Benefits and limitations of ctDNA-based technology for the assessment of immunotherapy response
Benefits | Limitations |
Reduction in ctDNA levels associated with overall survival and progression-free survival | Comorbidities can affect ctDNA levels (smoking, pregnancy, heart disease, inflammation) |
Detection of immunotherapy response after about 8 weeks | Clonal hematopoiesis |
Allows for serial monitoring to detect developing resistance and genomic variants | Variable ctDNA fraction based on primary malignancy and stage |
Non-invasive detection (blood test) | Multiple assays to choose from with no standardization |
Comprehensive, patient-specific molecular profiling | Wide variability in cost |
- | Concordance between aberrations detected in ctDNA and tumor tissue |
- | Low concentration and fragmentation |
- | Unable to detect genomic fusion events and copy number changes |
ctDNA: circulating tumor DNA; -: no data
BJH and JB: Conceptualization, Writing—original draft, Writing—review & editing. Both authors read and approved the submitted version.
Both authors declare that they have no conflicts of interest.
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© The Author(s) 2024.