Evidence map›Paper›PMID 31477768›Full record

ArticleScientific reports2019

Optimisation of robust singleplex and multiplex droplet digital PCR assays for high confidence mutation detection in circulating tumour DNA.

Vicky Rowlands, Andrzej J Rutkowski, Elena Meuser, T Hedley Carr, Elizabeth A Harrington, J Carl Barrett

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vicky RowlandsTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK. vicky.rowlands@astrazeneca.com.ORCID http://orcid.org/0000-0002-1352-938X
Andrzej J RutkowskiTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK.
Elena MeuserTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK.
T Hedley CarrTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-8147-9855
Elizabeth A HarringtonTranslational Medicine, Oncology R&D, AstraZeneca, Cambridge, UK.
J Carl BarrettTranslational Medicine, Oncology R&D, AstraZeneca, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liquid biopsies offer the potential to monitor cancer response and resistance to therapeutics in near real-time. However, the plasma cell free DNA (cfDNA) level can be low and the fraction of circulating tumour DNA (ctDNA) bearing a mutation - lower still. Detection of tumour-derived mutations in ctDNA is thus challenging and requires highly sensitive and specific assays. Droplet digital PCR (ddPCR) is a technique that enables exquisitely sensitive detection and quantification of DNA/RNA markers from very limiting clinical samples, including plasma. The Bio-Rad QX200 ddPCR system provides absolute quantitation of target DNA molecules using fluorescent dual-labelled probes. Critical to accurate sample analysis are validated assays that are highly specific, reproducible, and with known performance characteristics, especially with respect to false positives. We present a systematic approach to the development and optimisation of singleplex and multiplex ddPCR assays for the detection of point mutations with a focus on ensuring extremely low false positives whilst retaining high sensitivity. We also present a refined method to determine cfDNA extraction efficiency allowing for more accurate extrapolation of mutational levels in source samples. We have applied these approaches to successfully analyse many ctDNA samples from multiple clinical studies and generated exploratory data of high quality.

Indexed as

Biological AssayCirculating Tumor DNADNA ProbesHumansMultiplex Polymerase Chain ReactionMutationProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)TemperatureTranscription FactorsBRAF protein, humanCirculating Tumor DNADNA ProbesKRAS protein, humanPI3KCA protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)Transcription Factors

Identifiers

PMID31477768
PMCPMC6718424

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.