1 Supporting Information Legends 2 3 4 5 6 7 Figure S1. Reads per exon are shown. The histogram demonstrates the median read count per exon for the 48 targeted genes. The results reflect the data from five NGS runs. Table S1. Overview of the run parameters for all five MiSeq runs. In run 5, the 23 samples with the lowest median coverage (<250) or insufficient representation of some loci were re-sequenced. Run 1 Run 2 Run 3 Run 4 Run 5 Samples [n] 23 24 23 24 23 Amplicons [n] 212 212 212 212 212 Average 339 1.211 498 454 705 641 Cluster PF 87.59% 56.88% 89.07% 89.64% 72.62% 79.16% Reads 2.83 M 8.66 M 4.04 M 3.69 M 5.43 M 4.93 M Reads PF 2.48 M 4.93 M 3.60 M 3.31 M 3.95 M 3.65 M Total Yield 0.8 Gb 1.5 Gb 1.1 Gb 1.0 Gb 1.2 Gb 1.1 Gb ≥ Q30 Score 75.00% 42.90% 83.70% 85.30% 27.60% 62.90 Cluster Density [K/mm²] PF: passed filter; M: million; Gb: giga bases; Q30 score: 0.1% chance of a wrong base call 8 1 Table S2. A complete list of non-synonymous mutations ≥5% allelic frequency. chr: chromosome; del: deletion; ins: insertion; fs: frame shift; * stop gained; Freq. frequency; Cov: coverage; TC: typical carcinoid; AC: atypical carcinoid; LCNEC: large cell neuroendocrine carcinoma; SCLC: small cell lung cancer. Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type ABL1 chr9:133738402 NM_007313 c.859G>C p.V287L 23% 139 P089 LCNEC ABL1 chr9:133747556 NM_007313 c.920C>T p.A307V 21% 125 P200 TC ABL1 chr9:133747594 NM_007313 c.958C>T p.L320F 21% 121 P105 LCNEC ABL1 chr9:133748382 NM_007313 c.1100C>T p.S367L 21% 270 P185 SCLC ABL1 chr9:133750389 NM_007313 c.1277C>T p.A426V 22% 130 P185 SCLC ALK chr2:29432668 NM_004304 c.3820G>A p.A1274T 16% 157 P185 SCLC ALK chr2:29432712 NM_004304 c.3776G>A p.C1259Y 11% 247 P081 LCNEC APC chr5:112173983 NM_001127510 c.2692C>T p.H898Y 12% 325 P189 SCLC APC chr5:112174658 NM_001127510 c.3367C>T p.Q1123* 95% 35 P059 AC APC chr5:112174677 NM_001127510 c.3386T>C p.L1129S 47% 396 P062 TC APC chr5:112175079 NM_001127510 c.3788G>A p.C1263Y 16% 337 P053 AC APC chr5:112175079 NM_001127510 c.3788G>A p.C1263Y 35% 164 P081 LCNEC APC chr5:112175594 NM_001127510 c.4303A>G p.R1435G 11% 348 P189 SCLC APC chr5:112175747 NM_001127510 c.4456G>A p.D1486N 28% 235 P185 SCLC 2 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type ATM chr11:108137985 NM_000051 c.2554C>T p.Q852* 13% 452 P189 SCLC ATM chr11:108204682 NM_000051 c.7997C>T p.T2666I 11% 412 P185 SCLC ATM chr11:108225599 NM_000051 c.8848G>A p.E2950K 28% 1,420 P180 LCNEC ATM chr11:108225599 NM_000051 c.8848G>A p.E2950K 32% 1,346 P183 SCLC ATM chr11:108225599 NM_000051 c.8848G>A p.E2950K 34% 359 P185 SCLC ATM chr11:108225599 NM_000051 c.8848G>A p.E2950K 40% 1,863 P186 SCLC ATM chr11:108236167 NM_000051 c.9103C>T p.L3035F 14% 408 P185 SCLC BRAF chr7:140453146 NM_004333 c.1789C>G p.L597V 43% 975 P115 LCNEC