Feasibility and utility of a panel testing for 114 cancer‐associated genes in a clinical setting: A hospital‐based study

Next‐generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital‐based prospective study (TOP‐GEAR project, 2nd stage) t...

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Published inCancer science Vol. 110; no. 4; pp. 1480 - 1490
Main Authors Sunami, Kuniko, Ichikawa, Hitoshi, Kubo, Takashi, Kato, Mamoru, Fujiwara, Yutaka, Shimomura, Akihiko, Koyama, Takafumi, Kakishima, Hiroki, Kitami, Mayuko, Matsushita, Hiromichi, Furukawa, Eisaku, Narushima, Daichi, Nagai, Momoko, Taniguchi, Hirokazu, Motoi, Noriko, Sekine, Shigeki, Maeshima, Akiko, Mori, Taisuke, Watanabe, Reiko, Yoshida, Masayuki, Yoshida, Akihiko, Yoshida, Hiroshi, Satomi, Kaishi, Sukeda, Aoi, Hashimoto, Taiki, Shimizu, Toshio, Iwasa, Satoru, Yonemori, Kan, Kato, Ken, Morizane, Chigusa, Ogawa, Chitose, Tanabe, Noriko, Sugano, Kokichi, Hiraoka, Nobuyoshi, Tamura, Kenji, Yoshida, Teruhiko, Fujiwara, Yasuhiro, Ochiai, Atsushi, Yamamoto, Noboru, Kohno, Takashi
Format Journal Article
LanguageEnglish
Published England John Wiley & Sons, Inc 01.04.2019
John Wiley and Sons Inc
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Abstract Next‐generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital‐based prospective study (TOP‐GEAR project, 2nd stage) to investigate the feasibility and utility of NGS‐based analysis of 114 cancer‐associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer‐related societies. Twenty‐five (13.3%) cases have since received molecular‐targeted therapy according to their gene aberrations. These results indicate the utility of tumor‐profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry (UMIN 000011141). The results of the TOP‐GEAR project (UMIN 000011141) indicate the utility of tumor‐profiling multiplex gene panel testing in a clinical setting in Japan.
AbstractList Next‐generation sequencing ( NGS ) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital‐based prospective study ( TOP ‐ GEAR project, 2nd stage) to investigate the feasibility and utility of NGS ‐based analysis of 114 cancer‐associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer‐related societies. Twenty‐five (13.3%) cases have since received molecular‐targeted therapy according to their gene aberrations. These results indicate the utility of tumor‐profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry ( UMIN 000011141).
Next-generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital-based prospective study (TOP-GEAR project, 2nd stage) to investigate the feasibility and utility of NGS-based analysis of 114 cancer-associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer-related societies. Twenty-five (13.3%) cases have since received molecular-targeted therapy according to their gene aberrations. These results indicate the utility of tumor-profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry (UMIN 000011141).Next-generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital-based prospective study (TOP-GEAR project, 2nd stage) to investigate the feasibility and utility of NGS-based analysis of 114 cancer-associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer-related societies. Twenty-five (13.3%) cases have since received molecular-targeted therapy according to their gene aberrations. These results indicate the utility of tumor-profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry (UMIN 000011141).
Next-generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital-based prospective study (TOP-GEAR project, 2nd stage) to investigate the feasibility and utility of NGS-based analysis of 114 cancer-associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer-related societies. Twenty-five (13.3%) cases have since received molecular-targeted therapy according to their gene aberrations. These results indicate the utility of tumor-profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry (UMIN 000011141).
Next‐generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene aberrations that have diagnostic and therapeutic significance. Here, we undertook a hospital‐based prospective study (TOP‐GEAR project, 2nd stage) to investigate the feasibility and utility of NGS‐based analysis of 114 cancer‐associated genes (the NCC Oncopanel test). We examined 230 cases (comprising more than 30 tumor types) of advanced solid tumors, all of which were matched with nontumor samples. Gene profiling data were obtained for 187 cases (81.3%), 111 (59.4%) of which harbored actionable gene aberrations according to the Clinical Practice Guidelines for Next Generation Sequencing in Cancer Diagnosis and Treatment (Edition 1.0) issued by 3 major Japanese cancer‐related societies. Twenty‐five (13.3%) cases have since received molecular‐targeted therapy according to their gene aberrations. These results indicate the utility of tumor‐profiling multiplex gene panel testing in a clinical setting in Japan. This study is registered with UMIN Clinical Trials Registry (UMIN 000011141). The results of the TOP‐GEAR project (UMIN 000011141) indicate the utility of tumor‐profiling multiplex gene panel testing in a clinical setting in Japan.
