Q: How does CV risk cp to Leuk risk? Bolton #NGDx18 Lower but so prevalent, the absolute rates are higher

9:20am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 Also ped cancer survivors - high-dose radiation can observe high-risk CH.

9:18am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 High-risk pts are incidental findings. Now finding referrals from BMT survivors for relapse, seeing… https://t.co/PiUV0nHrGz

9:17am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 CH included in their std report. (Publication in-press at JCO) Shows workflow of pt management w/CH… https://t.co/HhIHBFIIno

9:16am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 36F met Ov ca, stable on carboplatin, prog cytopenia, TP53 mut. Launched a CH clinic, for either CVD or Leuk risk

9:15am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 A case - 72F w/new Dx of br ca, TP53 CH mutation. AZT, radiation, has a risk of CVD as survivor

9:13am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 Not only coronary artery disease but also stroke. Also shows data on mutations in skin of normal individuals

9:06am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 The driver genes are in leukemia, myeloid genes. Abs risk is low - 0.5%/year, reduced mortality. CH w/CV disease

9:03am August 23rd 2018 via Twitter Web Client

Bolton #NGDx18 CH: somatic mutations in leukemia-related genes in individuals w/no known hematologic disease. Sees… https://t.co/2JLMH41jEt

9:02am August 23rd 2018 via Twitter Web Client

Kelly Bolton (MSKCC) #NGDx18 The impact of oncologic therapy on the risk of clonal hematopoeisis and subsequent hematologic malignancy

9:00am August 23rd 2018 via Twitter Web Client

Q: Could it be CTCs confounding? Zehir #NGDx18 Definitely looking at it.

8:58am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 CH observed in 25% of adv cancer, can confound tumor-only seq in 5% of population.

8:56am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 ID of CH variants in cfDNA a VAF 1% for DNMT3A, but VAF 3% in buffy coat so it is CH.

8:55am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 Can confound NSCLC cfDNA results '18 ref https://t.co/zSj1xjsPLw

8:49am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 CH in Solid Tumor (CH-ST) mutations are 'absent in population databases', but CH mutations in ST is c… https://t.co/V2m1yZb3PO

8:45am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 'Ubiquitous' when looking with a sensitive sequencing approach (MSK-IMPACT, namely) '16 ref https://t.co/p8bijfnMBS

8:41am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 In cancer pts - 24%, 'CH is common and assoc'd with adverse outcomes' '17 ref https://t.co/rreaWCavkm

8:40am August 23rd 2018 via Twitter Web Client

Zehire #NGDx18 There is allelic pressure for certain clones to grow. A fn of age: '14 NEJM https://t.co/xfZMQNucEK and increased risk of CVD

8:38am August 23rd 2018 via Twitter Web Client

Zehir #NGDx18 Dep on the gene, can lead to full-blown leukemia '16 NEJM https://t.co/e0JYsEAGsT

8:37am August 23rd 2018 via Twitter Web Client

Ahmet Zehir (MSKCC) #NGDx18 Clonal hematopoeisis (CH) is common in cancer patients and can confound clinical genomic profiling

8:36am August 23rd 2018 via Twitter Web Client

Luis Diaz (MSKCC) Introductory remarks. #NGDx18 Clonal hematopoeisis is an entity, how to test / apply to end-pt.

8:35am August 23rd 2018 via Twitter Web Client

This ancient bone belonged to a child of two extinct human species | Science Magazine https://t.co/aMd0UNJxrn

8:25pm August 22nd 2018 via Hootsuite Inc.

Bionano Genomics Raises $20.6M in IPO, Starts Trading on Nasdaq | GenomeWeb https://t.co/yrNuDDdNWs

6:50pm August 22nd 2018 via Hootsuite Inc.

Benayed #NGDx18 They preferentially select low TMB samples for RNA-Seq. 14% MSK-Fusion Pos. 80% of these show clinical benefit.

