Evidence map›Paper›PMID 35121878›Full record

ArticleNature cancer2021

Integrating molecular profiles into clinical frameworks through the Molecular Oncology Almanac to prospectively guide precision oncology.

Brendan Reardon, Nathanael D Moore, Nicholas S Moore, Eric Kofman, Saud H AlDubayan, Alexander T M Cheung, Jake Conway, Haitham Elmarakeby, Alma Imamovic, Sophia C Kamran and 9 more

Abstract read
In one paragraph

Article in Nature cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

  1. Trial
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  7. Article
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  10. Learning Patient Similarity from Genomics for Precision Oncology.medRxiv : the preprint server for health sciences · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Review
  16. Article
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  18. Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Brendan ReardonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nathanael D MooreDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nicholas S MooreDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Eric KofmanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Saud H AlDubayanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Alexander T M CheungDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jake ConwayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Haitham ElmarakebyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4315-4347
Alma ImamovicBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Sophia C KamranBroad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-9283-6515
Tanya KeenanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Daniel KeliherDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
David J KonieczkowskiBroad Institute of MIT and Harvard, Cambridge, MA, USA.
David LiuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Kent W MouwBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Jihye ParkDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Natalie I VokesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3766-5335
Felix DietleinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Eliezer M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. eliezerm_vanallen@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-0201-4444

Funding

Participant Engagement UnitU2CCA252974 · NCI · BROAD INSTITUTE, INC. · PI GEORGE, SUZANNE, JANEWAY, KATHERINE A · 2020 to 2025
$16.6M
Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
The Cellular Geography of Therapeutic Resistance in CancerU2CCA233195 · NCI · DANA-FARBER CANCER INST · PI VAN ALLEN, ELIEZER M · 2018 to 2023
$13.7M
Molecular and immune drivers of immunotherapy responsiveness in prostate cancerU01CA233100 · NCI · DANA-FARBER CANCER INST · PI FONG, LAWRENCE, VAN ALLEN, ELIEZER M · 2018 to 2022
$4.2M
Molecular Origins and Evolution to Chemoresistance in Germ Cell TumorsR37CA222574 · NCI · DANA-FARBER CANCER INST · PI VAN ALLEN, ELIEZER M · 2018 to 2024
$3.2M
Integrative Somatic and Germline Computational Biology to Redefine Clinical Actionability in Solid TumorsR01CA227388 · NCI · DANA-FARBER CANCER INST · PI VAN ALLEN, ELIEZER M · 2018 to 2022
$2.0M
A statistical framework to systematically characterize cancer driver mutations in noncoding genomic regionsR21CA242861 · NCI · DANA-FARBER CANCER INST · PI VAN ALLEN, ELIEZER M · 2019 to 2020
$603k
Howard Hughes Medical InstituteNCI NIH HHS R01 CA227388NCI NIH HHS R21 CA242861NCI NIH HHS R37 CA222574NCI NIH HHS U01 CA233100NCI NIH HHS U2C CA233195NCI NIH HHS U2C CA252974NHGRI NIH HHS T32 HG002295
6 · The paper itself

Abstract

Tumor molecular profiling of single gene-variant ('first-order') genomic alterations informs potential therapeutic approaches. Interactions between such first-order events and global molecular features (for example, mutational signatures) are increasingly associated with clinical outcomes, but these 'second-order' alterations are not yet accounted for in clinical interpretation algorithms and knowledge bases. We introduce the Molecular Oncology Almanac (MOAlmanac), a paired clinical interpretation algorithm and knowledge base to enable integrative interpretation of multimodal genomic data for point-of-care decision making and translational-hypothesis generation. We benchmarked MOAlmanac to a first-order interpretation method across multiple retrospective cohorts and observed an increased number of clinical hypotheses from evaluation of molecular features and profile-to-cell line matchmaking. When applied to a prospective precision oncology trial cohort, MOAlmanac nominated a median of two therapies per patient and identified therapeutic strategies administered in 47% of patients. Overall, we present an open-source computational method for integrative clinical interpretation of individualized molecular profiles.

Indexed as

NeoplasmsGenomicsHumansPrecision MedicineProspective StudiesRetrospective Studies

Identifiers

PMID35121878
PMCPMC9082009

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Registered trials

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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.