||||
21 | Relapsed | unknown | c.1441T>C | p.C481R | 51.8 | 51.7 | not tested | None | None | NA | NA | 42 |
c.1442G>C | p.C481S | 5.5 | 5.5 | 7.2 | ||||||||
c.1441T>A | p.C481S | 1.8 | 1.8 | 2.7 | ||||||||
c.1442G>A | p.C481Y | 2.8 | 2.8 | not tested | ||||||||
c.1443C>A | p.C481 | 2.2 | 2.2 | not tested | ||||||||
22 | Relapsed | 73 | c.1442G>T | p.C481F | 33.5 | 33.5 | not tested | None | None | NA | NA | 38 |
c.1442G>C | p.C481S | 4.8 | 4.8 | 8.6 | ||||||||
23 | Relapsed | 81 | c.1442G>C | p.C481S | 79.3 | 79.3 | 79.9 | None | None | NA | NA | 37 |
c.1441T>A | p.C481S | ND | 0.4 | 2.4 | ||||||||
24 | Relapsed | 97 | c.1441T>A | p.C481S | 47.8 | 47.8 | 69.2 | None | None | NA | NA | 37 |
c.1442G>C | p.C481S | 22 | 22 | 57.9 | ||||||||
c.1442G>A | p.C481Y | 4.8 | 4.8 | not tested | ||||||||
c.1442G>T | p.C481F | 4.6 | 4.6 | not tested | ||||||||
c.1441T>C | p.C481R | ND | 0.8 | not tested | ||||||||
25 | Relapsed | unknown | None | None | NA | NA | NA | c.2120C>T | p.S707F | 21.2 | 21.2 | 42 |
c.3412_3414del | p.1138_1138del | ND | 0.2 | |||||||||
26 | Relapsed | 75 | None | None | NA | NA | NA | c.3416A>G | p.E1139G | 3 | 3.2 | 10 |
27 | Relapsed | 74 | c.1442G>C | p.C481S | ND | 1.2 | 0.8 | None | None | NA | NA | 5 |
28 | Relapsed | 18 | c.1442G>C | p.C481S | ND | 0.3 | 0.1 | None | None | NA | NA | 43 |
29 | Relapsed | unknown | c.1441T>A | p.C481S | ND | 0.9 | 1.2 | None | None | NA | NA | 33 |
c.1442G>C | p.C481S | ND | 1.5 | ND | ||||||||
c.1441T>C | p.C481R | ND | 1.3 | not tested | ||||||||
30 | Relapsed | 75 | c.1442G>C | p.C481S | ND | 0.1 | 0.1 | None | None | NA | NA | 45 |
31 | Relapsed | 81 | c.1442G>C | p.C481S | ND | ND | 0.2 | None | None | NA | NA | 56 |
32 | Relapsed | 99 | c.1442G>C | p.C481S | ND | ND | 0.1 | None | None | NA | NA | 56 |
33 | Responsive | unknown | c.1442G>C | p.C481S | 19.5 | 19.5 | 18.7 | c.2977G>C | p.D993H | 2.9 | 2.9 | 32 |
c.2535A>C | p.L845F | ND | 1.4 | |||||||||
c.3419A>G | p.D1140G | ND | 0.4 | |||||||||
34 | Responsive | unknown | c.1442G>C | p.C481S | 4.4 | 4.4 | 5.4 | c.3419A>G | p.D1140G | 5.5 | 5.5 | 40 |
c.2535A>T | p.L845F | 3.4 | 2.7 | |||||||||
c.1442G>A | p.C481Y | ND | 0.7 | not tested | c.2535A>C | p.L845F | 2.7 | 2.1 | ||||
c.1441T>A | p.C481S | ND | ND | 0.2 | ||||||||
35 | Responsive | 98 | c.1442G>C | p.C481S | 2.7 | 2.7 | 2.7 | None | None | NA | NA | 28 |
36 | Responsive | 88 | c.1442G>C | p.C481S | ND | ND | 0.4 | None | None | NA | NA | 18 |
37 | Responsive | 89 | c.1442G>C | p.C481S | ND | ND | 1.2 | None | None | NA | NA | 37 |