4:58pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 40 uL of lysate saved in mineral oil, use QIAGEN kit for RNA from that. Shows list of fusions detec… https://t.co/0u5wNPLTCY

4:54pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 MSK-IMPACT driver-negative, go back to get RNA. Now they use lysate from DNA extraction; PE's Chema… https://t.co/wOsU2zrj0W

4:52pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 Shows interesting cases - a BCR-NTRK2 fusion, in exon 16 (not targeted in DNA). Another - 10% tumor… https://t.co/JS9pKxL0oA

4:49pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 qPCR 'preSeq' via Ct >29 'insufficient for testing'. Fail rate of 40% at Ct >29. Of 2310: 139 QNS,… https://t.co/4E5V7

4:46pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 RNA only captures exon-exon junction. Describes AMP method by ArcherDx. Their panel has 62 genes, t… https://t.co/eWb2Emq0Ty

4:45pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 Of 30K samples, 1,271 high-confidence in-frame fusions detected. Limitations for DNA fusion assay:… https://t.co/uuAvOZ6U37

4:42pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 LOXO NTRK ref '18 https://t.co/Qlowi6Yuk5 Describes MSK-IMPACT 70 introns of 20 re-arr genes.

4:41pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 Also therapeutic: targetable for TKIs '17 revihttps://www.ncbi.nlm.nih.gov/pubmed/28857077 LOXO-101 for TRK

4:39pm August 22nd 2018 via Twitter Web Client

Benayed #NGDx18 Gene fusions can be diagnostic (TEMPRSS2-ERG for prostate ca) and prognostic (RBM10-TFE2 for renal cell carcinoma)

4:38pm August 22nd 2018 via Twitter Web Client

Ryma Benayed (MSKCC) #NGDx18 Comprehensive DNA and RNA profiling in solid tumors for the detection of targetable kinase fusions

4:36pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 ASCO Review - ctDNA 'not yet' but on the horizon. '18 review https://t.co/M5E41mWFfd

2:36pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 ctDNA detection prognostic for I-O Rx in melanoma '17 ref https://t.co/MM42z6j1Wy PFS by ctDNA profile

2:33pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Is there a compound or activity (tissue trauma) that would increase conc. of ctDNA in sample?

2:30pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 FFPE heterogeneity - they sample from may parts of the tissue. ctDNA in plasma increases after prostatectomy or DRE in CRC

2:29pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 5K samples, prevalence by day of testing, rates changed for ER testing '10 ref https://t.co/34fnD2Tp5M

2:26pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Another study comparing PIK3CA status using BEAMing https://t.co/ZaNv5vP81b

2:25pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Shows Supp Table 6 from '17 ref https://t.co/ZQSJLu4BRO PIK3CA status in tumor and ctDNA, comparing Sanger tissue to ctDNA

2:24pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Herceptin - high PPA, NPA, stand-alone. If not high, then reflex.

2:22pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 2nd indication for cobas: lower NPA 80.2%, lower PPA 58.7%. 'resulted in restricted label' and only fo… https://t.co/oMRXBGNr4C

2:21pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 cobas EGFR v2: 98.2% NPA, 76.7% PPA. Pts negative 'should be reflexed to routine biopsy and testing fo… https://t.co/tH33sPt2ca

2:18pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 37 approved CDx assays; 1 for ctDNA. Herceptin has 10 approved assays. Concordance.

2:17pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 '14 FDA in vitro dx devices highlight: ID pts who are most likely to benefit, and ID pts who are likel… https://t.co/bD0K5dC6eV

2:16pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Shows publication explosion in ctDNA, 649 papers in '17. BloodPAC for sharing information between stakeholders.

2:15pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Another con: ave result of all ctDNA cannot differentiate somatic from germline, CHIP, or clonal var

2:14pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Cons: risk of poor pre-analtyical leads to gDNA contam., less appropriate for some disease (i.e. brain… https://t.co/iDYtig1jcO

2:12pm August 22nd 2018 via Twitter Web Client

Beer #NGDx18 Late-stage disease, get liquid biopsy. Pros: easily obtained, no crosslinking, 2h half-life, lower risk of sampling bias

2:11pm August 22nd 2018 via Twitter Web Client