Author Taniguchi, Hirokazu
Furukawa, Eisaku
Kubo, Takashi
Fujiwara, Yutaka
Morizane, Chigusa
Hiraoka, Nobuyoshi
Kitami, Mayuko
Yoshida, Hiroshi
Nagai, Momoko
Maeshima, Akiko
Satomi, Kaishi
Sunami, Kuniko
Yoshida, Masayuki
Ochiai, Atsushi
Motoi, Noriko
Tamura, Kenji
Yoshida, Akihiko
Fujiwara, Yasuhiro
Tanabe, Noriko
Shimizu, Toshio
Kohno, Takashi
Shimomura, Akihiko
Matsushita, Hiromichi
Koyama, Takafumi
Kato, Mamoru
Iwasa, Satoru
Sugano, Kokichi
Ogawa, Chitose
Watanabe, Reiko
Narushima, Daichi
Yamamoto, Noboru
Hashimoto, Taiki
Sekine, Shigeki
Mori, Taisuke
Sukeda, Aoi
Kakishima, Hiroki
Kato, Ken
Yonemori, Kan
Yoshida, Teruhiko
Ichikawa, Hitoshi
AuthorAffiliation 1 Department of Pathology and Clinical Laboratories National Cancer Center Hospital Tokyo Japan
10 Oncogene Research Unit/Cancer Prevention Unit Tochigi Cancer Center Research Institute Tochigi Japan
2 Department of Clinical Genomics National Cancer Center Research Institute Tokyo Japan
14 Division of Genome Biology National Cancer Center Research Institute Tokyo Japan
13 Exploratory Oncology Research and Clinical Trial Center National Cancer Center Tokyo Japan
8 Department of Pediatric Oncology National Cancer Center Hospital Tokyo Japan
4 Department of Bioinformatics National Cancer Center Research Institute Tokyo Japan
9 Genetic Medicine and Services National Cancer Center Hospital Tokyo Japan
12 Strategic Planning Bureau National Cancer Center Tokyo Japan
3 Division of Translational Genomics Exploratory Oncology Research and Clinical Trial Center National Cancer Center Tokyo Japan
7 Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan
5 Department of
AuthorAffiliation_xml – name: 1 Department of Pathology and Clinical Laboratories National Cancer Center Hospital Tokyo Japan
– name: 3 Division of Translational Genomics Exploratory Oncology Research and Clinical Trial Center National Cancer Center Tokyo Japan
– name: 2 Department of Clinical Genomics National Cancer Center Research Institute Tokyo Japan
– name: 8 Department of Pediatric Oncology National Cancer Center Hospital Tokyo Japan
– name: 6 Department of Gastrointestinal Medical Oncology National Cancer Center Hospital Tokyo Japan
– name: 7 Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital Tokyo Japan
– name: 5 Department of Experimental Therapeutics National Cancer Center Hospital Tokyo Japan
– name: 4 Department of Bioinformatics National Cancer Center Research Institute Tokyo Japan
– name: 11 Department of Breast and Medical Oncology National Cancer Center Hospital Tokyo Japan
– name: 12 Strategic Planning Bureau National Cancer Center Tokyo Japan
– name: 10 Oncogene Research Unit/Cancer Prevention Unit Tochigi Cancer Center Research Institute Tochigi Japan
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– name: 9 Genetic Medicine and Services National Cancer Center Hospital Tokyo Japan
– name: 14 Division of Genome Biology National Cancer Center Research Institute Tokyo Japan
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  organization: National Cancer Center Hospital
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  surname: Maeshima
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  givenname: Taisuke
  surname: Mori
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  email: tkkohno@ncc.go.jp
  organization: National Cancer Center Research Institute
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30742731$$D View this record in MEDLINE/PubMed
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Issue 4
Keywords clinical sequencing
NCC Oncopanel
gene panel test
actionable gene aberration
insurance reimbursement
Language English
License Attribution-NonCommercial
2019 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.
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Snippet Next‐generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene...
Next‐generation sequencing ( NGS ) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene...
Next-generation sequencing (NGS) of tumor tissue (ie, clinical sequencing) can guide clinical management by providing information about actionable gene...
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SubjectTerms actionable gene aberration
Adult
Aged
Biomarkers, Tumor
Cancer
Cancer therapies
Clinical medicine
clinical sequencing
Clinical trials
Computational Biology - methods
Consent
Deoxyribonucleic acid
DNA
DNA Copy Number Variations
Drugs
Female
Gene Expression Profiling - methods
gene panel test
Genes
Genes, Neoplasm
Genetic counseling
Genomics
Genomics - methods
High-Throughput Nucleotide Sequencing
Hospitals
Humans
Impact tests
insurance reimbursement
Laboratories
Male
Middle Aged
Molecular Targeted Therapy
Mutation
NCC Oncopanel
Neoplasms - diagnosis
Neoplasms - drug therapy
Neoplasms - genetics
Neoplasms - mortality
Next-generation sequencing
Oncology
Original
Patients
Physicians
Prognosis
R&D
Research & development
Solid tumors
Studies
Treatment Outcome
Tumors
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Title Feasibility and utility of a panel testing for 114 cancer‐associated genes in a clinical setting: A hospital‐based study
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fcas.13969
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Volume 110
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