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Published on: April 11, 2016
Clinical Quality Considerations when Using Next-Generation Sequencing (NGS) in Clinical Drug Development
Timothé Ménard1, Alaina Barros2, Christopher Ganter2
1F. Hoffmann-La Roche AG, Basel, Switzerland. timothe.menard@roche.com.
Next-generation sequencing (NGS) is revolutionizing precision medicine, but a lack of comprehensive quality guidelines for its use in clinical trials poses challenges. This research proposes a framework to ensure robust quality for NGS in drug development.
Area of Science:
- Genomic Medicine
- Clinical Diagnostics
- Biotechnology
Background:
- Next-generation sequencing (NGS) and falling genomic testing costs are transforming precision medicine.
- NGS integration into clinical drug development promises accelerated trials and improved patient care through targeted therapies and less invasive monitoring.
Purpose of the Study:
- To address the absence of a holistic GxP-like framework for pharmaceutical sponsors utilizing NGS in clinical trials, Companion Diagnostics (CDx), and Comprehensive Genomic Profiling (CGP).
- To identify and translate existing regulations and guidelines into actionable clinical quality considerations for NGS service providers.
Main Methods:
- Review and analysis of existing Health Authority (HA) guidances and regulations.
- Identification of applicable quality considerations related to technology, data quality, patient safety, and oversight.
- Development of a proposed framework for pharmaceutical sponsors.
Main Results:
- Existing regulations offer a basis for clinical quality considerations in NGS.
- Key areas for quality consideration include technology, data integrity, patient data, and oversight mechanisms.
- A need for a comprehensive, GxP-like framework for NGS in clinical drug development is highlighted.
Conclusions:
- The study identifies critical quality considerations for pharmaceutical sponsors using NGS services.
- A proposed framework can guide the development of essential guidelines for NGS clinical quality.
- Establishing robust quality standards is crucial for advancing precision medicine through NGS.
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