Evidence map›Paper›PMID 29544535›Full record

ArticleGenome medicine2018

From somatic variants towards precision oncology: Evidence-driven reporting of treatment options in molecular tumor boards.

Júlia Perera-Bel, Barbara Hutter, Christoph Heining, Annalen Bleckmann, Martina Fröhlich, Stefan Fröhling, Hanno Glimm, Benedikt Brors, Tim Beißbarth

Abstract read
In one paragraph

Article in Genome medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  17. Routine Molecular Pathology Diagnostics in Precision Oncology.Deutsches Arzteblatt international · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Júlia Perera-BelDepartment of Medical Statistics, University Medical Center Göttingen, 37073, Göttingen, Germany.
Barbara HutterDivision Applied Bioinformatics, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), 69120, Heidelberg, Germany.
Christoph HeiningDivision Translational Oncology, National Center for Tumor Diseases (NCT) and German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
Annalen BleckmannDepartment of Medical Statistics, University Medical Center Göttingen, 37073, Göttingen, Germany.
Martina FröhlichDivision Applied Bioinformatics, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), 69120, Heidelberg, Germany.
Stefan FröhlingDivision Translational Oncology, National Center for Tumor Diseases (NCT) and German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
Hanno GlimmGerman Cancer Consortium (DKTK), 69120, Heidelberg, Germany.
Benedikt BrorsDivision Applied Bioinformatics, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), 69120, Heidelberg, Germany.
Tim BeißbarthDepartment of Medical Statistics, University Medical Center Göttingen, 37073, Göttingen, Germany. Tim.Beissbarth@ams.med.uni-goettingen.de.ORCID 0000-0001-6509-2143

Funding

Bundesministerium für Bildung und Forschung 01GP1402Bundesministerium für Bildung und Forschung 031A428Bundesministerium für Bildung und Forschung 031A429Bundesministerium für Bildung und Forschung 031L0024
6 · The paper itself

Abstract

backgroundA comprehensive understanding of cancer has been furthered with technological improvements and decreasing costs of next-generation sequencing (NGS). However, the complexity of interpreting genomic data is hindering the implementation of high-throughput technologies in the clinical context: increasing evidence on gene-drug interactions complicates the task of assigning clinical significance to genomic variants.

methodsHere we present a method that automatically matches patient-specific genomic alterations to treatment options. The method relies entirely on public knowledge of somatic variants with predictive evidence on drug response. The output report is aimed at supporting clinicians in the task of finding the clinical meaning of genomic variants. We applied the method to 1) The Cancer Genome Atlas (TCGA) and Genomics Evidence Neoplasia Information Exchange (GENIE) cohorts and 2) 11 patients from the NCT MASTER trial whose treatment discussions included information on their genomic profiles.

resultsOur reporting strategy showed a substantial number of patients with actionable variants in the analyses of TCGA and GENIE samples. Notably, it was able to reproduce experts' treatment suggestions in a retrospective study of 11 patients from the NCT MASTER trial. Our results establish a proof of concept for comprehensive, evidence-based reports as a supporting tool for discussing treatment options in tumor boards.

conclusionsWe believe that a standardized method to report actionable somatic variants will smooth the incorporation of NGS in the clinical context. We anticipate that tools like the one we present here will become essential in summarizing for clinicians the growing evidence in the field of precision medicine. The R code of the presented method is provided in Additional file 6 and available at https://github.com/jperera-bel/MTB-Report .

Indexed as

Genetic VariationMedical OncologyPrecision MedicineBiomarkersCluster AnalysisCohort StudiesGenome, HumanGenomicsHumansNeoplasmsBiomarkersActionable variantsCancer genomicsGenomic reportMolecular tumor boardPersonalized treatmentPredictive biomarkersTargeted therapies

Identifiers

PMID29544535
PMCPMC5856211

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.