Evidence map›Paper›PMID 35294224›Full record

Trial reportJCO precision oncology2022

Safety, Feasibility, and Merits of Longitudinal Molecular Testing of Multiple Metastatic Sites to Inform mTNBC Patient Treatment in the Intensive Trial of Omics in Cancer.

Kimberly A Burton, Elisabeth Mahen, Eric Quentin Konnick, Sibel Blau, Michael O Dorschner, Arturo B Ramirez, Stephen C Schmechel, Chaozhong Song, Rahul Parulkar, Stephanie Parker and 15 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in JCO precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 57% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

25 authors at 5 institutions in 1 country.

Kimberly A BurtonDepartment of Medicine, University of Washington, Seattle, WA.ORCID 0000-0003-3117-5906
Elisabeth MahenCenter for Cancer Innovation, University of Washington, Seattle, WA.
Eric Quentin KonnickDepartment of Laboratory Medicine, University of Washington, Seattle, WA.ORCID 0000-0001-5904-1788
Sibel BlauCenter for Cancer Innovation, University of Washington, Seattle, WA.
Michael O DorschnerDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA.
Arturo B RamirezRarecyte Inc, Seattle, WA.
Stephen C SchmechelDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA.ORCID 0000-0002-8121-7265
Chaozhong SongCenter for Cancer Innovation, University of Washington, Seattle, WA.
Rahul ParulkarNantHealth, Culver City, CA.ORCID 0000-0002-0494-1698
Stephanie ParkerNorthwest Medical Specialties, Puyallup and Tacoma, WA.ORCID 0000-0002-0081-5109
Francis Mark SenecalNorthwest Medical Specialties, Puyallup and Tacoma, WA.ORCID 0000-0002-5304-1231
Colin C PritchardDepartment of Laboratory Medicine, University of Washington, Seattle, WA.ORCID 0000-0002-2461-1557
Brigham H MechamTrialomics, Seattle, WA.
Christopher SzetoNantHealth, Culver City, CA.
Patricia SpilmanImmunityBio Inc, Culver City, CA.ORCID 0000-0003-2626-6475
Jingchun ZhuComputational Genomics Lab, University of California at Santa Cruz, Santa Cruz, CA.ORCID 0000-0003-4075-431X
Vijayakrishna K GadiDepartment of Medicine, University of Illinois, Chicago, IL.ORCID 0000-0002-5427-7465
Roy RonenData4Cure Inc, La Jolla, CA.
Jackie StilwellRarecyte Inc, Seattle, WA.
Eric KaldjianRarecyte Inc, Seattle, WA.
Janusz DutkowskiData4Cure Inc, La Jolla, CA.
Stephen Charles BenzNantHealth, Culver City, CA.ORCID 0000-0002-4067-0602
Shahrooz RabizadehImmunityBio Inc, Culver City, CA.ORCID 0000-0002-8609-7645
Patrick Soon-ShiongNantHealth, Culver City, CA.ORCID 0000-0002-4682-8298
C Anthony BlauCenter for Cancer Innovation, University of Washington, Seattle, WA.ORCID 0000-0001-8667-6068
University of Washington · USImmunityBio (United States) · USSouth Sound Care Foundation · USUniversity of California, Santa Cruz · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with metastatic triple-negative breast cancer (mTNBC) have poor outcomes. The Intensive Trial of Omics in Cancer (ITOMIC) sought to determine the feasibility and potential efficacy of informing treatment decisions through multiple biopsies of mTNBC deposits longitudinally over time, accompanied by analysis using a distributed network of experts.

methodsThirty-one subjects were enrolled and 432 postenrollment biopsies performed (clinical and study-directed) of which 332 were study-directed. Molecular profiling included whole-genome sequencing or whole-exome sequencing, cancer-associated gene panel sequencing, RNA-sequencing, and immunohistochemistry. To afford time for analysis, subjects were initially treated with cisplatin (19 subjects), or another treatment they had not received previously. The results were discussed at a multi-institutional ITOMIC Tumor Board, and a report transmitted to the subject's oncologist who arrived at the final treatment decision in conjunction with the subject. Assistance was provided to access treatments that were predicted to be effective.

resultsMultiple biopsies in single settings and over time were safe, and comprehensive analysis was feasible. Two subjects were found to have lung cancer, one had carcinoma of unknown primary site, tumor samples from three subjects were estrogen receptor-positive and from two others, human epidermal growth factor receptor 2-positive. Two subjects withdrew. Thirty-four of 112 recommended treatments were accessed using approved drugs, clinical trials, and single-patient investigational new drugs. After excluding the three subjects with nonbreast cancers and the two subjects who withdrew, 22 of 26 subjects (84.6%) received at least one ITOMIC Tumor Board-recommended treatment.

conclusionFurther exploration of this approach in patients with mTNBC is merited.

Indexed as

Triple Negative Breast NeoplasmsCisplatinFeasibility StudiesHumansMolecular Diagnostic TechniquesCisplatin

Identifiers

PMID35294224
PMCPMC8939922
OpenAlexW4220824603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.