BRAF chr7:140481458 NM_004333 c.1350G>A p.W450* 15% 182 P139 LCNEC BRAF chr7:140481458 NM_004333 c.1350G>A p.W450* 12% 1,213 P185 SCLC EGFR chr7:55211068 NM_005228 c.311T>A p.L104Q 86% 31 P049 AC EGFR chr7:55211068 NM_005228 c.311T>A p.L104Q 75% 102 P049 AC EGFR chr7:55221843 NM_005228 c.887_888delinsTT p.P296L 14% 413 P185 SCLC EGFR chr7:55241726 NM_005228 c.2174C>T p.T725M 24% 120 P119 LCNEC EGFR chr7:55249020 NM_005228 c.2318A>C p.H773P 14% 301 P076 TC 3 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type EGFR chr7:55249153 NM_005228 c.2451_2452delinsTG p.W817C 15% 283 P193 SCLC EGFR chr7:55259518 NM_005228 c.2576C>T p.A859V 11% 344 P195 SCLC ERBB2 chr17:37881026 NM_004448 c.2354_2355delinsGG p.L785R 81% 7,685 P056 AC ERBB2 chr17:37881026 NM_004448 c.2354_2355delinsGG p.L785R 94% 10,654 P153 LCNEC ERBB2 chr17:37881026 NM_004448 c.2354_2355delinsGG p.L785R 87% 5,326 P005 SCLC ERBB2 chr17:37881026 NM_004448 c.2354_2355delinsGG p.L785R 98% 6,727 P068 TC ERBB2 chr17:37881410 NM_004448 c.2602C>T p.R868W 10% 295 P134 AC ERBB2 chr17:37881410 NM_004448 c.2602C>T p.R868W 13% 292 P097 LCNEC ERBB2 chr17:37881410 NM_004448 c.2602C>T p.R868W 13% 286 P183 SCLC ERBB2 chr17:37881410 NM_004448 c.2602C>T p.R868W 25% 177 P189 SCLC ERBB2 chr17:37881410 NM_004448 c.2602C>T p.R868W 11% 275 P194 SCLC ERBB2 chr17:37881432 NM_004448 c.2624C>T p.T875I 20% 364 P089 LCNEC ERBB2 chr17:37881432 NM_004448 c.2624C>T p.T875I 12% 215 P066 TC ERBB4 chr2:212288982 NM_005235 c.2764G>A p.D922N 41% 162 P185 SCLC ERBB4 chr2:212289002 NM_005235 c.2744C>A p.T915N 13% 291 P051 AC ERBB4 chr2:212587144 NM_005235 c.857G>A p.G286E 10% 676 P185 SCLC 4 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type ERBB4 chr2:212587216 NM_005235 c.785G>A p.C262Y 14% 243 P139 LCNEC ERBB4 chr2:212589833 NM_005235 c.709G>A p.G237S 12% 447 P139 LCNEC FGFR1 chr8:38282201 NM_001174067 c.855_856insG p.P286fs 27% 103 P053 AC FGFR1 chr8:38282201 NM_001174067 c.855_856insG p.P286fs 26% 134 P119 LCNEC FGFR2 chr10:123279642 NM_022970 c.790G>A p.A264T 19% 139 P125 LCNEC GNAS chr20:57484407 NM_080425 c.2516_2517insC p.D839fs 20% 207 P049 AC GNAS chr20:57484421 NM_080425 c.2531G>A p.R844H 31% 821 P074 TC HNF1A chr12:121432115 NM_000545 c.862delG p.G288fs 13% 268 P132 AC IDH1 chr2:209113176 NM_005896 c.331G>A p.A111T 12% 789 P185 SCLC IDH1 chr2:209113208 NM_005896 c.299G>A p.R100Q 15% 786 P185 SCLC IDH1 chr2:209113233 NM_005896 c.274T>A p.W92R 18% 150 P076 TC IDH1 chr2:209113240 NM_005896 c.267A>C p.K89N 43% 79 P005 SCLC IDH1 chr2:209113240 NM_005896 c.267A>C p.K89N 45% 162 P076 TC JAK3 chr19:17945790 NM_000215 c.2070G>A p.W690* 38% 118 P193 SCLC KDR chr4:55946247 NM_002253 c.3932C>T p.S1311F 16% 243 P081 LCNEC KDR chr4:55972974 NM_002253 c.1416_1417delinsTA p.QA472_473HT 48% 565 P050 AC 5 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type