(A) 2X Bi-Directional Sanger Sequencing
MD
Codon 12/13
MD
Codon 61
NMD Total
cobas KRAS Kit Lot 1 MD Codon 12/13 90 0 6 96
MD Codon 61 0 1 1 2
NMD 5 1 91 97
Totals 95 2 98 195a
Positive agreement, 93.8% (95% CI, 87.2%–97.1%); Negative agreement, 92.9% (95% CI, 86.0%–96.5%); Overall agreement, 93.3% (95% CI, 88.9%–96.1%)
(B)
  2X Bi-Directional Sanger Sequencing
MD
Codon 12/13
MD
Codon 61
NMD Total
cobas KRAS Kit Lot 2 MD Codon 12/13 90 0 8 98
MD Codon 61 0 1 1 2
NMD 5 1 88 94
Totals 95 2 97 194a
Positive agreement, 93.8% (95% CI, 87.2%–97.1%); Negative agreement, 90.7% (95% CI, 83.0%–95.0%); Overall agreement, 92.3% (95% CI, 87.6%–95.3%)
(C)
  2X Bi-Directional Sanger Sequencing and
Discordant Resolution
MD
Codon 12/13
MD
Codon 61
NMD Total
cobasKRAS Kit Lot 1 MD Codon 12/13 96 0 0 96
MD Codon 61 0 1 1* 2
NMD 3* 0 94 97
Totals 99 1 95 195a
Positive agreement, 97.0% (95% CI, 91.5%–99.0%); Negative agreement, 98.9% (95% CI, 94.3%–99.8%); Overall agreement, 97.9% (95% CI, 94.8%–99.2%); *All four samples with discordant results were at <5% mutation frequency.
(D)
  2X Bi-Directional Sanger Sequencing and
Discordant Resolution
MD
Codon 12/13
MD
Codon 61
NMD Total
cobas KRAS Kit Lot 2 MD Codon 12/13 98 0 0 98
MD Codon 61 0 1 1* 2
NMD 0 0 94 94
Totals 98 1 95 194a
Positive agreement, 100.0% (95% CI, 96.3%–100.0%); Negative agreement, 98.9% (95% CI, 94.3%–99.8%); Overall agreement, 99.5% (95% CI, 97.1%–99.9%)
*The sample with a discordant result was at <5% mutation frequency.MD mutation detected, NMD no mutation detected—wild-type for codons 12/13 and 61aN=194: One specimen is a double mutant (at codons 12 and 61) by Sanger sequencing. One of the 194 specimens produced an invalid result by cobas® Kit Lot 1.
Table 3: Method correlation between the cobas®KRAS Mutation Test and Sanger sequencing (Table 3A and 3B) and after discordant resolution with 454 sequencing (Tables 3C and 3D).