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    Cancer discovery. 2021 Aug 9. pii: 2159-8290.CD-21-0094. doi: 10.1158/2159-8290.CD-21-0094
    The Pediatric Precision Oncology INFORM Registry: Clinical Outcome and Benefit for Patients with Very High-Evidence Targets.
    van Tilburg CM1,  Pfaff E2,  Pajtler KW3,  Langenberg KPS4,  Fiesel P5,  Jones BC6,  Balasubramanian GP7,  Stark S8,  Johann PD9,  Blattner-Johnson M10,  Schramm K11,  Dikow N12,  Hirsch S13,  Sutter C14,  Grund K15,  von Stackelberg A16,  Kulozik AE17,  Lissat A18,  Borkhardt A19,  Meisel R20,  Reinhardt D21,  Klusmann JH22,  Fleischhack G23,  Tippelt S24,  von Schweinitz D25,  Schmid I26,  Kramm CM27,  von Bueren AO28,  Calaminus G29,  Vorwerk P30,  Graf N31,  Westermann F32,  Fischer M33,  Eggert A34,  Burkhardt B35,  Wößmann W36,  Nathrath M37,  Hecker-Nolting S38,  Frühwald MC39,  Schneider DT40,  Brecht IB41,  Ketteler P42,  Fulda S43,  Koscielniak E44,  Meister MT45,  Scheer M46,  Hettmer S47,  Schwab M48,  Tremmel R49,  Øra I50,  Hutter C51,  Gerber NU52,  Lohi O53,  Kazanowska B54,  Kattamis A55,  Filippidou M56,  Goemans B57,  Zwaan CM58,  Milde T59,  Jäger N60,  Wolf S61,  Reuss D62,  Sahm F63,  von Deimling A64,  Dirksen U65,  Freitag A66,  Witt R67,  Lichter P68,  Kopp-Schneider A69,  Jones DTW70,  Molenaar JJ71,  Capper D72,  Pfister SM73,  Witt O74
    Author information
    1Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany. cornelis.vantilburg@kitz-heidelberg.de.
    2Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    3Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    4Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
    5German Cancer Consortium (DKTK), Heidelberg, Germany.
    6Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    7Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    8Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    9Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    10Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    11Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    12Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
    13Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    14Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
    15Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
    16German Cancer Consortium (DKTK), Heidelberg, Germany.
    17Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    18German Cancer Consortium (DKTK), Heidelberg, Germany.
    19German Cancer Consortium (DKTK), Heidelberg, Germany.
    20German Cancer Consortium (DKTK), Heidelberg, Germany.
    21German Cancer Consortium (DKTK), Heidelberg, Germany.
    22Department of Pediatric Hematology, Oncology and Hemostaseology, Clinic for Pediatrics, University Hospital of Frankfurt, Goethe-University Frankfurt, Frankfurt/Main, Germany.
    23German Cancer Consortium (DKTK), Heidelberg, Germany.
    24German Cancer Consortium (DKTK), Heidelberg, Germany.
    25German Cancer Consortium (DKTK), Heidelberg, Germany.
    26Department of Pediatric Oncology and Hematology, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.
    27Division of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.
    28Department of Pediatrics, Obstetrics and Gynecology, Division of Pediatric Hematology and Oncology, University Hospital Geneva, Geneva, Switzerland.
    29Department of Pediatric Oncology and Hematology, University Hospital Bonn, Bonn, Germany.
    30Department of Pediatric Oncology and Hematology, University Hospital Magdeburg, Magdeburg, Germany.
    31Department of Pediatric Oncology and Hematology, University Hospital Saarland, Saarland, Germany.
    32German Cancer Consortium (DKTK), Heidelberg, Germany.
    33National Center for Tumor Diseases (NCT) Network, Germany.
    34German Cancer Consortium (DKTK), Heidelberg, Germany.
    35Clinic of Pediatric Oncology and Hematology, University Hospital Münster, Muenster, Germany.
    36Department of Pediatric Oncology and Hematology, University Hospital Hamburg, Hamburg, Germany.
    37German Cancer Consortium (DKTK), Heidelberg, Germany.
    38National Center for Tumor Diseases (NCT) Network, Germany.
    39National Center for Tumor Diseases (NCT) Network, Germany.
    40Clinic of Pediatrics, Municipal Hospital Dortmund, Dortmund, Germany.
    41German Cancer Consortium (DKTK), Heidelberg, Germany.
    42German Cancer Consortium (DKTK), Heidelberg, Germany.
    43German Cancer Consortium (DKTK), Heidelberg, Germany.
    44National Center for Tumor Diseases (NCT) Network, Germany.
    45German Cancer Consortium (DKTK), Heidelberg, Germany.
    46German Cancer Consortium (DKTK), Heidelberg, Germany.
    47German Cancer Consortium (DKTK), Heidelberg, Germany.
    48German Cancer Consortium (DKTK), Heidelberg, Germany.
    49Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany.
    50Department of Pediatric Oncology and Hematology, Skane University Hospital Lund, and HOPE-ITCC Unit, Pediatric Oncology, Karolinska University Hospital, Stockholm, Sweden.
    51St. Anna Children's Hospital, Department of Pediatrics, Medical University of Vienna, and St. Anna Children's Cancer Research Institute (CCRI), Vienna, Austria.
    52Department of Oncology, University Children's Hospital, Zurich, Switzerland.
    53Tampere Center for Child Health Research and Tays Cancer Centre, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
    54Department of Pediatric Hematology/Oncology and BMT, Wroclaw Medical University, Wroclaw, Poland.
    55Division of Pediatric Hematology-Oncology, First Department of Pediatrics, National and Kapodistrian University of Athens, Athens, Greece.
    56Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    57Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
    58Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
    59Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    60Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    61German Cancer Consortium (DKTK), Heidelberg, Germany.
    62German Cancer Consortium (DKTK), Heidelberg, Germany.
    63German Cancer Consortium (DKTK), Heidelberg, Germany.
    64German Cancer Consortium (DKTK), Heidelberg, Germany.
    65German Cancer Consortium (DKTK), Heidelberg, Germany.
    66NCT Trial Center, National Center for Tumor Diseases, Heidelberg, Germany, and German Cancer Research Center (DKFZ), Heidelberg, Germany.
    67Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    68German Cancer Consortium (DKTK), Heidelberg, Germany.
    69German Cancer Consortium (DKTK), Heidelberg, Germany.
    70Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    71Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
    72German Cancer Consortium (DKTK), Heidelberg, Germany.
    73Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    74Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
    Abstract

