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

*Corresponding author for this work

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 (US)
Pages (from-to)e843-e847
JournalOncologist
Volume29
Issue number6
DOIs
StatePublished - Jun 2024

Keywords

  • Lung-MAP
  • biomarker
  • clinical trial
  • eligibility
  • genomic profiling

ASJC Scopus subject areas

  • General Medicine

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