Establishment of ctDNA monitoring system in HNSCC

About this project

Japan Grant Number
JP18K16894
Funding Program
Grants-in-Aid for Scientific Research
Funding organization
Japan Society for the Promotion of Science
Project/Area Number
18K16894
Research Category
Grant-in-Aid for Early-Career Scientists
Allocation Type
  • Multi-year Fund
Review Section / Research Field
  • Basic Section 56050:Otorhinolaryngology-related
Research Institution
  • Kyushu University
Project Period (FY)
2018-04-01 〜 2022-03-31
Project Status
Completed
Budget Amount*help
4,160,000 Yen (Direct Cost: 3,200,000 Yen Indirect Cost: 960,000 Yen)

Research Abstract

Mutation analysis of tumor and normal (PBMC) DNAs of 26 patients with HNSCC was performed using a custom SCC panel. The identified individualized mutated genes were defined as ctDNA candidates. We performed frequent ctDNA monitoring via digital PCR (dPCR). TP53 was the most frequently mutated gene and was detected in 14 of 24 cases (62.5%), wherein 2 cases were excluded owing to the absence of tumor-specific mutations in the SCC panel. Six cases were excluded because of undesignable and unusable primer-probes for dPCR. Longitudinal ctDNA was monitored in a total of 18 cases. In 7 cases, ctDNA tested positive again or did not tested negative, and all 7 cases relapsed after initial treatment. In 11 cases, after initial treatment, ctDNA remained negative and patients were alive without recurrence. Patients who remained negative for ctDNA during follow-up after initial treatment (n = 11) had a significantly better prognosis than those who reverted to ctDNA positivity (n = 7; P < 0.0001).

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