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Bridging the Gap: Innovative 'Center for Precision Oncology' in Missouri
Beth Gustafson1, Lindsey Douglass1, Timothy Pluard1
1Saint Luke's Cancer Institute, and Dr. Pluard is also with the University of Missouri-Kansas City, Kansas City, Missouri.
Background:
Next generation sequencing (NGS) has become standard practice for identification and treatment of targetable driver mutations in advanced cancer. However, NGS interpretation of clinical applicability can be challenging to clinician, with potential impact on patient's outcome. Specialized precision medicine services are poised to bridge this gap by creating collaborative frameworks to formulate and deliver genomic patient care plans.
Methods:
Saint Luke's Cancer Institute in Kansas City, Missouri, (SLCI) instituted the Center for Precision Oncology (CPO) in 2017. The program accepts patient referrals for a multidisciplinary molecular tumor board and offers CPO clinic visits. An Institutional Review Board-approved molecular registry was initiated. It catalogues genomic files along with patient demographics, treatment and outcomes. CPO patient volumes, recommendation acceptance, clinical trial matriculation and funding for drug procurement were closely tracked.
Results:
In 2020 there were 93 referrals to the CPO with 29 patient clinic visits. 20 patients matriculated to CPO-recommended therapies. Two patients were successfully enrolled in Expanded Access Programs (EAPs). CPO successfully procured eight off-label treatments. Treatments initiated per CPO recommendations totaled over $1 million in drug costs.
Conclusion:
Precision medicine services are essential tool for oncology clinicians. In addition to expert NGS analysis interpretation, precision medicine programs provide crucial multidisciplinary support for patients to understand the implications of their genomic report and pursue targeted treatment as indicated. Molecular registries associated with these services offer valuable opportunities for research.
Insights
Precision medicine services, like Saint Luke's Center for Precision Oncology, help clinicians interpret next-generation sequencing (NGS) data for advanced cancer patients, improving genomic care plans and treatment outcomes.
Area of Science:
- Oncology
- Genomics
- Precision Medicine
Background:
- Next-generation sequencing (NGS) is crucial for identifying targetable mutations in advanced cancers.
- Interpreting NGS results for clinical application presents challenges for oncologists, potentially affecting patient outcomes.
- Specialized precision medicine services can bridge this gap by offering collaborative frameworks for genomic patient care.
Purpose of the Study:
- To evaluate the impact and operational aspects of a Center for Precision Oncology (CPO) at Saint Luke's Cancer Institute.
- To assess the effectiveness of a multidisciplinary approach in delivering genomic patient care plans.
- To analyze patient referrals, treatment recommendations, and outcomes within a precision medicine program.
Main Methods:
- Saint Luke's Cancer Institute established the Center for Precision Oncology (CPO) in 2017.
- The CPO utilizes a multidisciplinary molecular tumor board and offers dedicated clinic visits.
- An Institutional Review Board-approved molecular registry was created to track genomic data, patient demographics, treatments, and outcomes.
Main Results:
- In 2020, the CPO received 93 referrals and conducted 29 patient clinic visits.
- Twenty patients were treated with CPO-recommended therapies, including off-label drugs and Expanded Access Programs (EAPs).
- Recommended treatments exceeded $1 million in drug costs, highlighting the program's significant impact on patient care.
Conclusions:
- Precision medicine services are vital for oncologists, offering expert NGS interpretation and multidisciplinary support.
- These programs empower patients to understand genomic reports and pursue targeted treatments.
- Associated molecular registries provide valuable resources for future cancer research.
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