Multi-omic based molecular profiling of advanced cancer identifies treatable targets and improves survival in individual patients
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Multi-omic based molecular profiling of advanced cancer identifies treatable targets and improves survival in individual patients. / Samsen, Alexandra; von der Heyde, Silvia; Bokemeyer, Carsten; David, Kerstin A; Flath, Bernd; Graap, Max; Grebenstein, Bianca; Heflik, Ludger; Hollburg, Wiebke; Layer, Peter; von Leitner, Eike; Overkamp, Friedrich; Saeger, Wolfgang; Schneider, Sandra; von Seydewitz, Cay-Uwe; Stang, Axel; Stein, Alexander; Zornig, Carsten; Juhl, Hartmut.
in: ONCOTARGET, Jahrgang 9, Nr. 78, 05.10.2018, S. 34794-34809.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Multi-omic based molecular profiling of advanced cancer identifies treatable targets and improves survival in individual patients
AU - Samsen, Alexandra
AU - von der Heyde, Silvia
AU - Bokemeyer, Carsten
AU - David, Kerstin A
AU - Flath, Bernd
AU - Graap, Max
AU - Grebenstein, Bianca
AU - Heflik, Ludger
AU - Hollburg, Wiebke
AU - Layer, Peter
AU - von Leitner, Eike
AU - Overkamp, Friedrich
AU - Saeger, Wolfgang
AU - Schneider, Sandra
AU - von Seydewitz, Cay-Uwe
AU - Stang, Axel
AU - Stein, Alexander
AU - Zornig, Carsten
AU - Juhl, Hartmut
PY - 2018/10/5
Y1 - 2018/10/5
N2 - A proof-of-concept study was conducted to assess whether patients with advanced stage IV cancer for whom predominantly no standard therapy was available could benefit from comprehensive molecular profiling of their tumor tissue to provide targeted therapy. Tumor samples of 83 patients were collected under highly standardized conditions and analyzed using immunohistochemistry, next-generation sequencing and phosphoprotein profiling. Expression and phosphorylation of key oncogenic pathways were measured to identify targets at the (phospho-) proteomic level. At genomic level, 50 oncogenes and tumor suppressor genes were analyzed. Based on molecular profiling, targeted therapies were decided by the attending oncologist. Accordingly, 28 patients who met the defined criteria fell in two equal-sized groups. One group received targeted therapies while the other did not. Following six months of treatment, disease control was achieved by 49% of patients receiving targeted therapy (complete remission, 14%; partial remission, 21%; stable disease, 14%; disease progression, 36%; death, 14%) and 21% of patients receiving non-targeted therapy (stable disease, 21%; disease progression, 64%; death, 14%). Individual patients experienced dramatic responses to a therapy which otherwise would not have been applied. This approach clarifies the value of multi-omic molecular profiling for cancer diagnostics.
AB - A proof-of-concept study was conducted to assess whether patients with advanced stage IV cancer for whom predominantly no standard therapy was available could benefit from comprehensive molecular profiling of their tumor tissue to provide targeted therapy. Tumor samples of 83 patients were collected under highly standardized conditions and analyzed using immunohistochemistry, next-generation sequencing and phosphoprotein profiling. Expression and phosphorylation of key oncogenic pathways were measured to identify targets at the (phospho-) proteomic level. At genomic level, 50 oncogenes and tumor suppressor genes were analyzed. Based on molecular profiling, targeted therapies were decided by the attending oncologist. Accordingly, 28 patients who met the defined criteria fell in two equal-sized groups. One group received targeted therapies while the other did not. Following six months of treatment, disease control was achieved by 49% of patients receiving targeted therapy (complete remission, 14%; partial remission, 21%; stable disease, 14%; disease progression, 36%; death, 14%) and 21% of patients receiving non-targeted therapy (stable disease, 21%; disease progression, 64%; death, 14%). Individual patients experienced dramatic responses to a therapy which otherwise would not have been applied. This approach clarifies the value of multi-omic molecular profiling for cancer diagnostics.
KW - Journal Article
U2 - 10.18632/oncotarget.26198
DO - 10.18632/oncotarget.26198
M3 - SCORING: Journal article
C2 - 30410678
VL - 9
SP - 34794
EP - 34809
JO - ONCOTARGET
JF - ONCOTARGET
SN - 1949-2553
IS - 78
ER -