KDR chr4:55972974 NM_002253 c.1416_1417delinsTA p.QA472_473HT 65% 399 P081 LCNEC KIT chr4:55593481 NM_000222 c.1637_1638delinsGG p.K546R 48% 1,792 P152 AC KIT chr4:55594209 NM_000222 c.1912delA p.M638fs 19% 182 P049 AC KRAS chr12:25380276 NM_033360 c.182A>T p.Q61L 31% 3,899 P100 LCNEC KRAS chr12:25380346 NM_033360 c.112G>A p.D38N 23% 127 P059 AC KRAS chr12:25398284 NM_033360 c.35G>A p.G12D 30% 1,284 P128 LCNEC MET chr7:116423402 NM_001127500 c.3730_3731insC p.A1244fs 14% 426 P053 AC MET chr7:116423402 NM_001127500 c.3730_3731insC p.A1244fs 19% 235 P201 AC MET chr7:116423402 NM_001127500 c.3730_3731insC p.A1244fs 25% 102 P081 LCNEC NRAS chr1:115258732 NM_002524 c.50G>A p.S17N 27% 244 P185 SCLC NRAS chr1:115258744 NM_002524 c.38G>A p.G13D 16% 244 P185 SCLC PDGFRA chr4:55141055 NM_006206 c.1701_1702delinsGT p.D568Y 100% 1,148 P161 LCNEC PDGFRA chr4:55144156 NM_006206 c.1985G>A p.G662E 12% 390 P193 SCLC PDGFRA chr4:55144165 NM_006206 c.1994C>T p.T665I 100% 40 P185 SCLC PDGFRA chr4:55152039 NM_006206 c.2471_2472delinsCT p.V824A 97% 923 P079 TC PIK3CA chr3:178916887 NM_006218 c.274C>T p.L92F 14% 279 P152 AC 6 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type PIK3CA chr3:178916887 NM_006218 c.274C>T p.L92F 14% 221 P139 LCNEC PIK3CA chr3:178916893 NM_006218 c.280C>T p.L94F 11% 1,131 P185 SCLC PIK3CA chr3:178928055 NM_006218 c.1333C>T p.L445F 15% 269 P185 SCLC PIK3CA chr3:178952052 NM_006218 c.3107T>C p.L1036S 30% 2,394 P190 SCLC PIK3CA chr3:178952052 NM_006218 c.3107T>C p.L1036S 39% 702 P191 SCLC PIK3CA chr3:178952052 NM_006218 c.3107_3108delinsCT p.L1036S 9% 751 P193 SCLC PIK3CA chr3:178952052 NM_006218 c.3107T>C p.L1036S 22% 1,821 P193 SCLC PTEN chr10:89720864 NM_000314 c.1015C>T p.P339S 48% 81 P049 AC RB1 chr13:49027217 NM_000321 c.1784C>T p.P595L 12% 401 P185 SCLC RB1 chr13:49033880 NM_000321 c.2017C>T p.H673Y 17% 246 P189 SCLC RET chr10:43609994 NM_020975 c.1946_1947delinsTA p.S649L 23% 2,043 P195 SCLC RET chr10:43615632 NM_020975 c.2711_2713delinsTTG p.SY904_905FD 15% 267 P193 SCLC RET chr10:43615633 NM_020975 c.2712_2713delinsGG p.Y905D 99% 45 P055 AC RET chr10:43615633 NM_020975 c.2712_2713delinsGG p.Y905D 53% 277 P115 LCNEC RET chr10:43615633 NM_020975 c.2711_2713delinsTGG p.SY904_905LD 93% 469 P061 TC RET chr10:43617406 NM_020975 c.2742_2743insG p.V915fs 13% 319 P185 SCLC 7 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type RET chr10:43617452 NM_020975 c.2789C>T p.T930M 14% 601 P185 SCLC SMAD4 chr18:48581201 NM_005359 c.505C>T p.Q169* 14% 296 P200 TC SMARCB1 chr22:24134016 NM_003073 c.167C>T p.T56I 11% 325 P152 AC SMARCB1 chr22:24134016 NM_003073 c.167C>T p.T56I 12% 932 P193 SCLC SMO chr7:128846170 NM_005631 c.1100T>G p.L367R 46% 94 P134 AC TP53 chr17:7577046 NM_000546 c.892G>T p.E298* 11% 666 P097 LCNEC TP53 chr17:7577058 