학술논문

Defining actionable mutations for oncology therapeutic development
Document Type
Report
Source
Nature Reviews Cancer. May 1, 2016, p319, 11 p.
Subject
Gene mutations -- Identification and classification -- Health aspects
Cancer -- Care and treatment
Language
English
ISSN
1474-175X
Abstract
Genomic profiling of tumours in patients in clinical trials enables rapid testing of multiple hypotheses to confirm which genomic events determine likely responder groups for targeted agents. A key challenge of this new capability is defining which specific genomic events should be classified as 'actionable' (that is, potentially responsive to a targeted therapy), especially when looking for early indications of patient subgroups likely to be responsive to new drugs. This Opinion article discusses some of the different approaches being taken in early clinical development to define actionable mutations, and describes our strategy to address this challenge in early-stage exploratory clinical trials.
Advanced DNA and RNA sequencing techniques have transformed our understanding of how tumours develop and how histologically similar cancers can be differentiated into various molecular genomic subtypes (1). Next-generation sequencing [...]