    INFORM is a prospective, multinational registry gathering clinical and molecular data of relapsed, progressive, or high-risk pediatric patients with cancer. This report describes long-term follow-up of 519 patients in whom molecular alterations were evaluated according to a predefined seven-scale target prioritization algorithm. Mean turnaround time from sample receipt to report was 25.4 days. The highest target priority level was observed in 42 patients (8.1%). Of these, 20 patients received matched targeted treatment with a median progression-free survival of 204 days [95% confidence interval (CI), 99-not applicable], compared with 117 days (95% CI, 106-143; = 0.011) in all other patients. The respective molecular targets were shown to be predictive for matched treatment response and not prognostic surrogates for improved outcome. Hereditary cancer predisposition syndromes were identified in 7.5% of patients, half of which were newly identified through the study. Integrated molecular analyses resulted in a change or refinement of diagnoses in 8.2% of cases. SIGNIFICANCE: The pediatric precision oncology INFORM registry prospectively tested a target prioritization algorithm in a real-world, multinational setting and identified subgroups of patients benefiting from matched targeted treatment with improved progression-free survival, refinement of diagnosis, and identification of hereditary cancer predisposition syndromes.


    ©2021 The Authors; Published by the American Association for Cancer Research.

    Publikations ID: 34373263
    Quelle: öffnen
     
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