38 | Responsive | 89 | c.1442G>C | p.C481S | ND | ND | 0.7 | None | None | NA | NA | 20 |
Patient ID . | Cohort . | % CD19+ in sample . | BTK hotspot mutations . | PLCG2 hotspot mutations . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Coding DNA description . | Protein description . | Standard NGS VAF (%) . | Per base NGS VAF (%) . | ddPCR VAF (%) . | Coding DNA description . | Protein description . | Standard NGS VAF (%) . | Per base NGS VAF (%) . | Time on ibrutinib at sampling (months) . | |||
1 | Relapsed | 99 | c.1442G>C | p.C481S | 79.5 | 79.5 | 85.0 | c.3418G>A | p.D1140N | 3.9 | 3.9 | 46 |
c.1441T>A | p.C481S | 2.6 | 2.6 | 11 | ||||||||
c.1442G>A | p.C481Y | ND | 0.5 | not tested | ||||||||
c.1441T>C | p.C481R | ND | 0.3 | not tested | c.2977G>T | p.D993Y | ND | 0.9 | ||||
c.3422T>A | p.M1141K | ND | 0.4 | |||||||||
2 | Relapsed | >90 | c.1441T>A | p.C481S | 53.4 | 53.7 | 65 | c.2978A>G | p.D993G | 7.9 | 7.8 | 12 |
c.1442G>C | p.C481S | 12.8 | 12.8 | 30.7 | c.2977G>T | p.D993Y | 4.8 | 4.8 | ||||
3 | Relapsed | 85 | c.1442G>C | p.C481S | 2.7 | 2.7 | 2.8 | c.3418G>A | p.D1140N | ND | 0.4 | 36 |
c.1441T>A | p.C481S | 2.4 | 2.5 | 2.2 | c.3422T>G | p.M1141R | ND | 0.3 | ||||
4 | Relapsed | unknown | c.1441T>C | p.C481R | 40.3 | 40.1 | not tested | None | None | NA | NA | 17 |
5 | Relapsed | >90 | c.1442G>C | p.C481S | 32.0 | 32.0 | 32.7 | None | None | NA | NA | 47 |
c.1441T>A | p.C481S | ND | ND | 0.9 | ||||||||
6 | Relapsed | unknown | c.1442G>C | p.C481S | 6.1 | 6.1 | 7.1 | c.3412_3414del | p.1138_1138del | 13.0 | 13.0 | 11 |
c.1441T>A | p.C481S | ND | ND | 0.5 | c.2543T>G | p.L848R | 9.3 | 9.3 | ||||
c.3422T>A | p.M1141K | 2.0 | 2.0 | |||||||||
c.3418G>A | p.D1140N | ND | 1.0 | |||||||||
c.3422T>G | p.M1141R | ND | 1.7 | |||||||||
7-BM | Relapsed | >95 | c.1442G>C | p.C481S | 7.1 | 7.1 | 8.0 | c.2978A>G | p.D993G | ND | 0.8 | 9 |
7-PBMC | >95 | c.1442G>C | p.C481S | 23.3 | 23.3 | 18.2 | c.2978A>G | p.D993G | ND | 1.3 | ||
8 | Relapsed | >95 | c.1442G>C | p.C481S | 31.2 | 31.2 | 29.6 | c.3422T>G | p.M1141R | 4.0 | 4.0 | 15 |
c.1441T>A | p.C481S | ND | ND | 0.3 | ||||||||
9 | Relapsed | 85 | c.1442G>C | p.C481S | 33.2 | 33.2 | 35.6 | None | None | NA | NA | 43 |
10 | Relapsed | 95 | c.1442G>C | p.C481S | 7.8 | 7.8 | 10.0 | c.2977G>T | p.D993Y | 32.7 | 32.7 | 40 |
c.1441T>A | p.C481S | ND | ND | inconclusive | c.2977G>C | p.D993H | 2.0 | 2.0 | ||||
c.2978A>G | p.D993G | ND | 1.3 | |||||||||
c.3418G>A | p.D1140N | ND | 0.6 | |||||||||
11 | Relapsed | 95 | c.1442G>C | p.C481S | 42.7 | 42.8 | 41.6 | c.2535A>T | p.L845F | ND | 0.8 | 43 |
