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Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients.


ABSTRACT: Tumor molecular profiling is a fundamental component of precision oncology, enabling the identification of genomic alterations in genes and pathways that can be targeted therapeutically. The existence of recurrent targetable alterations across distinct histologically defined tumor types, coupled with an expanding portfolio of molecularly targeted therapies, demands flexible and comprehensive approaches to profile clinically relevant genes across the full spectrum of cancers. We established a large-scale, prospective clinical sequencing initiative using a comprehensive assay, MSK-IMPACT, through which we have compiled tumor and matched normal sequence data from a unique cohort of more than 10,000 patients with advanced cancer and available pathological and clinical annotations. Using these data, we identified clinically relevant somatic mutations, novel noncoding alterations, and mutational signatures that were shared by common and rare tumor types. Patients were enrolled on genomically matched clinical trials at a rate of 11%. To enable discovery of novel biomarkers and deeper investigation into rare alterations and tumor types, all results are publicly accessible.

SUBMITTER: Zehir A 

PROVIDER: S-EPMC5461196 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients.

Zehir Ahmet A   Benayed Ryma R   Shah Ronak H RH   Syed Aijazuddin A   Middha Sumit S   Kim Hyunjae R HR   Srinivasan Preethi P   Gao Jianjiong J   Chakravarty Debyani D   Devlin Sean M SM   Hellmann Matthew D MD   Barron David A DA   Schram Alison M AM   Hameed Meera M   Dogan Snjezana S   Ross Dara S DS   Hechtman Jaclyn F JF   DeLair Deborah F DF   Yao JinJuan J   Mandelker Diana L DL   Cheng Donavan T DT   Chandramohan Raghu R   Mohanty Abhinita S AS   Ptashkin Ryan N RN   Jayakumaran Gowtham G   Prasad Meera M   Syed Mustafa H MH   Rema Anoop Balakrishnan AB   Liu Zhen Y ZY   Nafa Khedoudja K   Borsu Laetitia L   Sadowska Justyna J   Casanova Jacklyn J   Bacares Ruben R   Kiecka Iwona J IJ   Razumova Anna A   Son Julie B JB   Stewart Lisa L   Baldi Tessara T   Mullaney Kerry A KA   Al-Ahmadie Hikmat H   Vakiani Efsevia E   Abeshouse Adam A AA   Penson Alexander V AV   Jonsson Philip P   Camacho Niedzica N   Chang Matthew T MT   Won Helen H HH   Gross Benjamin E BE   Kundra Ritika R   Heins Zachary J ZJ   Chen Hsiao-Wei HW   Phillips Sarah S   Zhang Hongxin H   Wang Jiaojiao J   Ochoa Angelica A   Wills Jonathan J   Eubank Michael M   Thomas Stacy B SB   Gardos Stuart M SM   Reales Dalicia N DN   Galle Jesse J   Durany Robert R   Cambria Roy R   Abida Wassim W   Cercek Andrea A   Feldman Darren R DR   Gounder Mrinal M MM   Hakimi A Ari AA   Harding James J JJ   Iyer Gopa G   Janjigian Yelena Y YY   Jordan Emmet J EJ   Kelly Ciara M CM   Lowery Maeve A MA   Morris Luc G T LGT   Omuro Antonio M AM   Raj Nitya N   Razavi Pedram P   Shoushtari Alexander N AN   Shukla Neerav N   Soumerai Tara E TE   Varghese Anna M AM   Yaeger Rona R   Coleman Jonathan J   Bochner Bernard B   Riely Gregory J GJ   Saltz Leonard B LB   Scher Howard I HI   Sabbatini Paul J PJ   Robson Mark E ME   Klimstra David S DS   Taylor Barry S BS   Baselga Jose J   Schultz Nikolaus N   Hyman David M DM   Arcila Maria E ME   Solit David B DB   Ladanyi Marc M   Berger Michael F MF  

Nature medicine 20170508 6


Tumor molecular profiling is a fundamental component of precision oncology, enabling the identification of genomic alterations in genes and pathways that can be targeted therapeutically. The existence of recurrent targetable alterations across distinct histologically defined tumor types, coupled with an expanding portfolio of molecularly targeted therapies, demands flexible and comprehensive approaches to profile clinically relevant genes across the full spectrum of cancers. We established a lar  ...[more]

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