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Table 4 Associations of high versus low/no mutations in tumor and blood samples with survival, using multivariable-adjusted Cox proportional hazards regression

From: High somatic mutations in circulating tumor DNA predict response of metastatic pancreatic ductal adenocarcinoma to first-line nab-paclitaxel plus S-1: prospective study

 

Overall survival

Progression-free survival

HR (95% CI)

C-index (95% CI)

P

HR (95% CI)

P

C-index (95% CI)

Baseline

 KRAS in tumor

50.81 (2.89–894.46)

0.865 (0.791–0.939)

0.007

2.62 (0.61–11.21)

0.194

0.871 (0.804–0.938)

 KRAS in blood

5281.33 (49.98–558,121.20)

0.864 (0.796–0.932)

< 0.001

6.11 (0.68–54.88)

0.106

0.866 (0.797–0.935)

 TP53 in tumor

5.12 (0.78–33.84)

0.828 (0.739–0.917)

0.090

1.00 (0.31–3.20)

0.999

0.858 (0.782–0.934)

 TP53 in blood

33.58 (1.33–849.52)

0.833 (0.751–0.915)

0.033

3.02 (0.43–21.23)

0.266

0.859 (0.785–0.933)

 CDKN2A in tumor

0.76 (0.05–12.25)

0.816 (0.718–0.914)

0.849

0.63 (0.06–6.77)

0.701

0.859 (0.786–0.932)

 CDKN2A in blood

3.84 (0.23–64.48)

0.822 (0.722–0.922)

0.350

12.82 (1.55–106.11)

0.018

0.873 (0.799–0.947)

 SMAD4 in tumor

1.33 (0.18–9.92)

0.818 (0.732–0.904)

0.779

0.69 (0.10–4.72)

0.706

0.862 (0.784–0.940)

 SMAD4 in blood

127.19 (2.60–6211.68)

0.851 (0.754–0.948)

0.015

34.59 (1.76–680.21)

0.020

0.868 (0.783–0.953)

 ARID1A in tumor

NE

  

NE

  

 ARID1A in blood

20.11 (0.78–521.34)

0.846 (0.729–0.963)

0.071

4.97 (0.30–83.58)

0.266

0.858 (0.778–0.938)

2nd measurement

 KRAS in blood

180.62 (0.05–657561.60)

0.865 (0.830–0.900)

0.214

2.74 (< 0.01–20.56)

0.557

0.874 (0.827–0.921)

 TP53 in blood

1.28 (0.01–217.63)

0.862 (0.839–0.885)

0.925

0.05 (< 0.01–2.65)

0.138

0.882 (0.863–0.901)

 CDKN2A in blood

140.24 (0.03–790450.30)

0.868 (0.830–0.906)

0.262

359.82 (0.03–4515432.00)

0.222

0.867 (0.825–0.909)

3rd measurement

 KRAS in blood

7.41 (0.42–132.48)

0.850 (0.823–0.877)

0.173

2.73 (0.40–18.66)

0.306

0.879 (0.826–0.932)

 TP53 in blood

4.72 (< 0.01–5037.12)

0.845 (0.817–0.873)

0.663

3.02 (0.03–301.50)

0.638

0.872 (0.844–0.900)

 CDKN2A in blood

NE

  

NE

  
  1. Bold values indicate statistical significance (P < 0.05)
  2. Associations of mutations in tumor and ctDNA with OS and PFS were then explored using multivariable-adjusted Cox proportional hazards regression, with hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) computed. The adjusted factors included sex, age, ECOG performance status, tumor differentiation grade, primary tumor location, liver metastasis, lung metastasis, bone metastasis, distant lymph node metastasis, CA19-9 level, CEA level, CA125 level, cycle of chemotherapy, and S-1 maintenance therapy. C-indexes and the corresponding 95% CIs were computed for internal validation by bootstraps of the Cox proportional regression models (number of bootstrap replicates = 200)
  3. HR hazard ratio, CI confidence interval; NE not estimable