Mutation based treatment recommendations from next generation sequencing data: a comparison of web tools

Jaymin M Patel1, Joshua Knopf1, Eric Reiner2

  • 1Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, CT 06520, USA.

Oncotarget
|March 17, 2016
PubMed

Insights

Interpreting cancer genome data for personalized therapy is challenging due to non-standardized tools. A study found significant variation in drug recommendations from different genomic data interpretation platforms, highlighting the need for improved standardization.

Area of Science:

  • Genomic medicine
  • Computational oncology
  • Translational oncology

Background:

  • Personalized cancer therapy relies on interpreting complex tumor genome data.
  • Current methods for deriving therapeutic conclusions from tumor profiling are not standardized.
  • Discrepancies exist between commercial and academic cancer genome data interpretation tools.

Purpose of the Study:

  • To compare drug and clinical trial recommendations from multiple web-based tools using targeted sequencing data from metastatic breast cancer.
  • To assess the concordance of therapeutic recommendations generated by different genomic data interpretation platforms.

Main Methods:

  • Targeted sequencing of 315 cancer genes was performed on 75 metastatic breast cancer biopsies.
  • Results were analyzed using four distinct web tools: Drug-Gene Interaction Database (DGidb), My Cancer Genome (MCG), Personalized Cancer Therapy (PCT), and cBioPortal.
  • Recommendations were compared against each other and the FoundationOne assay's own recommendations.

Main Results:

  • The identification of actionable genomic alterations varied significantly across the evaluated recommendation sources.
  • Only 33% of cases received concordant drug recommendations from four or more sources for at least one altered gene.
  • Substantial heterogeneity in therapeutic recommendations was observed among the different tools.

Conclusions:

  • There is a critical need for the development and standardization of robust software tools for interpreting cancer genomic data.
  • Current algorithms require enhancement, potentially through artificial intelligence, to improve accuracy and real-time status updates for therapeutic recommendations.
  • Standardization is essential for reliable clinical decision-making in precision oncology.

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