Endocrine oncology

Comprehensive genomic profiling from C‐CAT database unveiled over 80% presence of oncogenic drivers in anaplastic thyroid carcinoma including BRAF, RAS family, NF1, and FGFR1

Clin Endocrinol (Oxf)Published Retrospective observational study

Authors' conclusion

Comprehensive genomic analysis of ATC in Japan revealed distinct molecular subgroups, highlighting the importance of BRAF V600E mutations, particularly V600E, as potential therapeutic targets and suggest the relevance of tailor-made therapeutic strategies based on genomic profiling.

Study context

Population
Anaplastic thyroid carcinoma (ATC) cases with comprehensive genomic profiling data, C-CAT, Japan267 AACR-GENIE validation
Participants
102 cases
Outcome
Oncogenic driver mutations (BRAF, RAS and other)
Methodological detailscomprehensive genomic profiling, external validation in AACR-GENIE data
  • Comprehensive genomic profiling
  • External validation in AACR-GENIE data

Main finding

As reported in the abstract

BRAF, RAS and other driver mutations

83 cases

81.2%

Prevalence of BRAF V600E mutations

60%

Observational data: associations, not effects.

Further findings

Clinical variables and overall survival by molecular group

No significant differences in clinical variables and overall survival
Analysis considering left-side amputation suggested poorer prognosis with RAS mutations

BRAF/RAS wild-type subgroup

FGFR1 and NF1 identified as driver mutations, with accumulation of copy number variations and less TERT promoter mutations
Molecular subgrouping also supported by AACR-GENIE data

Original publication

Comprehensive genomic profiling from C‐CAT database unveiled over 80% presence of oncogenic drivers in anaplastic thyroid carcinoma including BRAF, RAS family, NF1, and FGFR1. Clin Endocrinol (Oxf). Published 9 June 2024. doi:10.1111/cen.15098

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