Evidence map›Paper›PMID 39485597›Full record

Observational studyClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

Prospective study of the real impact of fusion centered genomic assays in patient management in a national collaborative group: the GETHI-XX-16 study.

Paloma Navarro, Carmen Beato, Juan Francisco Rodriguez-Moreno, Sergio Ruiz-Llorente, Xabier Mielgo, Estela Pineda, Miguel Navarro, Gema Bruixola, Tatiana P Grazioso, Antonio Viudez and 10 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

Paloma Navarro *Laboratory of Innovation in Oncology; Gynecological, Genitourinary and Skin Tumor Unit, HM CIOCC (Clara Campal Comprehensive Cancer Centre), Sanchinarro HM Universitary Hospital, HM Hospitales, Madrid, Spain, Madrid, Spain.
Carmen Beato *Medical Oncology Department, Hospital Virgen de La Macarena, Seville, Spain.
Juan Francisco Rodriguez-MorenoLaboratory of Innovation in Oncology; Gynecological, Genitourinary and Skin Tumor Unit, HM CIOCC (Clara Campal Comprehensive Cancer Centre), Sanchinarro HM Universitary Hospital, HM Hospitales, Madrid, Spain, Madrid, Spain.
Sergio Ruiz-LlorenteLaboratory of Innovation in Oncology; Gynecological, Genitourinary and Skin Tumor Unit, HM CIOCC (Clara Campal Comprehensive Cancer Centre), Sanchinarro HM Universitary Hospital, HM Hospitales, Madrid, Spain, Madrid, Spain.
Xabier MielgoMedical Oncology Department , Hospital Universitario Fundacion Alcorcon, Madrid, Spain.
Estela PinedaMedical Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Miguel NavarroMedical Oncology Department, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain.
Gema BruixolaMedical Oncology Department, Hospital Clinico Universtario - INCLIVA Biomedical Research Institute, Valencia, Spain.
Tatiana P GraziosoLaboratory of Innovation in Oncology; Gynecological, Genitourinary and Skin Tumor Unit, HM CIOCC (Clara Campal Comprehensive Cancer Centre), Sanchinarro HM Universitary Hospital, HM Hospitales, Madrid, Spain, Madrid, Spain.
Antonio ViudezMedical Oncology Department, Hospital de Navarra, Pamplona, Spain.
Jose FusterMedical Oncology Department, Hospital Universitario Son Espases, Palma, Spain.
Esther NogueronMedical Oncology Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Maria Dolores MedianoHospital Universitario Virgen de La Macarena, Seville, Spain.
Carmen BalañaInstituto Catalán de Oncología-Badalona, Barcelona, Spain.
Carlos MendezOncologic Center of Galicia, A Coruña, Spain.
Rosa María RodriguezUniversitary Hospital Reina Sofia, Cordoba, Spain.
Sonia Del Barco BerronInstituto Catalán de Oncología, Girona, Spain.
Beatriz GongoraHospital de Torrecárdenas, Almería, Spain.
Alberto Carmona-BayonasHospital Universitario Morales Meseguer, Murcia, Spain.
Jesus Garcia-DonasLaboratory of Innovation in Oncology; Gynecological, Genitourinary and Skin Tumor Unit, HM CIOCC (Clara Campal Comprehensive Cancer Centre), Sanchinarro HM Universitary Hospital, HM Hospitales, Madrid, Spain, Madrid, Spain. jgarciadonas@hmhospitales.com.ORCID http://orcid.org/0000-0001-7731-3601

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrecision medicine represents a paradigm shift in oncology. Access to genetic testing and targeted therapies is frequently limited. Assays based on DNA sequencing can miss druggable alterations. We aimed to determine the impact of a free access program to RNA tests in patient management.

methodsWe designed a multicenter prospective observational study within the Spanish National Group for Translational Oncology and Rare and Orphan Tumors (GETTHI). Eligible patients were adults with solid cancers that had progressed on standard therapies. Tumor samples were analyzed using two RNA sequencing assays (Trailblaze Pharos

resultsBetween November 2016 and April 2019, 395 patients with 41 different tumors across 30 hospitals were included. Molecular analysis revealed actionable genetic alterations in 57 individuals (14.4%). Targeted therapies were advised for 23 and seven received a matched targeted therapy: two lung cancers (EML4-ALK and CD74-ROS1 fusion), three glioblastomas (EGFR point mutations), one oligodendroglioma (FGFR3-TACC3 fusion) and a prostate cancer (SND1-BRAF fusion). The outcomes included two tumor responses, one disease stabilization, one early withdrawal due to toxicity, one progression, and one unknown.

conclusionDespite the growing knowledge of cancer biology and its translation to drug development, the overall impact of personalized treatments remains low. Access to comprehensive molecular tests covering properly all known actionable alterations and programs for a wide access to targeted therapies seem to be critical steps.

Indexed as

Genetic TestingNeoplasmsPrecision MedicineAdultAgedFemaleGenomicsHumansMaleMiddle AgedMolecular Targeted TherapyProspective StudiesSequence Analysis, RNAAdvanced cancerFusionMutationNGSPrecision medicine

Identifiers

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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.