c.1441T>A | p.C481S | ND | 0.8 | 2.2 | c.2977G>C | p.D993H | ND | 0.7 | ||||
12 | Relapsed | 94 | c.1442G>C | p.C481S | 62.5 | 62.5 | 62.7 | c.2977G>C | p.D993H | ND | 0.2 | 16 |
13 | Relapsed | 90 | c.1442G>C | p.C481S | 17.9 | 17.9 | 18.0 | None | None | NA | NA | 32 |
c.1441T>A | p.C481S | ND | ND | 0.2 | ||||||||
14 | Relapsed | 85 | c.1442G>C | p.C481S | 5.8 | 5.8 | 6.8 | None | None | NA | NA | 41 |
c.1441T>A | p.C481S | ND | 0.7 | 1.0 | ||||||||
15-PBMC | Relapsed | 70 | c.1442G>C | p.C481S | 41.9 | 41.8 | 43.8 | c.2535A>C | p.L845F | NA | 0.7 | 37 |
c.1441T>A | p.C481S | ND | 0.5 | 0.7 | c.2535A>T | p.L845F | NA | 0.7 | ||||
15-BM | 38 | c.1442G>C | p.C481S | 11.5 | 11.5 | 13.2 | None | None | NA | NA | ||
c.1441T>A | p.C481S | ND | ND | 0.1 | ||||||||
16 | Relapsed | 35 | c.1442G>C | p.C481S | 3.0 | 3.0 | not tested | None | None | NA | NA | 56 |
17 | Relapsed | unknown | c.1442G>C | p.C481S | 61.6 | 61.5 | 66.3 | None | None | NA | NA | 42 |
c.1441T>A | p.C481S | ND | ND | 0.3 | ||||||||
c.1442G>A | p.C481Y | ND | 0.5 | not tested | ||||||||
18 | Relapsed | 99 | c.1442G>C | p.C481S | 15.7 | 15.7 | 17.2 | c.2535A>T | p.L845F | NA | 0.3 | 62 |
c.1441T>A | p.C481S | ND | 0.1 | 0.2 | ||||||||
c.1442G>A | p.C481Y | ND | 1.4 | not tested | ||||||||
19 | Relapsed | unknown | c.1441T>A | p.C481S | 37.9 | 37.9 | 50.3 | None | None | NA | NA | 34 |
c.1442G>C | p.C481S | 23.4 | 23.4 | 39.2 | ||||||||
20-BM | Relapsed | 66 | c.1442G>C | p.C481S | 2.3 | 2.3 | 2.2 | c.3412_3414del | p.1138_1138del | 2.7 | 2.7 | 34 |
c.2535A>C | p.L845F | 3.4 | 3.4 | |||||||||
c.2535A>T | p.L845F | 2.7 | 2.6 | |||||||||
c.1442G>A | p.C481Y | ND | 0.2 | not tested | c.2977G>C | p.D993H | 1.7 | 1.7 | ||||
c.1993C>T | p.R665W | ND | 0.8 | |||||||||
c.2120C>T | p.S707F | ND | 0.3 | |||||||||
c.3418G>A | p.D1140N | ND | 0.7 | |||||||||
c.3422T>A | p.M1141K | ND | 0.7 | |||||||||
c.3422T>G | p.M1141R | ND | 0.2 | |||||||||
20-PBMC | 92 | c.1442G>C | p.C481S | ND | 1.4 | 1.8 | c.3412_3414del | p.1138_1138del | 12.7 | 12.7 | ||
c.2535A>C | p.L845F | 2.5 | 2.5 | |||||||||
c.2535A>T | p.L845F | 2.0 | 2.0 | |||||||||
c.2977G>C | p.D993H | 1.8 | 1.8 | |||||||||
c.1993C>T | p.R665W | ND | 0.9 | |||||||||
c.3418G>A | p.D1140N | ND | 0.4 | |||||||||
c.3422T>A | p.M1141K | ND | 0.6 | |||||||||
c.3422T>G | p.M1141R | ND | 0.6 | |||||||||
21 | Relapsed | unknown | c.1441T>C | p.C481R | 51.8 | 51.7 | not tested | None | None | NA | NA | 42 |
c.1442G>C | p.C481S | 5.5 | 5.5 | 7.2 | ||||||||
