T790M testing inquiry - 1265314

jls57
Posts:22

I have a couple of questions about the T790 mutation and how different labs might test for it. My mom just had a tissue sample tested for T790 in December at Duke and then has recently had a new biopsy to have a new sample of tissue retested for the mutation. The preliminary results indicate she is negative for the mutation. Duke has called her and asked her if she still wants her additional tissue samples sent to AstraZeneca to have them tested in their lab. Is there any reason to believe that she will test positive with their lab? Was it foolish to send the remaining tissue samples to be tested for something she has already tested negative for when those samples could possibly be used for a different clinical trial? Are there such different methods in testing that could generate different outcomes such as this? A greater sensitivity in one method? We are at a crossroads and are really stuck with how to move forward. Thank you to any and/or all who are willing to respond. I greatly appreciate any information as we face the next chapter in this journey.

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JimC
Posts: 2753

Hi jls57,

What you would need to know from the people at Duke is why they called their results "preliminary", then ask them what would be different about the testing by AstraZeneca. If the testing is being done to gain access to one of their trials, they may require that their lab perform the testing and that may be why Duke has asked about sending the tissue there. But if the Duke testing was essentially the same procedure which would be used by AstraZeneca, then there probably wouldn't be much reason to repeat the testing.

JimC
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Dr West
Posts: 4735

The details of the actual techniques used in the lab is beyond our scope here, and the question of how to allocate limited tissue is a matter of judgment and preference.

However, I would say that there isn't great value in repeating a test on the same tissue if there are other things to do with that tissue and the negative results came from a reputable lab (and I'd consider Duke's to be a reputable lab).

Good luck.

-Dr. West