Relevant Histological Subtypes |
Pathway |
Molecular Diagnostics |
Potentially relevant Therapies |
Lung adenocarcinoma |
EGFR |
Cobas® EGFR Mutation Test (Roche, Indianapolis, IN)
Therascreen EGFR PCR Kit (Qiagen, Valencia, CA) |
TKIs |
Colorectal cancer |
KRAS |
Therascreen KRAS RGQ PCR Kit (Qiagen) |
MEK1/MEK2 inhibitors, EGFR inhibitors |
Lung adenocarcinoma |
EML4-ALK |
Vysis ALK Break Apart FISH Probe Kit (Abbott Laboratories, Abbott Park, IL, USA) |
ALK inhibitors, e.g. critzotinib |
Lung adenocarcinoma* |
ROS1 |
Vysis FISH for ROS1 rearrangement (Abbott) |
Crizotinib |
Melanoma* |
BRAF V600E |
Cobas® 4800 BRAF V600 Mutation Test (Roche, Indianapolis, IN) |
Vemurafenib |
Breast Cancer** |
HER2 |
HER2 FISH pharmDx Kit (Dako, Carpinteria, CA)
HercepTest immunocytochemical assay (Dako) |
Trastuzumab |
*Tumors at advanced stage should be tested at time of diagnosis, or at time of recurrence of progression in patients who originally presented with lower stage disease but
were not previously tested.