NM_000546 c.879_880delinsTT p.E294* 51% 680 P153 LCNEC TP53 chr17:7577120 NM_000546 c.818G>T p.R273L 34% 701 P120 LCNEC TP53 chr17:7577539 NM_000546 c.742_743delinsTA p.R248* 42% 809 P119 LCNEC TP53 chr17:7577556 NM_000546 c.725G>A p.C242Y 11% 849 P185 SCLC TP53 chr17:7577570 NM_000546 c.711G>T p.M237I 37% 1,626 P122 LCNEC TP53 chr17:7577605 NM_000546 c.676G>A p.G226S 16% 199 P081 LCNEC TP53 chr17:7578195 NM_000546 c.654_655insGTT p.V218_P219insV 23% 206 P007 SCLC TP53 chr17:7578206 NM_000546 c.643A>G p.S215G 41% 188 P184 SCLC TP53 chr17:7578206 NM_000546 c.643A>G p.S215G 92% 1,204 P196 SCLC TP53 chr17:7578211 NM_000546 c.638G>T p.R213L 41% 465 P113 LCNEC 8 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type TP53 chr17:7578239 NM_000546 c.610G>T p.E204* 45% 636 P161 LCNEC TP53 chr17:7578395 NM_000546 c.535C>T p.H179Y 27% 403 P005 SCLC TP53 chr17:7578431 NM_000546 c.499C>T p.Q167* 31% 153 P185 SCLC TP53 chr17:7578455 NM_000546 c.475G>C p.A159P 20% 296 P105 LCNEC TP53 chr17:7578455 NM_000546 c.470_475delTCCGCG p.V157_R158del 20% 938 P115 LCNEC TP53 chr17:7578456 NM_000546 c.469_474delGTCCGC p.V157_R158del 62% 834 P115 LCNEC TP53 chr17:7578461 NM_000546 c.469G>T p.V157F 81% 355 P091 LCNEC TP53 chr17:7578461 NM_000546 c.464_469delCCCGCG p.T155_V157delinsI 11% 401 P115 LCNEC TP53 chr17:7578464 NM_000546 c.466_467insC p.R156fs 43% 241 P180 LCNEC TP53 chr17:7578464 NM_000546 c.466_467insC p.R156fs 50% 211 P183 SCLC TP53 chr17:7578464 NM_000546 c.466_467insC p.R156fs 86% 526 P186 SCLC TP53 chr17:7578465 NM_000546 c.463_465delinsCTT p.T155L 14% 262 P180 LCNEC TP53 chr17:7578467 NM_000546 c.463A>C p.T155P 74% 206 P183 SCLC TP53 chr17:7578467 NM_000546 c.463A>C p.T155P 76% 548 P186 SCLC TP53 chr17:7578468 NM_000546 c.462_463insC p.T155fs 30% 208 P183 SCLC 9 Allelic Gene Start Position Transcript ID cDNA Change Change_Protein Tumor Cov. Patient Freq. Type TP53 chr17:7578469 NM_000546 c.461G>T p.G154V 89% 138 P190 SCLC TP53 chr17:7578469 NM_000546 c.461G>T p.G154V 93% 283 P191 SCLC TP53 chr17:7578469 NM_000546 c.461G>T p.G154V 68% 191 P193 SCLC TP53 chr17:7578475 NM_000546 c.455delC p.P152fs 25% 132 P185 SCLC TP53 chr17:7579463 NM_000546 c.224delC p.P75fs 57% 89 P195 SCLC VHL chr3:10191497 NM_000551 c.490C>T p.Q164* 13% 305 P185 SCLC 10 1 Table S3. Overview of significant results and statistical tests. Variable Gene p-Value ATM 0.022 TP53 <0.001 ATM 0.008 TP53 <0.001 PIK3CA 0.031 ATM 0.005 TP53 <0.001 ATM 0.013 TP53 <0.001 PIK3CA 0.029 Overall Survival (OS) PIK3CA 0.040 Progression Free Survival ATM 0.020 (PFS) APC 0.020 Tumor Type IASLC-Grade Test Pearson's Chi-squared test Exact Wilcoxon Mann-Whitney Rank Sum Test N-Status Metastasis Fisher's Exact Test for Count Data Fisher's Exact Test for Count Data Score (logrank) test (COXPH) Score (logrank) test (COXPH) 2 3 11