Evidence map›Paper›PMID 40755376›Full record

ArticleCancer medicine2025

Real-World Data From a Molecular Tumor Board-Assisted Cancer Care From a Single Center in The Czech Republic: Is Precision Oncology an Accessible Option, or a Privilege for a Minority of Patients?

Michal Eid, Markéta Bednaříková, Jakub Vlažný, Jitka Hausnerová, Renata Taslerová, Sára Vilmanová, Martina Jelínková, Alena Homolová, Martin Gryc, Jakub Trizuljak and 10 more

Abstract read
In one paragraph

Article in Cancer medicine, 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.

Michal EidDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-4433-5326
Markéta BednaříkováDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0003-3189-7028
Jakub VlažnýCenter for Precision Medicine, University Hospital Brno, Brno, Czech Republic.
Jitka HausnerováDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Renata TaslerováDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Sára VilmanováDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Martina JelínkováDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Alena HomolováDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Martin GrycDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Jakub TrizuljakDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-8948-5387
Zdeněk PavlovskýDepartment of Pathology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Štěpán TučekDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-4536-1155
Dagmar BrančíkováDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Monika BratováDepartment of Respiratory Diseases, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0001-9994-480X
Tomáš RohanDepartment of Radiology and Nuclear Medicine, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-7105-583X
Zdeněk KalaDepartment of Surgery, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0003-4187-388X
Zdeněk KrálDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-7875-9370
Jiří MayerDepartment of Internal Medicine, Hematology and Oncology, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID https://orcid.org/0000-0003-0567-9887
Adam SvobodníkCenter of Excellence CREATIC, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Ondřej SlabýCenter for Precision Medicine, University Hospital Brno, Brno, Czech Republic.ORCID https://orcid.org/0000-0002-8450-0584

Funding

European Union LX22NPO5102Lékařská fakulta, Masarykova univerzita MUNI/A/1685/2024Ministerstvo Školství, Mládeže a Tělovýchovy LM2018132Ministerstvo Školství, Mládeže a Tělovýchovy LM2023049Ministry of Health 65269705Ministry of Health FNBr
6 · The paper itself

Abstract

backgroundMolecular tumor boards (MTBs) support the development of personalized treatment strategies for patients with various cancer types based on comprehensive genomic profiling (CGP) of tumor tissue. Despite the unprecedented results demonstrated in many molecularly driven clinical trials, access to matched therapy remains a significant challenge in routine clinical practice worldwide.

methodsIn this study, we analyzed the MTB cohort from University Hospital Brno in the Czech Republic. Between February 2021 and April 2025, a total of 553 cancer patients with limited therapeutic options underwent CGP of tumor tissue and were subsequently presented at the MTB.

resultsThe median age of the patients was 61.1 years, and 62.2% were female. The most frequently tested diagnoses were colorectal cancer (n = 88; 15.9%), cholangiocarcinoma (n = 66; 11.9%), and pancreatic cancer (n = 65; 11.8%). The median number of prior lines of standard systemic therapy before CGP testing was two. MTB-recommended matched therapy for 326 (59.0%) out of 553 tested patients, based on 545 unique molecular alterations. The most frequently recommended drugs included immunotherapy (162/545; 29.7%), tyrosine kinase inhibitors (140/545; 25.7%), and poly (ADP-ribose) polymerase inhibitors (63/545; 11.6%). Reimbursement was requested from healthcare insurance providers in 115 cases, with 87 (75.7%) approvals. Together with other reimbursement forms, a total of 96 (17.4%) out of 553 patients initiated matched therapy. A progression-free survival ratio (PFS2/PFS1) of ≥ 1.3 was observed in 29 (41.4%) of the 70 evaluable pretreated patients.

conclusionThis is the first study to report on a real-world MTB cohort from the Czech Republic, demonstrating a diagnostic yield comparable to previously published studies, good availability of recommended drugs, and clinical benefit in evaluable patients.

Indexed as

NeoplasmsPrecision MedicineAdultAgedAged, 80 and overCzech RepublicFemaleHumansMaleMiddle AgedMolecular Targeted Therapybiomarkerscancer geneticsnext‐generation sequencingtarget therapy

Identifiers

PMID40755376
PMCPMC12319421

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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.