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Updated: Feb 8, 2026

In vivo Imaging and Therapeutic Treatments in an Orthotopic Mouse Model of Ovarian Cancer
Published on: August 17, 2010
Ex vivo drug sensitivity testing predicts treatment outcomes in advanced ovarian cancer
Kathrin B Labrosse1,2, Flavio C Lombardo1, Ewelina M Bartoszek3
1Department of Biomedicine, Ovarian Cancer Research, University Hospital Basel and University of Basel, Basel, Switzerland.
Abstract:
Effective management of advanced epithelial ovarian cancer (EOC) is challenging, with most patients relapsing despite standard therapies, highlighting the need for personalized treatment. Functional ex vivo drug testing enables matching patients to effective therapies based on drug sensitivity. We present DRUGSENS, a scalable, clinically adaptable ex vivo screening platform that quantitatively assesses single-cell, on-target drug effects in cell lines and patient-derived samples. DRUGSENS offers high-resolution analysis of responses to single agents and relevant drug combinations, guiding personalized treatment across tumor types. The semi-automated assay integrates immunofluorescence-based confocal imaging with computational analysis using QuPath, Fiji, and a dedicated R package. We profiled 21 samples from 17 patients in chemotherapy-naive and relapsed states, achieving 100% culture success and delivering results within 10 days. Most samples showed limited sensitivity to multiple agents, indicating multidrug resistance. Notably, ex vivo drug responses correlated significantly with progression-free and overall survival. DRUGSENS supports rapid, clinically relevant functional profiling in EOC, providing a valuable tool to inform treatment recommendations and prioritize drugs for clinical application.
Insights
This study introduces DRUGSENS, a new platform for ex vivo drug testing in epithelial ovarian cancer (EOC). It helps personalize treatment by predicting patient response to therapies, improving outcomes.
Area of Science:
- Oncology
- Translational Medicine
- Biotechnology
Background:
- Advanced epithelial ovarian cancer (EOC) management is challenging due to frequent relapses.
- Personalized treatment strategies are crucial for improving patient outcomes.
- Functional ex vivo drug testing offers a method to tailor therapies based on individual tumor sensitivity.
Purpose of the Study:
- To present DRUGSENS, a scalable and clinically adaptable ex vivo drug screening platform.
- To quantitatively assess single-cell, on-target drug effects in EOC cell lines and patient samples.
- To guide personalized treatment decisions by analyzing drug responses and combinations.
Main Methods:
- DRUGSENS platform utilizes immunofluorescence-based confocal imaging and computational analysis (QuPath, Fiji, R package).
- Semi-automated assay assesses responses to single agents and drug combinations.
- Profiling of 21 samples from 17 chemotherapy-naive and relapsed EOC patients.
Main Results:
- Achieved 100% culture success with results delivered within 10 days.
- Identified multidrug resistance in most samples, showing limited sensitivity to multiple agents.
- Demonstrated significant correlation between ex vivo drug responses and progression-free/overall survival.
Conclusions:
- DRUGSENS provides rapid, clinically relevant functional profiling for EOC.
- The platform can inform treatment recommendations and prioritize drugs for clinical application.
- This tool supports personalized medicine approaches in ovarian cancer treatment.
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