Implementing a Functional Precision Medicine Tumor Board for Acute Myeloid Leukemia
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Implementing a Functional Precision Medicine Tumor Board for Acute Myeloid Leukemia. / Malani, Disha; Kumar, Ashwini; Brück, Oscar; Kontro, Mika; Yadav, Bhagwan; Hellesøy, Monica; Kuusanmäki, Heikki; Dufva, Olli; Kankainen, Matti; Eldfors, Samuli; Potdar, Swapnil; Saarela, Jani; Turunen, Laura; Parsons, Alun; Västrik, Imre; Kivinen, Katja; Saarela, Janna; Räty, Riikka; Lehto, Minna; Wolf, Maija; Gjertsen, Bjorn Tore; Mustjoki, Satu; Aittokallio, Tero; Wennerberg, Krister; Heckman, Caroline A.; Kallioniemi, Olli; Porkka, Kimmo.
In: Cancer Discovery, Vol. 12, No. 2, 2022, p. 388-401.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Implementing a Functional Precision Medicine Tumor Board for Acute Myeloid Leukemia
AU - Malani, Disha
AU - Kumar, Ashwini
AU - Brück, Oscar
AU - Kontro, Mika
AU - Yadav, Bhagwan
AU - Hellesøy, Monica
AU - Kuusanmäki, Heikki
AU - Dufva, Olli
AU - Kankainen, Matti
AU - Eldfors, Samuli
AU - Potdar, Swapnil
AU - Saarela, Jani
AU - Turunen, Laura
AU - Parsons, Alun
AU - Västrik, Imre
AU - Kivinen, Katja
AU - Saarela, Janna
AU - Räty, Riikka
AU - Lehto, Minna
AU - Wolf, Maija
AU - Gjertsen, Bjorn Tore
AU - Mustjoki, Satu
AU - Aittokallio, Tero
AU - Wennerberg, Krister
AU - Heckman, Caroline A.
AU - Kallioniemi, Olli
AU - Porkka, Kimmo
N1 - Publisher Copyright: © 2021 The Authors; Published by the American Association for Cancer Research.
PY - 2022
Y1 - 2022
N2 - We generated ex vivo drug-response and multiomics profiling data for a prospective series of 252 samples from 186 patients with acute myeloid leukemia (AML). A functional precision medicine tumor board (FPMTB) integrated clinical, molecular, and functional data for application in clinical treatment decisions. Actionable drugs were found for 97% of patients with AML, and the recommendations were clinically implemented in 37 relapsed or refractory patients. We report a 59% objective response rate for the individually tailored therapies, including 13 complete responses, as well as bridging five patients with AML to allogeneic hematopoietic stem cell transplantation. Data integration across all cases enabled the identification of drug response biomarkers, such as the association of IL15 overexpression with resistance to FLT3 inhibitors. Integration of molecular profiling and large-scale drug response data across many patients will enable continuous improvement of the FPMTB recommen-dations, providing a paradigm for individualized implementation of functional precision cancer medicine.
AB - We generated ex vivo drug-response and multiomics profiling data for a prospective series of 252 samples from 186 patients with acute myeloid leukemia (AML). A functional precision medicine tumor board (FPMTB) integrated clinical, molecular, and functional data for application in clinical treatment decisions. Actionable drugs were found for 97% of patients with AML, and the recommendations were clinically implemented in 37 relapsed or refractory patients. We report a 59% objective response rate for the individually tailored therapies, including 13 complete responses, as well as bridging five patients with AML to allogeneic hematopoietic stem cell transplantation. Data integration across all cases enabled the identification of drug response biomarkers, such as the association of IL15 overexpression with resistance to FLT3 inhibitors. Integration of molecular profiling and large-scale drug response data across many patients will enable continuous improvement of the FPMTB recommen-dations, providing a paradigm for individualized implementation of functional precision cancer medicine.
U2 - 10.1158/2159-8290.CD-21-0410
DO - 10.1158/2159-8290.CD-21-0410
M3 - Journal article
C2 - 34789538
AN - SCOPUS:85124440906
VL - 12
SP - 388
EP - 401
JO - Cancer Discovery
JF - Cancer Discovery
SN - 2159-8274
IS - 2
ER -
ID: 298119708