c.1441T>A | p.C481S | 1.8 | 1.8 | 2.7 | ||||||||
c.1442G>A | p.C481Y | 2.8 | 2.8 | not tested | ||||||||
c.1443C>A | p.C481 | 2.2 | 2.2 | not tested | ||||||||
22 | Relapsed | 73 | c.1442G>T | p.C481F | 33.5 | 33.5 | not tested | None | None | NA | NA | 38 |
c.1442G>C | p.C481S | 4.8 | 4.8 | 8.6 | ||||||||
23 | Relapsed | 81 | c.1442G>C | p.C481S | 79.3 | 79.3 | 79.9 | None | None | NA | NA | 37 |
c.1441T>A | p.C481S | ND | 0.4 | 2.4 | ||||||||
24 | Relapsed | 97 | c.1441T>A | p.C481S | 47.8 | 47.8 | 69.2 | None | None | NA | NA | 37 |
c.1442G>C | p.C481S | 22 | 22 | 57.9 | ||||||||
c.1442G>A | p.C481Y | 4.8 | 4.8 | not tested | ||||||||
c.1442G>T | p.C481F | 4.6 | 4.6 | not tested | ||||||||
c.1441T>C | p.C481R | ND | 0.8 | not tested | ||||||||
25 | Relapsed | unknown | None | None | NA | NA | NA | c.2120C>T | p.S707F | 21.2 | 21.2 | 42 |
c.3412_3414del | p.1138_1138del | ND | 0.2 | |||||||||
26 | Relapsed | 75 | None | None | NA | NA | NA | c.3416A>G | p.E1139G | 3 | 3.2 | 10 |
27 | Relapsed | 74 | c.1442G>C | p.C481S | ND | 1.2 | 0.8 | None | None | NA | NA | 5 |
28 | Relapsed | 18 | c.1442G>C | p.C481S | ND | 0.3 | 0.1 | None | None | NA | NA | 43 |
29 | Relapsed | unknown | c.1441T>A | p.C481S | ND | 0.9 | 1.2 | None | None | NA | NA | 33 |
c.1442G>C | p.C481S | ND | 1.5 | ND | ||||||||
c.1441T>C | p.C481R | ND | 1.3 | not tested | ||||||||
30 | Relapsed | 75 | c.1442G>C | p.C481S | ND | 0.1 | 0.1 | None | None | NA | NA | 45 |
31 | Relapsed | 81 | c.1442G>C | p.C481S | ND | ND | 0.2 | None | None | NA | NA | 56 |
32 | Relapsed | 99 | c.1442G>C | p.C481S | ND | ND | 0.1 | None | None | NA | NA | 56 |
33 | Responsive | unknown | c.1442G>C | p.C481S | 19.5 | 19.5 | 18.7 | c.2977G>C | p.D993H | 2.9 | 2.9 | 32 |
c.2535A>C | p.L845F | ND | 1.4 | |||||||||
c.3419A>G | p.D1140G | ND | 0.4 | |||||||||
34 | Responsive | unknown | c.1442G>C | p.C481S | 4.4 | 4.4 | 5.4 | c.3419A>G | p.D1140G | 5.5 | 5.5 | 40 |
c.2535A>T | p.L845F | 3.4 | 2.7 | |||||||||
c.1442G>A | p.C481Y | ND | 0.7 | not tested | c.2535A>C | p.L845F | 2.7 | 2.1 | ||||
c.1441T>A | p.C481S | ND | ND | 0.2 | ||||||||
35 | Responsive | 98 | c.1442G>C | p.C481S | 2.7 | 2.7 | 2.7 | None | None | NA | NA | 28 |
36 | Responsive | 88 | c.1442G>C | p.C481S | ND | ND | 0.4 | None | None | NA | NA | 18 |
37 | Responsive | 89 | c.1442G>C | p.C481S | ND | ND | 1.2 | None | None | NA | NA | 37 |
38 | Responsive | 89 | c.1442G>C | p.C481S | ND | ND | 0.7 | None | None | NA | NA | 20 |
BTK hotspots VAFs were not sex-normalized.
ND, not detected; NA, not available.