Courtesy of SoleTrader (Advfn)21 Jul 2024 20:23
21 Jul '24 - 17:51 - 25692 of 25692
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I missed this - but a huge positive for ANGLE?
• Recommendations for the use of next-generation sequencing (NGS) for patients with advanced cancer in 2024: a report from the ESMO Precision Medicine Working Group
https://www.annalsofoncology.org/article/S0923-7534(24)00111-X/fulltext#tbl3
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Some notes I picked up on (simple enough to understand if your attention span allows):
• In this UPDATED REPORT, the consensus within the group has led to an expansion of the RECOMMENDATIONS to encompass patients with ADVANCED BREAST CANCER and rare tumours such as gastrointestinal stromal tumours, sarcoma, thyroid cancer, and cancer of unknown primary.
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Considering the EVOLVING FIELD of drug development and genomic data, the European Society for Medical Oncology (ESMO) Precision Medicine Working Group (PMWG) sought to update recommendations for the USE OF NEXT-GENERATION SEQUENCING (NGS) for patients with metastatic cancers published in 2020.
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Precision Medicine Working Group (PMWG) CONCENTRATED ITS EFFORTS on genomic alterations classified as ESMO Scale for Clinical Actionability of molecular Targets (ESCAT) LEVEL I, since they are the KEY DETERMINANTS for recommending the use of NGS FOR ROUTINE PRACTICE within specific cancer types. IN ADDITION, it was UNANIMOUSLY AGREED to report ESCAT LEVEL II genomic alterations to FACILITATE PATIENT ENROLMENT IN CLINICAL TRIALS and PROMOTE DRUG DEVELOPMENT.
https://www.esmo.org/content/download/535994/10608635/1/ESMO-ESCAT-Framework.pdf
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ESMO ‘RECOMMENDS’ that CLINICAL RESEARCH CENTRES ‘CARRY OUT’ multigene sequencing for patients with metastatic cancers in order to ACCELERATE CLINICAL RESEARCH.
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Advanced Breast Cancer (ABC) - Summary of recommendations:
• Considering that tumour NGS CAN SUBSTITUTE germline BRCA1/2 testing in most of the patients, along with the reclassification of ESR1 mutations to level IA, ‘IT IS RECOMMENDED TO CARRY OUT TUMOUR (or PLASMA) SAMPLE’ from a patient with hormone receptor-positive/HER2-negative ABC as ‘STANDARD OF CARE’. The NGS testing should be done after resistance to endocrine therapy to optimise the likelihood of detecting ESR1 mutations. Patients with high likelihood of harbouring germline BRCA1/2 mutations should undergo clinical genetic testing even if these alterations were not detected by tumour NGS.
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Important Considerations when Ordering an NGS + Technologies to detect fusion genes:
• Chromosomal rearrangements can create potent oncogenic FUSION GENES, which represent IMPORTANT therapeutic TARGETS for precision oncology. Examples of gene fusions for which targeted drugs have been approved are those involving ALK, ROS1, RET, FGFR1/2/3, and NTRK1/2/3. In clinical practice, different technologies are employed for the identification of fusion genes. The advantages and limitations of these techniques are described in the following paragraphs. The MAIN POINT is also to stress the fact that