Home > Publications database > Next-generation personalised medicine for high-risk paediatric cancer patients - The INFORM pilot study. > print |
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024 | 7 | _ | |a 10.1016/j.ejca.2016.06.009 |2 doi |
024 | 7 | _ | |a pmid:27479119 |2 pmid |
024 | 7 | _ | |a 0014-2964 |2 ISSN |
024 | 7 | _ | |a 0959-8049 |2 ISSN |
024 | 7 | _ | |a 1879-0852 |2 ISSN |
024 | 7 | _ | |a 1879-2995 |2 ISSN |
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100 | 1 | _ | |a Worst, Barbara |0 P:(DE-He78)fae1bf941c5fd76cf5356ecfa1243cc4 |b 0 |e First author |u dkfz |
245 | _ | _ | |a Next-generation personalised medicine for high-risk paediatric cancer patients - The INFORM pilot study. |
260 | _ | _ | |a Amsterdam [u.a.] |c 2016 |b Elsevier |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1524485188_2971 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a The Individualized Therapy for Relapsed Malignancies in Childhood (INFORM) precision medicine study is a nationwide German program for children with high-risk relapsed/refractory malignancies, which aims to identify therapeutic targets on an individualised basis. In a pilot phase, reported here, we developed the logistical and analytical pipelines necessary for rapid and comprehensive molecular profiling in a clinical setting. Fifty-seven patients from 20 centers were prospectively recruited. Malignancies investigated included sarcomas (n = 25), brain tumours (n = 23), and others (n = 9). Whole-exome, low-coverage whole-genome, and RNA sequencing were complemented with methylation and expression microarray analyses. Alterations were assessed for potential targetability according to a customised prioritisation algorithm and subsequently discussed in an interdisciplinary molecular tumour board. Next-generation sequencing data were generated for 52 patients, with the full analysis possible in 46 of 52. Turnaround time from sample receipt until first report averaged 28 d. Twenty-six patients (50%) harbored a potentially druggable alteration with a prioritisation score of intermediate or higher (level 4 of 7). Common targets included receptor tyrosine kinases, phosphoinositide 3-kinase-mammalian target of rapamycin pathway, mitogen-activated protein kinase pathway, and cell cycle control. Ten patients received a targeted therapy based on these findings, with responses observed in some previously treatment-refractory tumours. Comparative primary relapse analysis revealed substantial tumour evolution as well as one case of unsuspected secondary malignancy, highlighting the importance of re-biopsy at relapse. This study demonstrates the feasibility of comprehensive, real-time molecular profiling for high-risk paediatric cancer patients. This extended proof-of-concept, with examples of treatment consequences, expands upon previous personalised oncology endeavors, and presents a model with considerable interest and practical relevance in the burgeoning era of personalised medicine. |
536 | _ | _ | |a 317 - Translational cancer research (POF3-317) |0 G:(DE-HGF)POF3-317 |c POF3-317 |f POF III |x 0 |
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700 | 1 | _ | |a van Tilburg, Cornelis Martinus |0 P:(DE-He78)a6b5fcabf661bef95109dbee87dc5271 |b 1 |u dkfz |
700 | 1 | _ | |a Balasubramanian, Gnana Prakash |0 P:(DE-HGF)0 |b 2 |
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700 | 1 | _ | |a Witt, Ruth |b 4 |
700 | 1 | _ | |a Freitag, Angelika |b 5 |
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700 | 1 | _ | |a Previti, Christopher |0 P:(DE-He78)1bae3784eb554a693b0e7ce03a20bdb8 |b 7 |u dkfz |
700 | 1 | _ | |a Wolf, Stephan |0 P:(DE-He78)1efb774993effe7a66a6ffc1b1cf9ccb |b 8 |u dkfz |
700 | 1 | _ | |a Schmidt, Sabine |0 P:(DE-He78)d6e2a991c1003a27b302b66a5477e6cd |b 9 |u dkfz |
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700 | 1 | _ | |a Taylor, Lenka |b 15 |
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700 | 1 | _ | |a Bartram, Claus R |b 18 |
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700 | 1 | _ | |a Kulozik, Andreas E |b 21 |
700 | 1 | _ | |a von Stackelberg, Arend |b 22 |
700 | 1 | _ | |a Meisel, Roland |b 23 |
700 | 1 | _ | |a Borkhardt, Arndt |b 24 |
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700 | 1 | _ | |a Fleischhack, Gudrun |b 27 |
700 | 1 | _ | |a Tippelt, Stephan |b 28 |
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700 | 1 | _ | |a Jürgens, Heribert |b 30 |
700 | 1 | _ | |a Kramm, Christof M |b 31 |
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700 | 1 | _ | |a Nathrath, Michaela |b 37 |
700 | 1 | _ | |a Bielack, Stefan S |b 38 |
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700 | 1 | _ | |a Driever, Pablo Hernáiz |b 45 |
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700 | 1 | _ | |a Witt, Olaf |0 P:(DE-He78)143af26de9d57bf624771616318aaf7c |b 54 |e Last author |u dkfz |
773 | _ | _ | |a 10.1016/j.ejca.2016.06.009 |g Vol. 65, p. 91 - 101 |0 PERI:(DE-600)1468190-0 |p 91 - 101 |t European journal of cancer |v 65 |y 2016 |x 0959-8049 |
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