A process to reanalyze clinical DNA sequencing data for biomarker matching in the Lung-MAP Master Protocol

Joel W Neal, Katherine Minichiello, Ryan Brennick, Richard S P Huang, Matthew C Hiemenz, Cornel Amler, Jyoti Patel, Roy Herbst, Karen L Reckamp, Hossein Borghaei, Louise Highleyman, Mary W Redman, Lincoln W Pasquina, David E Kozono

Research output: Contribution to journalArticlepeer-review

Abstract

For cancer clinical trials that require central confirmation of tumor genomic profiling, exhaustion of tissue from standard-of-care testing may prevent enrollment. For Lung-MAP, a master protocol that requires results from a defined centralized clinical trial assay to assign patients to a therapeutic substudy, we developed a process to repurpose existing commercial vendor raw genomic data for eligibility: genomic data reanalysis (GDR). Molecular results for substudy assignment were successfully generated for 369 of the first 374 patients (98.7%) using GDR for Lung-MAP, with a median time from request to result of 9 days. During the same period, 691 of 791 (87.4%) tissue samples received successfully yielded results, in a median of 14 days beyond sample acquisition. GDR is a scalable bioinformatic pipeline that expedites reanalysis of existing data for clinical trials in which validated integral biomarker testing is required for participation.

Original languageEnglish
Pages (from-to)e843-e847
JournalOncologist
Volume29
Issue number6
Early online dateMar 10 2024
DOIs
StatePublished - Jun 2024

Keywords

  • Biomarkers, Tumor/genetics
  • Genomics/methods
  • Humans
  • Lung Neoplasms/genetics
  • Sequence Analysis, DNA/methods
  • clinical trial
  • genomic profiling
  • eligibility
  • Lung-MAP
  • biomarker

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