Evidence map›Paper›PMID 40437208›Full record

ArticleCommunications medicine2025

Detection of actionable mutations in circulating tumor DNA for non-small cell lung cancer patients.

Paul van der Leest, Pim Rozendal, Naomi Rifaela, Anthonie J van der Wekken, Hanneke Kievit, Vincent D de Jager, Grigory Sidorenkov, Léon C van Kempen, T Jeroen N Hiltermann, Ed Schuuring

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Circulating tumor DNA-based detection of molecular residual disease in isocitrate dehydrogenase-mutant cholangiocarcinoma for biomarker-guided therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  8. Precision Medicine Advances in Chronic Lung Diseases.International journal of molecular sciences · 2025
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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

10 authors.

Paul van der Leest *Department of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0001-8527-4956
Pim Rozendal *Department of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Naomi RifaelaDepartment of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Anthonie J van der WekkenDepartment of Pulmonary Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0001-7175-0026
Hanneke KievitDepartment of Pulmonary Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Vincent D de JagerDepartment of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID http://orcid.org/0009-0009-3539-8809
Grigory SidorenkovDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Léon C van KempenDepartment of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
T Jeroen N HiltermannDepartment of Pulmonary Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-0665-2160
Ed SchuuringDepartment of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. e.schuuring@umcg.nl.ORCID http://orcid.org/0000-0003-3655-143X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiquid biopsy approaches, especially the detection of circulating tumor DNA (ctDNA), are emerging as sensitive and reliable surrogates for tumor tissue-based routine diagnostic testing. Here, we retrospectively analyzed serially collected plasma samples of non-small cell lung cancer (NSCLC) patients obtained at first diagnosis to evaluate the added value of ctDNA analysis for detecting therapeutically relevant variants and determining the consequent clinical implications.

methodsOne hundred eighty plasma samples from consecutively recruited NSCLC patients were included. Circulating cell-free DNA (ccfDNA) was extracted and analyzed with the UltraSEEK Lung Panel v2 on the MassARRAY System. Tumor tissue next-generation sequencing (NGS) data, performed as routine molecular testing in the clinical setting, were retrieved from the national pathology registry for 132 patients.

resultsHere we show that in 82% of the patients, mutations are concordantly detected in tumor tissue and plasma. More mutations are reported with tumor tissue-based NGS in nineteen patients, while in four patients additional mutations are detected in plasma. Tissue-based molecular tumor profiling identifies 60 patients eligible for targeted treatment including fifteen (8%) harboring fusions currently not covered by UltraSEEK. Based on ctDNA analysis, 41 patients (23%) are identified as eligible for BRAF

conclusionsMolecular tumor profiling of ctDNA identifies therapeutically relevant mutations at a comparable rate to tumor tissue-based NGS and might therefore serve as an alternative or complementary test for the detection of actionable variants in plasma.

Identifiers

PMID40437208
PMCPMC12120126

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