Aims: Searching for and mutations within non-small cell lung carcinoma (NSCLC) samples remains time-consuming and can delay treatment choices in patients with acute deterioration. We evaluated the performances of the fully automated Idylla platform to quickly detect these mutations in NSCLC samples.

Methods: We used the Idylla Mutation Assay and the Idylla Mutation Test to analyse 18 formalin-fixed paraffin-embedded NSCLC tumour samples with known and mutation status according to next-generation sequencing (NGS) and droplet digital PCR (ddPCR) for mutations.

Results: Idylla assays identified and activating mutations in 4 and 10 NSCLC samples, respectively. resistance mutations were identified in only 1 sample using Idylla but in 4 and 14 samples using NGS and ddPCR, respectively. No false-positive result was noted with Idylla assays. Mutation written report was obtained after 130 min ( assays) to 140 min ( assays).

Conclusions: The Idylla platform is an interesting ancillary first-line fast and fully automated tool to detect and mutations in NSCLC samples allowing rapid treatment choices in patients with acute deterioration.

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http://dx.doi.org/10.1136/jclinpath-2016-204202DOI Listing

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