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@ARTICLE{Horak:125283,
author = {P. Horak$^*$ and B. Klink$^*$ and C. Heining$^*$ and S.
Gröschel$^*$ and B. Hutter$^*$ and M. A. Fröhlich$^*$ and
S. Uhrig$^*$ and D. Hübschmann$^*$ and M. Schlesner$^*$ and
R. Eils$^*$ and D. Richter$^*$ and K. Pfütze$^*$ and C.
Geörg$^*$ and B. Meißburger$^*$ and S. Wolf$^*$ and A.
Schulz$^*$ and R. Penzel and E. Herpel and M. Kirchner$^*$
and A. Lier$^*$ and V. Endris and S. Singer and P.
Schirmacher$^*$ and W. Weichert$^*$ and A. Stenzinger$^*$
and R. Schlenk$^*$ and E. Schröck$^*$ and B. Brors$^*$ and
C. von Kalle$^*$ and H. Glimm$^*$ and S. Fröhling$^*$},
title = {{P}recision oncology based on omics data: {T}he {NCT}
{H}eidelberg experience.},
journal = {International journal of cancer},
volume = {141},
number = {5},
issn = {0020-7136},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2017-01421},
pages = {877 - 886},
year = {2017},
abstract = {Precision oncology implies the ability to predict which
patients will likely respond to specific cancer therapies
based on increasingly accurate, high-resolution molecular
diagnostics as well as the functional and mechanistic
understanding of individual tumors. While molecular
stratification of patients can be achieved through different
means, a promising approach is next-generation sequencing of
tumor DNA and RNA, which can reveal genomic alterations that
have immediate clinical implications. Furthermore, certain
genetic alterations are shared across multiple histologic
entities, raising the fundamental question of whether tumors
should be treated by molecular profile and not tissue of
origin. We here describe MASTER (Molecularly Aided
Stratification for Tumor Eradication Research), a clinically
applicable platform for prospective, biology-driven
stratification of younger adults with advanced-stage cancer
across all histologies and patients with rare tumors. We
illustrate how a standardized workflow for selection and
consenting of patients, sample processing,
whole-exome/genome and RNA sequencing, bioinformatic
analysis, rigorous validation of potentially actionable
findings, and data evaluation by a dedicated molecular tumor
board enables categorization of patients into different
intervention baskets and formulation of evidence-based
recommendations for clinical management. Critical next steps
will be to increase the number of patients that can be
offered comprehensive molecular analysis through
collaborations and partnering, to explore ways in which
additional technologies can aid in patient stratification
and individualization of treatment, to stimulate clinically
guided exploratory research projects, and to gradually move
away from assessing the therapeutic activity of targeted
interventions on a case-by-case basis toward controlled
clinical trials of genomics-guided treatments.},
cin = {G100 / L301 / G240 / L101 / G200 / B080 / B069 / W190 /
L701},
ddc = {610},
cid = {I:(DE-He78)G100-20160331 / I:(DE-He78)L301-20160331 /
I:(DE-He78)G240-20160331 / I:(DE-He78)L101-20160331 /
I:(DE-He78)G200-20160331 / I:(DE-He78)B080-20160331 /
I:(DE-He78)B069-20160331 / I:(DE-He78)W190-20160331 /
I:(DE-He78)L701-20160331},
pnm = {317 - Translational cancer research (POF3-317)},
pid = {G:(DE-HGF)POF3-317},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:28597939},
doi = {10.1002/ijc.30828},
url = {https://inrepo02.dkfz.de/record/125283},
}