Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer

<p>Since the advent of monoclonal antibodies against epidermal growth factor receptor (EGFR) in colorectal cancer therapy, the determination of RAS mutational status is needed for therapeutic decision-making. Most prevalent in colorectal cancer are <em>KRAS</em> exon 2 mutations (4...

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Main Authors: Solassol, J, Vendrell, J, Märkl, B, Haas, C, Bellosillo, B, Montagut, C, Smith, M, O'Sullivan, B, D'Haene, N, Le Mercier, M, Grauslund, M, Melchior, L, Burt, E, Cotter, F, Stieber, D, Schmitt, F, Motta, V, Lauricella, C, Colling, R, Soilleux, E, Fassan, M, Mescoli, C, Collin, C, Pagès, J, Sillekens, P
Format: Journal article
Language:English
Published: Public Library of Science 2016
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author Solassol, J
Vendrell, J
Märkl, B
Haas, C
Bellosillo, B
Montagut, C
Smith, M
O'Sullivan, B
D'Haene, N
Le Mercier, M
Grauslund, M
Melchior, L
Burt, E
Cotter, F
Stieber, D
Schmitt, F
Schmitt, F
Motta, V
Lauricella, C
Colling, R
Soilleux, E
Fassan, M
Mescoli, C
Collin, C
Pagès, J
Sillekens, P
author_facet Solassol, J
Vendrell, J
Märkl, B
Haas, C
Bellosillo, B
Montagut, C
Smith, M
O'Sullivan, B
D'Haene, N
Le Mercier, M
Grauslund, M
Melchior, L
Burt, E
Cotter, F
Stieber, D
Schmitt, F
Schmitt, F
Motta, V
Lauricella, C
Colling, R
Soilleux, E
Fassan, M
Mescoli, C
Collin, C
Pagès, J
Sillekens, P
author_sort Solassol, J
collection OXFORD
description <p>Since the advent of monoclonal antibodies against epidermal growth factor receptor (EGFR) in colorectal cancer therapy, the determination of RAS mutational status is needed for therapeutic decision-making. Most prevalent in colorectal cancer are <em>KRAS</em> exon 2 mutations (40% prevalence); lower prevalence is observed for <em>KRAS</em> exon 3 and 4 mutations (6%) and <em>NRAS</em>exon 2, 3, and 4 mutations (5%). The Idylla<sup>™</sup> KRAS Mutation Test on the molecular diagnostics Idylla<sup>™</sup> platform is a simple (&lt;2 minutes hands-on time), highly reliable, and rapid (approximately 2 hours turnaround time) <em>in vitro diagnostic</em> sample-to-result solution. This test enables qualitative detection of 21 mutations in codons 12, 13, 59, 61, 117, and 146 of the <em>KRAS</em> oncogene being clinically relevant according to the latest clinical guidelines. Here, the performance of the Idylla<sup>™</sup> KRAS Mutation Assay, for Research Use Only, was assessed on archived formalin-fixed paraffin-embedded (FFPE) tissue sections by comparing its results with the results previously obtained by routine reference approaches for <em>KRAS</em> genotyping. In case of discordance, samples were assessed further by additional methods. Among the 374 colorectal cancer FFPE samples tested, the overall concordance between the Idylla<sup>™</sup> KRAS Mutation Assay and the confirmed reference routine test results was found to be 98.9%. The Idylla<sup>™</sup> KRAS Mutation Assay enabled detection of 5 additional KRAS-mutated samples not detected previously with reference methods. As conclusion the Idylla<sup>™</sup> KRAS Mutation Test can be applied as routine tool in any clinical setting, without needing molecular infrastructure or expertise, to guide the personalized treatment of colorectal cancer patients.</p>
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spelling oxford-uuid:5c4025e5-5f20-4d22-8dc6-f28193d451aa2022-03-26T17:27:01ZMulti-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancerJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5c4025e5-5f20-4d22-8dc6-f28193d451aaEnglishSymplectic Elements at OxfordPublic Library of Science2016Solassol, JVendrell, JMärkl, BHaas, CBellosillo, BMontagut, CSmith, MO'Sullivan, BD'Haene, NLe Mercier, MGrauslund, MMelchior, LBurt, ECotter, FStieber, DSchmitt, FSchmitt, FMotta, VLauricella, CColling, RSoilleux, EFassan, MMescoli, CCollin, CPagès, JSillekens, P<p>Since the advent of monoclonal antibodies against epidermal growth factor receptor (EGFR) in colorectal cancer therapy, the determination of RAS mutational status is needed for therapeutic decision-making. Most prevalent in colorectal cancer are <em>KRAS</em> exon 2 mutations (40% prevalence); lower prevalence is observed for <em>KRAS</em> exon 3 and 4 mutations (6%) and <em>NRAS</em>exon 2, 3, and 4 mutations (5%). The Idylla<sup>™</sup> KRAS Mutation Test on the molecular diagnostics Idylla<sup>™</sup> platform is a simple (&lt;2 minutes hands-on time), highly reliable, and rapid (approximately 2 hours turnaround time) <em>in vitro diagnostic</em> sample-to-result solution. This test enables qualitative detection of 21 mutations in codons 12, 13, 59, 61, 117, and 146 of the <em>KRAS</em> oncogene being clinically relevant according to the latest clinical guidelines. Here, the performance of the Idylla<sup>™</sup> KRAS Mutation Assay, for Research Use Only, was assessed on archived formalin-fixed paraffin-embedded (FFPE) tissue sections by comparing its results with the results previously obtained by routine reference approaches for <em>KRAS</em> genotyping. In case of discordance, samples were assessed further by additional methods. Among the 374 colorectal cancer FFPE samples tested, the overall concordance between the Idylla<sup>™</sup> KRAS Mutation Assay and the confirmed reference routine test results was found to be 98.9%. The Idylla<sup>™</sup> KRAS Mutation Assay enabled detection of 5 additional KRAS-mutated samples not detected previously with reference methods. As conclusion the Idylla<sup>™</sup> KRAS Mutation Test can be applied as routine tool in any clinical setting, without needing molecular infrastructure or expertise, to guide the personalized treatment of colorectal cancer patients.</p>
spellingShingle Solassol, J
Vendrell, J
Märkl, B
Haas, C
Bellosillo, B
Montagut, C
Smith, M
O'Sullivan, B
D'Haene, N
Le Mercier, M
Grauslund, M
Melchior, L
Burt, E
Cotter, F
Stieber, D
Schmitt, F
Schmitt, F
Motta, V
Lauricella, C
Colling, R
Soilleux, E
Fassan, M
Mescoli, C
Collin, C
Pagès, J
Sillekens, P
Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title_full Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title_fullStr Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title_full_unstemmed Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title_short Multi-center evaluation of the fully automated PCR-based Idylla™ KRAS mutation assay for rapid KRAS mutation status determination on formalin-fixed paraffin-embedded tissue of human colorectal cancer
title_sort multi center evaluation of the fully automated pcr based idylla™ kras mutation assay for rapid kras mutation status determination on formalin fixed paraffin embedded tissue of human colorectal cancer
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